High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting
Background: Depression and anxiety are common in patients with chronic respiratory diseases (CRDs), but their prevalence in intensive care settings, particularly in low-resource regions, remains underexplored. Objective: To assess the prevalence and severity of depression and anxiety in patients wit...
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| Language: | English |
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MDPI AG
2025-06-01
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| Series: | Advances in Respiratory Medicine |
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| Online Access: | https://www.mdpi.com/2543-6031/93/3/12 |
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| author | Amun Mustafa Asifa Karamat Wajeeha Mustansar Toor Tehmina Mustafa |
| author_facet | Amun Mustafa Asifa Karamat Wajeeha Mustansar Toor Tehmina Mustafa |
| author_sort | Amun Mustafa |
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| description | Background: Depression and anxiety are common in patients with chronic respiratory diseases (CRDs), but their prevalence in intensive care settings, particularly in low-resource regions, remains underexplored. Objective: To assess the prevalence and severity of depression and anxiety in patients with CRDs admitted to an intensive care unit (ICU) and identify associated factors. Methods: A cross-sectional study was conducted at Gulab Devi Teaching Hospital, Lahore, Pakistan. Adult patients with CRDs admitted to the ICU were assessed using the Hamilton Depression Rating Scale. Statistical analyses included Fisher’s exact test, Mann–Whitney/Kruskal–Wallis tests, and logistic regression. Results: Depression was highly prevalent across all CRD categories: 83%, 89%, 84%, and 93% in obstructive, restrictive, infectious, and other respiratory disease categories, and severe depression in 16%, 18%, 14%, and 37%, respectively. Anxiety symptoms were also widespread (77–100%), with no significant differences across disease groups. Depression was significantly associated with older age (<i>p</i> < 0.001, OR 1.08) and anxiety symptoms (<i>p</i> < 0.001, OR 47.07). Female gender was linked to anxiety (<i>p</i> = 0.034, OR 4.17). Conclusion: The high burden of depression and anxiety in ICU patients with CRDs underscores the need for routine psychiatric screening and integrated mental health care in critical-care settings. |
| format | Article |
| id | doaj-art-12fcb39a695d489d9d8a032a7c45229e |
| institution | Kabale University |
| issn | 2543-6031 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Advances in Respiratory Medicine |
| spelling | doaj-art-12fcb39a695d489d9d8a032a7c45229e2025-08-20T03:27:02ZengMDPI AGAdvances in Respiratory Medicine2543-60312025-06-019331210.3390/arm93030012High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource SettingAmun Mustafa0Asifa Karamat1Wajeeha Mustansar Toor2Tehmina Mustafa3Department of Medicine, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore 54000, PakistanDepartment of Pulmonology, Gulab Devi Teaching Hospital, Lahore 54000, PakistanDepartment of Pulmonology, Gulab Devi Teaching Hospital, Lahore 54000, PakistanCenter for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, NorwayBackground: Depression and anxiety are common in patients with chronic respiratory diseases (CRDs), but their prevalence in intensive care settings, particularly in low-resource regions, remains underexplored. Objective: To assess the prevalence and severity of depression and anxiety in patients with CRDs admitted to an intensive care unit (ICU) and identify associated factors. Methods: A cross-sectional study was conducted at Gulab Devi Teaching Hospital, Lahore, Pakistan. Adult patients with CRDs admitted to the ICU were assessed using the Hamilton Depression Rating Scale. Statistical analyses included Fisher’s exact test, Mann–Whitney/Kruskal–Wallis tests, and logistic regression. Results: Depression was highly prevalent across all CRD categories: 83%, 89%, 84%, and 93% in obstructive, restrictive, infectious, and other respiratory disease categories, and severe depression in 16%, 18%, 14%, and 37%, respectively. Anxiety symptoms were also widespread (77–100%), with no significant differences across disease groups. Depression was significantly associated with older age (<i>p</i> < 0.001, OR 1.08) and anxiety symptoms (<i>p</i> < 0.001, OR 47.07). Female gender was linked to anxiety (<i>p</i> = 0.034, OR 4.17). Conclusion: The high burden of depression and anxiety in ICU patients with CRDs underscores the need for routine psychiatric screening and integrated mental health care in critical-care settings.https://www.mdpi.com/2543-6031/93/3/12depressionanxietychronic respiratory diseasesintensive careHamilton Depression Rating Scale |
| spellingShingle | Amun Mustafa Asifa Karamat Wajeeha Mustansar Toor Tehmina Mustafa High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting Advances in Respiratory Medicine depression anxiety chronic respiratory diseases intensive care Hamilton Depression Rating Scale |
| title | High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting |
| title_full | High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting |
| title_fullStr | High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting |
| title_full_unstemmed | High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting |
| title_short | High Prevalence of Depression and Anxiety in Patients with Chronic Respiratory Diseases Admitted to Intensive Care in a Low-Resource Setting |
| title_sort | high prevalence of depression and anxiety in patients with chronic respiratory diseases admitted to intensive care in a low resource setting |
| topic | depression anxiety chronic respiratory diseases intensive care Hamilton Depression Rating Scale |
| url | https://www.mdpi.com/2543-6031/93/3/12 |
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