psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease模式和重要的疲惫心理症状与慢性阻塞性肺疾病门诊病人.pdfVIP

Tselebis et al. Annals of General Psychiatry 2011, 10:32 /content/10/1/32 PRIMARY RESEARCH Open Access Psychological symptom patterns and vital exhaustion in outpatients with chronic obstructive pulmonary disease 1* 1 2 2 2 Athanasios Tselebis , Dionisios Bratis , Epaminondas Kosmas , Maria Harikiopoulou , Elpida Theodorakopoulou , 2 1 1 3 4 5 Silvia Dumitru , Georgios Moussas , Athanasios Karkanias , Ioannis Ilias , Nikolaos Siafakas , Alexandros Vgontzas and Nikolaos Tzanakis4,6 Abstract Background: Several studies have reported high prevalence of anxiety and depression in chronic obstructive pulmonary disease (COPD) outpatients. Moreover, these patients share psychological or psychopathological characteristics that inhibit their ability to cope with the disease. In the present study we aimed to record the prevalence of psychological symptom patterns in a sample of Greek COPD outpatients and to assess which psychological factors (and to which degree) contribute to vital exhaustion (VE). Methods: The study included 139 COPD outpatients. We used the Symptom Checklist 90 - Revised (SCL-90-R) and the Maastricht Questionnaire (MQ) in order to evaluate psychological symptom patterns and VE, respectively. Results: The mean MQ score was 19.6, which is significantly higher than the corresponding score in the general population. Regarding the SCL-90-R dimensions, depression was the highest followed by somatization, obsessive- compulsive and anxiety dimensions. Additionally, a positive correlation was observed between the MQ and the SCL-90- R dimensions. MQ failed to d