The prevalence of anxiety and depression in bronchiectasis patients and their association with disease severity: a cross-sectional study

Sci Rep. 2023 Nov 28;13(1):20886. doi: 10.1038/s41598-023-48276-1.

Abstract

Bronchiectasis is a chronic lung disease characterized by recurrent respiratory symptoms. Several studies demonstrated that psychological comorbidities are common in patients with bronchiectasis. The aim of this study is to investigate the prevalence of anxiety and depression in bronchiectasis patients and assess their association with disease severity. In this cross-sectional study, we included patients diagnosed with bronchiectasis. The study was conducted using an interviewer-administered questionnaire via phone calls and data collected from the electronic medical records at JUH. The questionnaire included patients' demographics and disease characteristics. Anxiety and depression were assessed using GAD7 and PHQ9 respectively. Bronchiectasis disease severity was assessed using BSI and FACED score. The total number of included patients was 133. Moreover, 53.4% of the participants were females while the rest were males (46.6%). PHQ9 demonstrated that 65.4% of the patients had depression. Regarding anxiety, GAD7 scale showed that 54.1% of the patients had anxiety. Pearson correlation showed that bronchiectasis severity index was significantly associated only with PHQ9 depression scores (r = 0.212, P value = 0.014). The prevalence of depression and anxiety is high among patients with bronchiectasis. We believe that patients affected with bronchiectasis should be screened for depression to improve their quality of life.

MeSH terms

  • Anxiety / epidemiology
  • Anxiety / psychology
  • Bronchiectasis* / complications
  • Bronchiectasis* / diagnosis
  • Bronchiectasis* / epidemiology
  • Cross-Sectional Studies
  • Depression* / psychology
  • Female
  • Humans
  • Male
  • Patient Acuity
  • Prevalence
  • Quality of Life / psychology
  • Severity of Illness Index