Depression in Chronic Airways Diseases
Depression in Chronic Airways Diseases
Chronic airways diseases involve alterations in the person's social roles, relationships and
 self-perception so demands continual psychological adjustment .

 Also Kunik studied patients with chronic breathing disorders for depression and anxiety and
 found that 65% of patients were positive for depression and anxiety.

 Shackell found that patients' anxiety and fears of breathlessness and dying extended into the
 night and were aggravated by feelings of isolation and frustration. One patient reported that
 they often thought 'am I going to see the next morning?'
This fear and sense of helplessness can lead to panic and evidence suggests that patients
 with chronic breathlessness often call for emergency assistance during the night According to
 GOLD report 2017, anxiety and depression in chronic obstructive pulmonary disease patients
 are both associated with poor prognosis.

 Much of the evidence explored so far relates to chronic obstructive pulmonary disease. While
 other chronic lung diseases have received less attention In addition to, several studies have
 been found relationship between asthma and psychological disturbance .One review of
 literature describes an increased prevalence of psychological co-morbidity in asthmatic
 adults and another research suggests that anxiety and depression are more common in patients
 with moderate to severe asthma than in the general population Gift. found significantly
 greater self-reported depression scores among patients with chronic obstructive pulmonary
 disease receiving prednisone compared to patients not receiving any steroids.

 Interestingly, the psychiatric sequel of steroid treatment are often sudden in onset and
 appear to generally occur within 2 weeks after steroid introduction
Inclusion Criteria:

 -  Chronic airways diseases as chronic obstructive pulmonary disease, bronchial asthma,
 bronchiectasis

 Exclusion Criteria:

 -  Diabetes Mellitus and Hypertension.

 -  Cardiac diseases.

 -  Chronic renal and liver diseases.