Masashi Ono, PT, Yuji Kono, PT, PhD, Yoichiro Aoyagi, MD, PhD, Yukako Tsuji, PT, Ayako Ishikawa, PT, Tsubasa Sugiura, PT, Etsuko Mori, PT, MSc, Yasutomo Tanaka, PT, Hitoshi Kagaya, MD, DMSc, Masahiro Hirose, MD, PhD, Takahiko Horiguchi, MD, PhD, Eiichi Saitoh, MD, DMSc
Jpn J Compr Rehabil Sci 9: 29-33, 2018
Background: This study aimed to clarify the impact
of depressive symptom on activities of daily living
(ADL) in elderly patients with respiratory disease.
Methods: We studied 160 consecutive patients who
met the criterion of no physical disability. During
hospitalization, we measured physical function,
respiratory function and Hospital Anxiety and
Depression Scale (HADS). Firstly, we divided the
patients into two groups (depression group and nondepression
group) followed by presence of depressive
symptom, which was defined as an HADS score of 8
points or more. Then we analyzed the association
between depressive symptom and the other clinical
variables mentioned above by the chi-squared test and
unpaired t-test.
Results: There were 40 patients (22.7%) in the
depression group. There was no statistically significant
difference in age, sex, BMI, physical function or
respiratory function. Although we could not find any
difference in FIM motor score, the score of NRADL
(The Nagasaki University Respiratory Activity of
Daily Living Questionnaire), which is a diseasespecific
ADL score, was significantly lower in the
depression group than the non-depression group (71.6
points vs 59.7 points).
Conclusion: We clarified that depressive symptom
was closely related to NRADL score, but not to FIM
motor score. The results also suggest that it is important
to consider the impact of depressive symptom on ADL
score when evaluating ADL in elderly patients with
respiratory disease.
Key words: elderly patients, respiratory disease, depression, ADL, physical function