Correlation of Hospital Anxiety and Depression Scale (HADS) and Six Minute Walk Test (6MWT) Performance in Chronic Obstructive Pulmonary Disease (COPD) Patients.
Keywords:
COPD, Six minute walk test, anxiety, depression, HADSAbstract
Purpose of study: Chronic obstructive pulmonary disease (COPD) is a severe pulmonary disease with varying impact on the patient’s general physical condition, functioning and quality of life. Anxiety and Depression are common comorbidities in COPD patients which affects exercise capacity in COPD patients. There is lack of literature of assessment of depression and anxiety in COPD patients. Therefore, the current study was undertaken.
Aim and objective: To find out the correlation between Hospital Anxiety and Depression Scale (HADS) and Six Minute Walk Test (6MWT) Performance in Chronic Obstructive Pulmonary Disease (COPD) Patients.
Methodology: All the participants were selected according to sample of convenience and given a thorough explanation of the procedure in the language they understand. Each participant signed a written consent before participating in the study in the language they could comprehend. Subjects were screened on the basis of selection criteria and a total of 100 participants were selected. Their anthropometric and demographic data was recorded. The participants were given the HADS and then asked to perform the Six-minute walk test (6MWT) and the distance was calculated.
Result: In this abnormal depression group the r= -0.3148, p= 0.0047 which shows there is negative correlation, which is strongly significant. In this abnormal anxiety group the r=-0.4115, p= 0.0001 which shows there is fairly negative correlation which is found to be significant.
Conclusion: The study thus concluded that, as anxiety and depression increases Six-minute walk test (6MWT) distance decreases.
Downloads
References
Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J. Harrison's principles of internal medicine. Longo DL, editor. New York: Mcgraw-hill; 2012.
Al-shair K, Dockry R, Mallia-Milanes B, Kolsum U, Singh D, Vestbo J. Depression and its relationship with poor exercise capacity, BODE index and muscle wasting in COPD. Respiratory medicine. 2009 Oct 1; 103(10):1572-9.
Yohannes AM, Alexopoulos GS. Depression and anxiety in patients with COPD. European Respiratory Review. 2014 Sep 1; 23(133): 345-9.
Pynnaert C, Lamotte M, Naeije R. Aerobic exercise capacity in COPD patients with and without pulmonary hypertension. Respiratory medicine. 2010 Jan 1; 104(1):121-6.
Bhome AB. COPD in India: Iceberg or volcano?. Journal of thoracic disease. 2012 Jun 1; 4(3): 298.
Sharma V, Gupta RK, Jamwal DS, Raina SK, Langer B, Kumari R. Prevalence of chronic respiratory disorders in a rural area of North West India: A population-based study. Journal of family medicine and primary care. 2016 Apr; 5(2): 416.
Light RW, Merrill EJ, Despars JA, Gordon GH, Mutalipassi LR. Prevalence of depression and anxiety in patients with COPD: relationship to functional capacity. Chest. 1985 Jan 1; 87(1):35-8.
Di Marco F, Terraneo S, Roggi MA, Repossi AC, Pellegrino GM, Veronelli A, Santus P, Pontiroli AE, Centanni S. Physical activity impairment in depressed COPD subjects. Respiratory care. 2014 May 1; 59(5):726-34.
Eisner MD, Blanc PD, Yelin EH, Katz PP, Sanchez G, Iribarren C, Omachi TA. Influence of anxiety on health outcomes in COPD. Thorax. 2010 Mar 1; 65(3):229-34.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 International Journal of Biomedical Research

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- An author must submit Copyright form After acceptance of the article.