Relationship between anxiety, depression, and quality of life in adult patients with cystic fibrosis.

Abstract:

BACKGROUND:The impact of anxiety and depression on quality of life (QOL) in adult patients with cystic fibrosis (CF) is fully unknown. We investigated the prevalence and factors associated with anxiety and depression, including QOL, in adult CF patients. METHODS:One hundred twenty-one adult CF subjects, age ≥ 18 years were recruited from our out-patient clinic. Participants self-completed the Hospital Anxiety Depression Scale and the Cystic Fibrosis Quality of Life Questionnaire (CF-QOL). Socio-demographic data and values for lung function were extracted from the medical notes. RESULTS:Mean ± SD age was 30 ± 8.8 years, and age ranged 18-70 years. Forty (33%) were identified with anxiety symptoms, 20 (17%) with depressive symptoms. Factors related with depression were impaired QOL and low lung function. Anxiety was associated with difficulty in interpersonal relationships and severity of chest symptoms. The CF-QOL sub-domains (physical functioning, social functioning, treatment issues, chest symptoms, emotional functioning, concerns for the future, interpersonal relationships, body image, future/career concerns, and total CF-QOL) were all significantly correlated with anxiety (P < .001) and with depression (P < .001), respectively. CONCLUSIONS:Anxiety and depressive symptoms are common in adult CF patients. They are associated with poorer QOL, low lung function, reduced physical functioning, and severity of chest symptoms. Therefore, routine screening for symptoms of anxiety and depression is a worthy endeavor, and those identified with elevated clinical symptoms should be referred to receive appropriate treatment.

journal_name

Respir Care

journal_title

Respiratory care

authors

Yohannes AM,Willgoss TG,Fatoye FA,Dip MD,Webb K

doi

10.4187/respcare.01328

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

550-6

issue

4

eissn

0020-1324

issn

1943-3654

pii

rc01328r3yohannes

journal_volume

57

pub_type

杂志文章
  • Weaning from mechanical ventilation: the evidence from clinical research.

    abstract::Mechanical ventilation incurs substantial morbidity, mortality, and costs. Both premature extubation and delayed extubation can cause harm. Therefore, weaning that is both expeditious and safe is highly desirable. The purpose of this review is to summarize the literature related to weaning modes, spontaneous breathing...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Meade MO,Guyatt GH,Cook DJ

    更新日期:2001-12-01 00:00:00

  • Respiratory controversies in the critical care setting. Should heliox be used for mechanically ventilated patients?

    abstract::Helium is an inert gas with a very low density (0.18 g/L), which allows it to pass through narrowed passages with less turbulence than nitrogen or oxygen. For many years, helium-oxygen mixture (heliox) has been used for patients with severe airway obstruction. However, the data supporting the clinical application of h...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Hurford WE,Cheifetz IM

    更新日期:2007-05-01 00:00:00

  • A Comparison of Carbon Dioxide Elimination Measurements Between a Portable Indirect Calorimeter and Volumetric Capnography Monitor: An In Vitro Simulation.

    abstract:BACKGROUND:Gas exchange measurements for carbon dioxide elimination (V̇CO2 ) and oxygen consumption (V̇O2 ) have been used to derive resting energy expenditure and guide energy prescription. Volumetric capnography is used in intensive care units and provides V̇CO2 measurements that could be used for titrating respirato...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04282

    authors: Smallwood CD,Martinez EE,Mehta NM

    更新日期:2016-03-01 00:00:00

  • Calculation of physiologic dead space: comparison of ventilator volumetric capnography to measurements by metabolic analyzer and volumetric CO2 monitor.

    abstract:BACKGROUND:Calculation of physiologic dead space (dead space divided by tidal volume [VD/VT]) using the Enghoff modification of the Bohr equation requires measurement of the partial pressure of mean expired CO2 (PĒCO2) by exhaled gas collection and analysis, use of a metabolic analyzer, or use of a volumetric CO2 monit...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02116

    authors: Siobal MS,Ong H,Valdes J,Tang J

    更新日期:2013-07-01 00:00:00

  • Noise Exposure From High-Flow Nasal Cannula Oxygen Therapy: A Bench Study on Noise Reduction.

    abstract:BACKGROUND:High-flow nasal cannula (HFNC) oxygen therapy produces noise at a level such that patients often complain. However, the noise level has not been measured digitally. METHODS:We evaluated 3 types of HFNCs without filters and 2 types with filters attached for noise reduction. Optiflow (with and without a filte...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05668

    authors: Kubo T,Nakajima H,Shimoda R,Seo T,Kanno Y,Kondo T,Tamai S

    更新日期:2018-03-01 00:00:00

  • Response to albuterol MDI delivered through an anti-static chamber during nocturnal bronchospasm.

