Original Article

The clinical impact of depressive symptom on ADL score in elderly patients with respiratory disease

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

Contents (volume 9)