Anxiety and Depression in Patients Hospitalizes for an Acute Exacerbation of COPD (ADPHA-EPOC)

Nestor Soler Porcar, MD, PhD

Status: Completed

Conditions: Chronic Obstructive Pulmonary Disease; Depression; Anxiety

Treatments: Behavioral: Counselling

Study type: Interventional

Funder types: Other

Identifiers

NCT01520376

ADPHA-EPOC

Details and patient eligibility

About

This study will try to elucidate wheter the impact of a psychiatric intervention in patients hospitalized because an acute exacerbation of COPD and anxiety/depression and reconsulting at 1 and 6 month after discharge.

Enrollment: 169 patients

Sex: All

Ages: 40 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Men and women of any ethnic group

• Above 40 years old

• Diagnose with Chronic Obstructive Pulmonary disease (COPD) according to the ATS/ERS guidelines

• Acute exacerbation of COPD according to the following criteria:

  a) Cyanosis b) Obnubilations or mental confusion d) Respiratory Rate above 25 per minute e) Failure of ambulatory treatment f) Co-morbidities that worsens respiratory condition g) Dyspnea

Exclusion criteria

• Less than 6 months expectancy of life
• Needing of mechanical ventilation
• Severe cardiovascular disease
• Pregnancy
• Previous diagnosis of depression/anxiety

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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169 participants in 2 patient groups

Counselling

Active Comparator group

Description:

People receiving a psychiatric evaluation after screening (HADS test \> 12 points) and revised at 1 and 6 months

Treatment:

Behavioral: Counselling

Usual care

No Intervention group

Description:

People after screening (HADS test \> 12 points) and send to their primary care physician