Quality of life, anxiety and depression in patients with chronic obstructive pulmonary disease

Lima, César de Andrade de; Oliveira, Regina Célia de; Oliveira, Simone Andrade Gonçalves de; Silva, Mônica Alice Santos da; Lima, Alcione de Andrade; Andrade, Maria Sandra; Pinho, Clarissa Mourão

doi:10.1590/0034-7167-2019-0423

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…Anxiety and depression are the result of impaired QoL and inability to perform daily activities, di culties with personal care and dependence on family. 3,[14][15][16][17][18]67 We found that depression was associated with a lack of interest in daily activities and as a barrier to the practice of PA, corroborating with other studies. 6,27,67 All participants considered PA to be very important for well-being and improved QoL, expressing enthusiasm for the possibility for a program in the community designed for people with COPD.…”

Section: Discussionsupporting

confidence: 86%

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Experiences of the impact of living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Adams,

Martins,

Magalhães

et al. 2023

Preprint

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Physical activity (PA) improves dyspnoea, psychological wellbeing and quality of life (QoL) for people with COPD and reduces their risk of exacerbation. However, engagement in PA is low especially amongst those with anxiety and depression, and provision of PA programmes limited in countries with limited resources such as Brazil. We explored the perceptions of 21 people with COPD about the impact of their disease on taking part in community-based PA programmes in Sao Paulo, Brazil through semi-structured telephone interviews from October 2020 to April 2021. Discussions were audio-recorded, transcribed, and analysed using the Framework method. Five main themes were identified: Knowledge about COPD and its management; Self-perception of life with COPD; Knowledge and experiences about depression and anxiety; Opinions on PA and repercussions of COVID-19. COPD was viewed as a neglected disease that led to a reduction in QoL and is dependent on specialist care. PA was considered to be important in bringing physical and mental health benefits but there were barriers in accessibility of formal PR programmes and therefore local community PA programs were considered to be important. People with mental health conditions tended to view PA more negatively. COVID-19 had reduced PA opportunities, access to COPD treatment and social interaction, and was associated with more exacerbations and emotional suffering. In general, this study showed an urgent need to improve knowledge about COPD and its risk factors and management among both patients, the public and primary healthcare professionals. We provide important content for the formulation of public policies for the implementation of specific activity programs for people with COPD in community spaces using local resources and intersectoral partnerships.

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Section: Discussionsupporting

confidence: 86%

“…Furthermore, there is a complex interaction between anxiety and dyspnoea. 13,14,18 Symptoms of anxiety and depression are often neglected and undertreated, 12,13,14,15,16,17,18,19,20,21 and further compounded by their relationship with tobacco smoking, the main cause of COPD.…”

Section: Introductionmentioning

confidence: 99%

Experiences of the impact of living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Adams,

Martins,

Magalhães

et al. 2023

Preprint

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show abstract

“…The obtained study results indicating higher anxiety level before FVB and lower QOL are not surprising. Some studies have already revealed that anxiety is related to a reduced QOL [18,[47][48][49], also taking into account QOL in particular age categories [48] and specific diseases [50][51][52]. Most of them proved that the presence of the somatic disease entity (e.g., SAS, COPD, asthma) and older age decrease QOL, especially physical health, psychological, and social QOL domains [50,52,53].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have already revealed that anxiety is related to a reduced QOL [18,[47][48][49], also taking into account QOL in particular age categories [48] and specific diseases [50][51][52]. Most of them proved that the presence of the somatic disease entity (e.g., SAS, COPD, asthma) and older age decrease QOL, especially physical health, psychological, and social QOL domains [50,52,53]. In our study, the patients with the better QOL perception and health perception felt less state and trait anxiety.…”

Section: Discussionmentioning

confidence: 99%

Association between Anxiety, Depressive Symptoms, and Quality of Life in Patients Undergoing Diagnostic Flexible Video Bronchoscopy

Brajer-Luftmann

Mardas

Stelmach-Mardas

et al. 2021

IJERPH

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Bronchoscopy is one of the basic invasive procedures in pulmonology accompanied by patients’ anxiety. This study aimed to find an association between predictors of state anxiety/depression and patient’s quality of life (QOL) with pulmonary symptoms undergoing diagnostic flexible video bronchoscopy (FVB). A total of 125 adult patients before FVB were included in a prospective observational study. The quality of life (QOL) was assessed by WHOQOL-BREF questionnaire, the depression possibility by the Beck’s Depression Inventory-II (BDI-II), and the anxiety level by Spielberger’s State-Trait Anxiety Inventory (STAI-S; STAI-T). Results show that the older patients and patients with more comorbidities showed a significantly higher anxiety level. The previous FVB under deep sedation significantly reduced state anxiety. A significantly positive association was found between the STAI score and total BDI-II score. More severe symptoms of anxiety were especially related to lower QOL (physical health, psychological and environmental domains) in patients. Statistically higher trait anxiety in lower social QOL domain scores was observed. Our findings show that high state and trait anxiety were associated with higher depression scores and lower quality of life in the elderly. It seems that the elderly and patients at risk of depression development require more attention in the clinical setting to minimize the anxiety accompanying the bronchoscopy.

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“…Incorporation of supplemental elements into the COPD care bundle may also help optimize comprehensive patient care. For example, depression and anxiety are risk factors for COPD exacerbation and may have implications in COPD treatment compliance [13,14]. Screening for and treating these ailments may have utility in a COPD care bundle.…”

Section: Introductionmentioning

confidence: 99%

Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

Kendra

Mansukhani

Rudawsky

et al. 2022

Lung

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Chronic obstructive pulmonary disease (COPD) is a chronic condition that leads to signi cant morbidity and mortality. Management of COPD hospitalizations utilizing an evidence-based care bundle can provide consistent quality of care and may reduce readmissions. MethodsThis single center retrospective cohort study evaluated readmission rates in patients hospitalized with a COPD exacerbation. Patients in the pre-intervention cohort received usual care while post-intervention cohort received an innovative inpatient COPD care bundle. The bundle focused on optimizing care in ve areas: consults, inpatient interventions, education, transitions of care, and after discharge care. To ensure consistency of interventions, a formal checklist of items was maintained. ResultsIn this study, 149 subjects were included in the pre-intervention cohort and 214 subjects were included in the post-intervention cohort. Thirty-day readmission rates were lower in the post-intervention cohort, 22.4% vs. 38.3% (p=0.001). A reduction in 60-day and 90-day readmission rates was also observed, 13.7% vs. 40.3% (p< 0.001) and 10.1% vs. 32.2% (p<0.001), respectively.

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Quality of life, anxiety and depression in patients with chronic obstructive pulmonary disease

Cited by 6 publications

References 18 publications

Experiences of the impact of living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Experiences of the impact of living with COPD and its psychological effects on participating in community-based physical activity in Brazil: a qualitative study. Findings from the Breathe Well group

Association between Anxiety, Depressive Symptoms, and Quality of Life in Patients Undergoing Diagnostic Flexible Video Bronchoscopy

Decreasing Hospital Readmissions Utilizing an Evidence-Based COPD Care Bundle

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