A Prospective Cohort Study to Investigate the Association of Depression, Anxiety and Stress Among COPD Patients at Secondary Care Hospital

Chronic obstructive pulmonary disease (COPD) significantly impacts patients' mental health, often leading to increased levels of depression, stress and anxiety.This study aims to explore the association between these psychological factors in COPD patients at a secondary care hospital.A cross-sectional study was conducted with COPD patients.A total of 70 participants were recruited using convenience sampling.Depression, anxiety, and stress were assessed using standardized questionnaire such as Depression, Anxiety, and Stress Scale (DASS-21).Statistical analyses were performed to evaluate the associations among these variables.The study found a high prevalence of depression (40%), anxiety (64.7%), and stress (51.4%) among COPD patients.The Morisky medication adherence scale was employed to evaluate the patient's adherence to their medication regimen.Following the counselling provided to the patient, there has been an enhancement in medication adherence.Multivariate analysis indicated that factors such as disease severity and social support were significant predictors of these psychological conditions.The findings highlight a substantial burden of depression, anxiety, and stress among COPD patients.Integrating mental health assessment and intervention into the management of COPD may improve patient outcomes and quality of life.Further longitudinal studies are recommended to establish causative relationships and explore intervention strategies.