Abstract

Chronic lung diseases are quite prevalent these days due to increase in industrial pollutants in air. Diseases like chronic obstructive lung disease, bronchial asthma and pulmonary carcinoma are not only physically disabling but emotionally taxing also. Present study is an attempt to study psychiatric illnesses and quality of life in individuals longstanding lung diseases. AIMS AND OBJECTIVES: To find out psychiatric comorbidity in individuals suffering from chronic lung diseases. To evaluate quality of life index in these individuals. To study effect of psychiatric comorbidity on quality of life in effected individuals. METHODOLOGY: Study was conducted in department of psychiatry at Government Medical College and Rajindra Hospital, Patiala. Patients suffering from chronic chest disease were enrolled from department of TB chest. Diagnosis of chronic lung disease was made by 2 consultants from department of TB chest independently. Sociodemographic variables were recorded in sociodemographic proforma. Symptom Check List-80 (SCL-80) was used to screen psychiatric illnesses. Final psychiatric diagnosis was made using International Classification of Diseases for mental and behavioral disorders 10th edition (ICD-10). 16 itemed scale by Burckhardt and colleagues was used to evaluate quality of life. Impact of psychiatric comorbidity was studied on quality of life. All data was analyzed on SPPS 22.0. OBSERVATIONS: 50.94% patients having chronic lung disease had psychiatric illnesses. Most common psychiatric disorder in such patients was major depressive disorder (39.2%) followed by Generalized Anxiety Disorder (17.5%), somatization (10%) and phobias (8.3%). Quality of life was poorer (53.71±12.44) in patients suffering from psychiatric comorbidity in chronic chest disease patients compared patients without psychiatric illnesses (66.17±14.37). CONCLUSION: Psychiatric comorbidities are common in patients suffering from chronic lung diseases. Quality of life is also poor in patients with psychiatric comorbidities and chronic lung diseases compared to without comorbidity

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