Strategies to improve anxiety and depression in patients with COPD: a mental health perspective.

Chronic obstructive pulmonary disease (COPD) is a pulmonary disease characterized by progressive and potentially reversible symptoms.  In COPD, anxiety and depression are surprisingly common.  This article aimed to comment on the lack of literature of psychological disorders associated with COPD.  First, this study stressed that patients prefer to be treated by non-pharmacological means instead of drug therapy.  Individual and group therapy are useful in treating patients with COPD.  Most antidepressants work the same on depression but have different side effects based on drug class.  This article also stressed that one-third of patients suffering from anxiety and depression due to COPD are untreated.  It also states that one-third of patients with COPD have related anxiety and depression.  Despite all the research conducted by this article it was not able to provide a concise treatment plan but it did specify that mental illness is widely under-diagnosed and under-treated.

This article was interesting to me becasue it was a review article about a topic that I had heard about but had very little knowledge on the matter beforehand.  I heard of COPD but did not know there was such a high correlation between between depression and anxiety and COPD.  I was also curious to see that drug therapy was not the primary source of treatment for this disease state and it was instead preferred to treat using group and individual therapy.  Considering we rarely discuss that form of treatment it was interesting to see that as the principle treatment and learn more about it.

Tselebis A, Pachi A, Ilias I, et al. Strategies to improve anxiety and depression in patients with COPD: a mental health perspective. Neuropsychiatric Disease and Treatment. 2016;12:297-328 

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