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FREQUENCY OF DEPRESSIVE SYNDROME IN PATIENT WITH BRONCHIAL
ASTHMA AND CHRONIC OBSTRUCTIV PULMONARY DISEASE
Akhmedov Shahbos
1
-2
, AvazovaGulchehra
1
, Toshboboeva Dilnoza
1
1
Department of Phthisiology and Pulmonology, Tashkent Medical Academy, Tashkent
Uzbekistan
2
Republican Specialized Scientific Practical Medical Centre of Phthisiology and
Pulmonology, Tashkent, Uzbekistan.
Purpose:
to give a comparative assessment of the incidence of depression in patients wit bronchial
asthma and chronic obstructive pulmonary disease.
Material and research methods.
55 patients with bronchial asthma( BA) and 45 patients with
chronic obstructive pulmonary disease (COPD), with varying severity of the course, who were
hospitalized at the Republican Scientific and Practical Medical Center for Phthisiology and
Pulmonology of the Ministry of Health of the Republic of Uzbekistan, were prescreened to
determine the depressive syndrome according to ICD-10 (F32). The criteria for a depressive
syndrome was the presence of a combination of 2-3 main and 2-4 additional symptoms.
Results.
A comparative assessment of the incidence of depressive syndrome among patients with
pulmonological profile revealed the presence of depressive syndrome in 42.8% of patients with
COPD and 36.4% of patients with BA. In the overwhelming majority of patients with COPD
(66.7%), the presence of depressive states is diagnosed in a more severe course of the disease with
pronounced manifestations of ventilation disorders and hypoxia. In BA patients, depressive states
were formed with a milder course of the disease. As with COPD (50%), so with asthma (40%), the
development of depressive disorders is observed more often in women and is determined by the
short duration of the disease up to 5 years. In the formation of a depressive state in men with BA
(33%) and COPD (40%), there was a factor of a longer duration of the disease (more than 15 years).
The main symptoms of depressive symptoms (100%) are a decrease in interest and the ability to
experience satisfaction, as well as a decrease in energy and increased fatigue, in 83.3% - symptoms
of sleep disturbance, in 63.3% - there was a decreased self-esteem and a feeling of self-doubt, 50
% of patients have ideas of guilt and self-deprecation, 33.3% - notice a decrease in concentration
and inability to concentrate, in 50% of patients there is a violation of appetite, which appears by
loss of div weight. In 5.5% of patients with COPD, thoughts arise that determine the desire for
suicide.
Conclusions.
The high frequency of depressive disorders, against the background of somatic
pathology determined by BA and COPD, requires earlier diagnosis and correction in order to reduce
the severity of the underlying disease.
References
1.
Алтыбаева, С. Ш., Агзамова, Ш. А., Григорян, Г. А., & Ташметова, К. Ж. (2013).
Состояние иммунитета и функции щитовидной железы у детей с рецидивирующей
бронхолегочной патологией. In Тез. докл. VII Нац. конгр. по болезням органов
дыхания (p. 384).
2.
Агзамова, Ш. А. "Характеристика нарушений вентиляции легких у детей с острыми и
рецидивирующими бронхитами." Вопросы современной педиатрии S (2006): 11a.