    abstract:BACKGROUND:Decreasing electrostatic charge on valved holding chambers increases the amount of drug delivered. However, there are no data demonstrating that this increases bronchodilatation. OBJECTIVE:To investigate the influence of reducing electrostatic charge on the bronchodilator response to albuterol inhaler duri...

    journal_title:Respiratory care

    pub_type: 杂志文章,随机对照试验

    doi:10.4187/respcare.01572

    authors: Prabhakaran S,Shuster J,Chesrown S,Hendeles L

    更新日期:2012-08-01 00:00:00

  • A computer program for quality control in the blood gas laboratory.

    abstract::In blood gas laboratory quality-assurance programs, which are routinely included with materials sold for quality control, raw data are sent to a data processing center for reduction to statistics meaningful to the laboratory's quality-control effort. This data reduction service usually requires a turn-around time of 2...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: DeWitt AL

    更新日期:1984-04-01 00:00:00

  • Home unattended portable monitoring and automatic CPAP titration in patients with high risk for moderate to severe obstructive sleep apnea.

    abstract:BACKGROUND:Obstructive sleep apnea is a disorder characterized by recurrent obstruction of the upper airways during sleep. The high prevalence of this disease led to proposed new strategies based on the home evaluation and management of patients. OBJECTIVE:To compare home unattended portable monitoring and automatic C...

    journal_title:Respiratory care

    pub_type: 杂志文章,随机对照试验

    doi:10.4187/respcare.01939

    authors: Tedeschi E,Carratù P,Damiani MF,Ventura VA,Drigo R,Enzo E,Ferraresso A,Sasso G,Zambotto FM,Resta O

    更新日期:2013-07-01 00:00:00

  • Metabolic and nutrition support in the chronic critical illness syndrome.

    abstract::Technological innovations in the ICU have led to artificially prolonged life, with an associated cost. Chronic critical illness (CCI) occurs in patients with prolonged mechanical ventilation and allostatic overload, and is associated with a discrete and consistent metabolic syndrome. Metabolic interventions are extra...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.01620

    authors: Schulman RC,Mechanick JI

    更新日期:2012-06-01 00:00:00

  • Endotracheal tubes: old and new.

    abstract::The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngea...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.02868

    authors: Haas CF,Eakin RM,Konkle MA,Blank R

    更新日期:2014-06-01 00:00:00

  • Removal of the CPAP Therapy Device During Sleep and Its Association With Body Position Changes and Oxygen Desaturations.

    abstract:BACKGROUND:Some patients with obstructive sleep apnea syndrome remove the CPAP device during sleep, although they start CPAP at bedtime. We hypothesized that body position changes and oxygen desaturations may be associated with patient removal of the CPAP device. METHODS:We consecutively enrolled 36 poor CPAP adherers...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03520

    authors: Yamaguchi Y,Hibi S,Ishii M,Hanaoka Y,Yamamoto H,Ouchi Y,Akishita M

    更新日期:2015-05-01 00:00:00

  • Effects of High-Flow Nasal Cannula on End-Expiratory Lung Impedance in Semi-Seated Healthy Subjects.

    abstract:BACKGROUND:High-flow nasal cannula (HFNC) enables delivery of humidified gas at high flow while controlling the FIO2 . Although its use is growing in patients with acute respiratory failure, little is known about the impact of HFNC on lung volume. Therefore, we aimed to assess lung volume changes in healthy subjects at...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06031

    authors: Plotnikow GA,Thille AW,Vasquez DN,Pratto RA,Quiroga CM,Andrich ME,Dorado JH,Gomez RS,D'Annunzio PA,Scapellato JL,Intile D

    更新日期:2018-08-01 00:00:00

  • Options for home oxygen therapy equipment: storage and metering of oxygen in the home.

    abstract::Home oxygen therapy equipment options have increased over the past several decades, in response to innovations in technology, economic pressure from third-party payers, and patient demands. The delivery of oxygen in the home has evolved from packaged gas systems containing 99% United States Pharmacopeia oxygen provide...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.01932

    authors: McCoy RW

    更新日期:2013-01-01 00:00:00

  • Relationship between functional residual capacity, respiratory compliance, and oxygenation in patients ventilated after cardiac surgery.

