Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Feb 19, 2025; 15(2): 98447
Published online Feb 19, 2025. doi: 10.5498/wjp.v15.i2.98447
Determinants of generalized anxiety and construction of a predictive model in patients with chronic obstructive pulmonary disease
Yi-Pu Zhao, Wei-Hua Liu, Qun-Cheng Zhang
Yi-Pu Zhao, Department of Respiratory and Critical Care Medicine, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Wei-Hua Liu, Department of Nursing, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Qun-Cheng Zhang, Department of Respiratory and Critical Care Medicine, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Author contributions: Zhao YP initiated the project, and designed the experiment and conducted clinical data collection; Liu WH performed postoperative follow-up and recorded data; Zhao YP and Zhang QC conducted a number of collation and statistical analysis, and wrote the original manuscript; All authors have read and approved the final manuscript.
Supported by the Henan Provincial Health Commission, No. 232102310145.
Institutional review board statement: This study was approved by the Ethics Committee of Henan Provincial People’s Hospital (No. 2022-42).
Informed consent statement: The Ethics Committee of Henan Provincial People’s Hospital agreed to waive informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qun-Cheng Zhang, Associate Chief Physician, Department of Respiratory and Critical Care Medicine, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, No. 7 Weiwu Road, Jinshui District, Zhengzhou 450003, Henan Province, China. zhangqc@zzu.edu.cn
Received: September 25, 2024
Revised: November 6, 2024
Accepted: December 26, 2024
Published online: February 19, 2025
Processing time: 111 Days and 1.6 Hours
Core Tip

Core Tip: This study constructs and validates a predictive model for generalized anxiety disorder in patients with chronic obstructive pulmonary disease. Utilizing a retrospective design, we identified eight independent risk factors, including educational level, household income, smoking history, smoking index, number of exacerbations, cardiovascular comorbidities, disease knowledge, and personality traits. The model demonstrates high accuracy with area under the curve values of 0.978 and 0.960 in the modeling and validation groups, respectively. This predictive tool can facilitate early identification of high-risk patients, enabling timely interventions to improve their quality of life.