The evaluation of anxiety and depression in spontaneous pneumothorax

Year 2023, Volume: 6 Issue: 3, 592 - 596, 31.05.2023

Seray Hazer , Selim Şakir Erkmen Gülhan , Can Kutlay , Leyla Nesrin Acar , İlteriş Türk , Muhammet Ali Beyoğlu , Ebru Sayılır Güven , Pınar Bıçakçıoğlu

https://doi.org/10.32322/jhsm.1259104

Abstract

Aim: Psychiatric disorders are common in patients with advanced respiratory diseases. The prevalence of primary spontaneous pneumothorax ranges from 1.2-37 per 100,000 population per year, and the risk of recurrence causes anxiety and depression for the patients. 
Material and Method: The Hospital Anxiety and Depression (HAD) scale was applied to 50 patients with a primary spontaneous pneumothorax that underwent treatment in our clinic and a control group of 50 individuals. The study and control group had similar participants (50 patients, 9 women and 41 men). The control group comprised otherways healthy participans aged between 18-40 who had admitted to the smoking cessation clinic.
Results: While the study group's mean age was 25.2, it was 29 in the control group (covariance analysis used for the correction). On anxiety scale, the study group's mean score was calculated as 8.6, while it was 5.7 in the control group. The difference was found to be significantly higher in the patient group. The depression scale score of the study group was 5.8, and the control group's score was 5.7. There was no statistically significant difference between the groups. 
Conclusion: Since pneumothorax is a sudden, recurring, and severe illness that can cause respiratory distress, it may lead to anxiety or depression in patients. Without treatment, life-threatening consequences such as dyspnea and cardiac collapse may occur. Furthermore, the painful procedure of tube thoracostomy increases the patients' anxiety. Our objective is to identify potential anxiety-depression in pneumothorax patients, leading to improved mental health outcomes, increased satisfaction, lower readmission rates, and reduced care costs.

Keywords

Primary spontaneous pneumothorax, anxiety, depression

Spontan pnömotoraksta anksiyete ve depresyonun değerlendirilmesi

Abstract

Giriş
İleri derecede solunum yolu hastalığı olan hastalarda psikiyatrik bozukluklar sık görülür. Primer spontan pnömotoraks yılda 1,2-37/100.000 kişide görülmektedir ve nüks riski, hastalarda anksiyete ve depresyona neden olmaktadır.
Materyal Metod
Kliniğimizde tedavi edilmiş primer spontan pnömotorakslı 50 hasta ve 50 kontrol grubuna Hastane Anksiyete ve Depresyon (HAD) ölçeği uygulandı. Çalışma ve control grubu benzer özellikte katılımcılara sahipti (50 hasta, 9 kadın ve 41 erkek). Kontrol grubu sigara bırakma polikliniğe başvuran 18-40 yaş arası, hastalık öyküsü olmayan bireylerden oluşturuldu.
Bulgular
Çalışma grubunun yaş ortalaması 25,2 iken, control grubunda 29’du (düzeltme için konveryans analizi kullanıldı). Çalışma grubunda kaygı ölçeğine göre aldıkları puan ortalama 8,6 olarak hesaplandı, control grubunda ise 5.7 idi, çalışma grubundan anlamlı derecede yüksek bulundu. Çalışma grubunun depresyon ölçeği ortalama puanı 5,8 ve control grubunun ise 5,7 idi. Gruplar arasında anlamlı bir fark görülmedi.
Sonuç
Pnömotoraks; ani başlangıçlı, tekrarlayan ve solunum sıkıntısına yol açabilen ciddi bir hastalık olması nedeniyle hastalarda anksiyete ve depresyon gelişebilir. Tedavi edilmediği takdirde dispne ve kardiyak kollaps gibi hayatı tehdit eden sonuçlar ortaya çıkabilir. Ayrıca tüp torakostominin ağrılı bir işlem olması hastaların kaygısını artırmaktadır. Hastanın olası psikiyatrik problemlerini düzeltmeye çalışmak; hasta memnuniyetini artıracak ve gereksiz hastane yatışlarını, bakım maliyetlerini azaltacaktır.

Keywords

primer spontan pnömotoraks, anksiyete, depresyon

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