    abstract:BACKGROUND:Measurement of functional residual capacity (FRC) is now possible at bedside, during mechanical ventilation. OBJECTIVES:To determine the relationship of measured absolute and relative predicted FRC values to oxygenation and respiratory-system compliance, and to identify variables that influence FRC in venti...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Heinze H,Sedemund-Adib B,Heringlake M,Meier T,Eichler W

    更新日期:2010-05-01 00:00:00

  • Indications for and timing of tracheostomy.

    abstract::Tracheostomy is one of the most common intensive care unit procedures performed. The advantages include patient comfort, safety, ability to communicate, and better oral and airway care. Patients may have shorter intensive care unit stays, days of mechanical ventilation, and hospital stays. There are risks, long-term a...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Durbin CG Jr

    更新日期:2005-04-01 00:00:00

  • Noninvasive Ventilation as a Weaning Strategy in Subjects with Acute Hypoxemic Respiratory Failure.

    abstract:BACKGROUND:Weaning through noninvasive ventilation (NIV) after early extubation may facilitate invasive ventilation withdrawal and reduce related complications in patients with hypercapnic respiratory failure. However, the effects of NIV weaning are uncertain in patients with acute hypoxemic respiratory failure (AHRF)....

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07542

    authors: Shan M,Pang X,Wang W,Lan C,Chen R,Zhu C,Liu Q

    更新日期:2020-10-01 00:00:00

  • Acute unilateral pneumonitis in a patient with polymyositis: a unique presentation of polymyositis-associated pneumonitis.

    abstract::We describe a unique presentation of polymyositis-associated pneumonitis. A 45-year-old man with a history of polymyositis presented with an episode of fever, cough, dyspnea, rapidly progressive respiratory failure, and unilateral pulmonary infiltrates. Although bacterial pneumonia was initially suspected, all culture...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Vahid B,Machare-Delgado E,Marik PE

    更新日期:2007-12-01 00:00:00

  • The Concave Shape of the Forced Expiratory Flow-Volume Curve in 3 Seconds Is a Practical Surrogate of FEV1/FVC for the Diagnosis of Airway Limitation in Inadequate Spirometry.

    abstract:BACKGROUND:Spirometry is important for the differential diagnosis of dyspnea. However, some patients cannot exhale for ≥6 s to achieve the American Thoracic Society/European Respiratory Society criteria. The aim of this study was to demonstrate the reliability of a new parameter that quantifies the degree of concavity ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05016

    authors: Li H,Liu C,Zhang Y,Xiao W

    更新日期:2017-03-01 00:00:00

  • Inhaled Nitric Oxide: In Vitro Analysis of Continuous Flow Noninvasive Delivery via Nasal Cannula.

    abstract:BACKGROUND:Inhaled nitric oxide (NO) is most frequently delivered to mechanically ventilated patients in critical care, but it can also be administered noninvasively. The delivered dose and efficiency of continuous flow NO supplied through a nasal cannula has yet to be established. This study aimed to determine the inf...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07737

    authors: Pillay K,Chen JZ,Finlay WH,Martin AR

    更新日期:2021-02-01 00:00:00

  • Liberal Manipulation of Ventilator Settings and Its Impact on Tracheostomy Rate and Ventilator-Free Days.

    abstract:BACKGROUND:The utilization of checklists, bundles, and protocols attempts to provide standardization in the delivery of patient care. Despite important progress obtained in the prevention of hospital-acquired infections, the daily management of mechanical ventilation is still prone to heterogeneity, depending on the nu...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03887

    authors: Modrykamien AM,Killian L,Walters RW

    更新日期:2016-01-01 00:00:00

  • Neonatal Pneumothorax Pressures Surpass Higher Threshold in Lung Recruitment Maneuvers: An In Vivo Interventional Study.

    abstract:BACKGROUND:Causing pneumothorax is one of the main concerns of lung recruitment maneuvers in pediatric patients, especially newborns. Therefore, these maneuvers are not performed routinely during anesthesia. Our objective was to determine the pressures that cause pneumothorax in healthy newborns by a prospective experi...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04250

    authors: González-Pizarro P,García-Fernández J,Canfrán S,Gilsanz F

    更新日期:2016-02-01 00:00:00

  • Prediction of pneumonia 30-day readmissions: a single-center attempt to increase model performance.

    abstract:BACKGROUND:Existing models developed to predict 30 days readmissions for pneumonia lack discriminative ability. We attempted to increase model performance with the addition of variables found to be of benefit in other studies. METHODS:From 133,368 admissions to a tertiary-care hospital from January 2009 to March 2012,...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02563

    authors: Mather JF,Fortunato GJ,Ash JL,Davis MJ,Kumar A

    更新日期:2014-02-01 00:00:00

  • The accuracy of transcutaneous PCO2 in subjects with severe brain injury: a comparison with end-tidal PCO2.

