Coping in adult cystic fibrosis patients: Association with anxiety and depression

In this study, the relationship between coping strategies and anxiety/depression risk in adult CF patients are examined.Method: 30 adult CF patients (17 female,13 male; mean age:24±4) completed Hospital Anxiety/Depression Scale and Brief COPE Scale. 14 coping scores were calculated.Results: Acceptance (6.80±1.21) was the most preferred strategy and substance use (2.53±1.55) was the least. 4 patients had increased risk of anxiety, 4 had increased risk of depression, and 4 had increased risk of both. Patients with anxiety and depression risks used behavioural disengagement more than the non- risk group. Active coping was significantly higher in patients without depression risk. Anxiety risk group had significantly higher coping with venting (Table I). Coping with instrumental support was significantly higher in the employed than students and unemployed patients (p:0.041).Discussion: Psychological state affects preferred coping method. Encouraging use of adaptive coping strategies in adult CF patients is important. Table I:Preferred coping strategies in anxiety and depression risk groupsIncreased risk of depression(n=8)No risk of depression(n=22)p valueIncreased risk of anxiety(n=8)No risk of anxietyp valueActive coping4.6±1.76.0±1.60,005Venting6.4±1.15.1±1.60,041Behavioral disengagement5.1±2.42.7±1.10,01Behavioral disengagement4.6±2.42.9±1.40,039
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Cystic fibrosis Source Type: research