Beneficial Impact of Vaccination Against SARS-CoV-2 on the Mental Health of IPF Patients

<b>Background</b>: Depression and anxiety represent significant comorbidities in idiopathic pulmonary fibrosis (IPF) patients, affecting their quality of life. The COVID-19 pandemic has had an uneven impact on global mental health. The Hospital Anxiety and Depression Scale (HADS) constitutes a validated tool to identify anxiety disorders and depression. The aim of this multicentre study was to evaluate the effect of COVID-19 vaccination on depression and anxiety in IPF patients. <b>Methods</b>: Consecutive IPF patients (median 73.5 years) who are regularly followed-up with were included in the study. Demographics, functional, and clinical were recorded. The HADS score was calculated before and one month after vaccination against COVID-19 in all participants. A Wilcoxon signed ranks test was conducted. <b>Results</b>: A total of 180 IPF patients (median 73.5 years) were included in the study. Among them, 145 patients (81%) received antifibrotic treatment. A significant reduction in HADS, both in anxiety and depression scales, was observed one month after vaccination against SARS-COV-2), independent of age, smoking, lung function impairment, and prior history of depression (<i>p</i> < 0.01). <b>Conclusions</b>: A higher Hospital Anxiety and Depression Scale score was detected before vaccination against COVID-19. It seems that vaccination also offered a beneficial effect on depression and anxiety in IPF patients, independent of age, smoking, lung function impairment, and prior history of depression.

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Publication Details

Journal
Advances in respiratory medicine
Published
2024-11-06
DOI
https://doi.org/10.3390/arm92060042
Primary Topic
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
Type
article
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article

Beneficial Impact of Vaccination Against SARS-CoV-2 on the Mental Health of IPF Patients

Paschalis Ntolios, Andriana Ι. Papaioannou, Anna Karakatsani, Argyrios Tzouvelekis et al.
Advances in respiratory medicine
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
article

Beneficial Impact of Vaccination Against SARS-CoV-2 on the Mental Health of IPF Patients

Paschalis Ntolios, Andriana Ι. Papaioannou, Anna Karakatsani, Argyrios Tzouvelekis, Athena Gogali, Konstantinos Tatsis, P Tsiri, Vasilios Tzilas, Lykourgos Kolilekas, Vasiliki Apollonatou, Demosthenes Bouros, Zoe Daniil, Elvira-Markella Antonogiannaki, Aggeliki Haritou, Paraskevi Kirgou, Paschalis Steiropoulos, Stelios Loukides, Ilias Dimeas, Katerina M. Antoniou, Emmanouil K. Symvoulakis, Effrosyni D. Manali, Katherine Samaras, Areti Xyfteri, Ioannis P. Tomos, Maria Kallieri, Ιlias Papanikolaou, Spyros Papiris, Maria Maniati
article en

Abstract

<b>Background</b>: Depression and anxiety represent significant comorbidities in idiopathic pulmonary fibrosis (IPF) patients, affecting their quality of life. The COVID-19 pandemic has had an uneven impact on global mental health. The Hospital Anxiety and Depression Scale (HADS) constitutes a validated tool to identify anxiety disorders and depression. The aim of this multicentre study was to evaluate the effect of COVID-19 vaccination on depression and anxiety in IPF patients. <b>Methods</b>: Consecutive IPF patients (median 73.5 years) who are regularly followed-up with were included in the study. Demographics, functional, and clinical were recorded. The HADS score was calculated before and one month after vaccination against COVID-19 in all participants. A Wilcoxon signed ranks test was conducted. <b>Results</b>: A total of 180 IPF patients (median 73.5 years) were included in the study. Among them, 145 patients (81%) received antifibrotic treatment. A significant reduction in HADS, both in anxiety and depression scales, was observed one month after vaccination against SARS-COV-2), independent of age, smoking, lung function impairment, and prior history of depression (<i>p</i> < 0.01). <b>Conclusions</b>: A higher Hospital Anxiety and Depression Scale score was detected before vaccination against COVID-19. It seems that vaccination also offered a beneficial effect on depression and anxiety in IPF patients, independent of age, smoking, lung function impairment, and prior history of depression.

Advances in respiratory medicineVol. 92(6)
University of Crete (GR), University of Thessaly (GR), Democritus University of Thrace (GR), University of Patras (GR), University of Ioannina (GR), National and Kapodistrian University of Athens (GR), General University Hospital of Patras (GR), Corfu General Clinic (GR), Sotiria General Hospital (GR)
Good health and well-being
Openalex Percentile: Top 62%
Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
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