    abstract:BACKGROUND:In patients suffering from brain injury, end-tidal PCO2 (PETCO2 ) monitoring is controversial, but transcutaneous PCO2 (PtcCO2 ), which is noninvasive and utilizes immediate display, may be an alternative method. We hypothesized that PtcCO2 would be more accurate than PETCO2 for monitoring PaCO2 in patients ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02726

    authors: Rosier S,Launey Y,Bleichner JP,Laviolle B,Jouve A,Malledant Y,Seguin P

    更新日期:2014-08-01 00:00:00

  • Accuracy and Precision of an Optoacoustic Prototype in Determining Endotracheal Tube Position in Children.

    abstract:BACKGROUND:Confirmation of endotracheal tube (ETT) tip position and timely identification and correction of malposition is an essential component of care for endotracheally intubated and mechanically ventilated children. We evaluated the ability of a prototype optoacoustic medical device to determine ETT tip position. ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06140

    authors: Volsko TA,Petrov Y,McNinch NL,Prough DS,Anderson CR,Bigham MT

    更新日期:2018-12-01 00:00:00

  • Ventilator-integrated jet nebulization systems: tidal volume control and efficiency of synchronization.

    abstract:BACKGROUND:Jet nebulizers constitute the aerosolization devices most frequently used during mechanical ventilation. Continuous nebulization can influence the delivered tidal volume (V(T)) and lead to significant medication loss during expiration. Ventilators thus provide integrated jet nebulization systems that are syn...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02637

    authors: Ehrmann S,Lyazidi A,Louis B,Isabey D,Le Pennec D,Brochard L,Apiou-Sbirlea G

    更新日期:2014-10-01 00:00:00

  • Patient positioning and ventilator-associated pneumonia.

    abstract::Rotational beds, prone position, and semi-recumbent position have been proposed as procedures to prevent ventilator-associated pneumonia (VAP). Rotational therapy uses a special bed designed to turn continuously, or nearly continuously, the patient from side to side; specific designs include kinetic therapy and contin...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Hess DR

    更新日期:2005-07-01 00:00:00

  • Respiratory Therapy Administrators' Perceptions of Effective Teaching Characteristics of Clinical Preceptors.

    abstract:BACKGROUND:Clinical preceptors in respiratory therapy (RT) are expected to possess effective teaching skills and qualities that signify their knowledge, expertise, and professionalism. Thus, it is important to determine which teaching characteristics are effective among RT clinical preceptors from the administrators' p...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06947

    authors: Aldhahir AM,Naser AY,Gardenhire DS

    更新日期:2020-02-01 00:00:00

  • Perceived benefits of the use of learning contracts to guide clinical education in respiratory care students.

    abstract:BACKGROUND:The benefits of contract learning have been identified in the literature as increased individualization to meet the student's individual needs, promotion of learner independence, and development of lifelong learning behaviors among students. METHODS:I used an "action research" approach to implement the cont...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Rye KJ

    更新日期:2008-11-01 00:00:00

  • Idiopathic pulmonary fibrosis with emphysema: evidence of synergy among emphysema and idiopathic pulmonary fibrosis in smokers.

    abstract:BACKGROUND:Emphysema and fibrosis, typically the idiopathic pulmonary fibrosis (IPF) form of usual interstitial pneumonia (UIP), can co-exist as combined pulmonary fibrosis emphysema (CPFE). It is unknown whether there is a pathobiologic basis for CPFE beyond the coexistence of fibrosis and emphysema. The aim of this s...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03389

    authors: Mitchell PD,Das JP,Murphy DJ,Keane MP,Donnelly SC,Dodd JD,Butler MW

    更新日期:2015-02-01 00:00:00

  • Clinical Characteristics, Respiratory Mechanics and Outcomes in Critically Ill Subjects with COVID-19 Infection in an Underserved Urban Population.

    abstract:BACKGROUND:The COVID-19 outbreak in the United States has disproportionately affected African-Americans, but little is known about the factors that underlie this observation. Herein, we describe these associations with mortality in a largely minority underserved population. METHODS:This single center retrospective obs...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.08319

    authors: Chaudhary S,Benzaquen S,Woo JG,Rubinstein J,Matta A,Albano J,De Joy R III,Lo KB,Patarroyo-Aponte G

    更新日期:2021-01-14 00:00:00