2017
DOI: 10.2147/copd.s133586
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COPD patients’ self-reported adherence, psychosocial factors and mild cognitive impairment in pulmonary rehabilitation

Abstract: In addition to clinical comorbidities, psychological and neuropsychological problems are frequent in COPD and may affect pulmonary rehabilitation delivery and outcome. The aims of the study were to describe a COPD population in a rehabilitative setting as regards the patients depressive symptoms, anxiety, mild cognitive impairment (MCI) and self-reported adherence and to analyze their relationships; to compare the COPD sample MCI scores with normative data; and to investigate which factors might predict adhere… Show more

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Cited by 65 publications
(98 citation statements)
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“…Vice versa, in people with chronic lung diseases MCI should be taken into account. For example, one in four people with COPD has MCI 64 and the presence of MCI in this population is associated with a higher risk for developing depression, which is an important barrier for complying with PA prescriptions in this population 65 . Also, older people with asthma have a higher risk for MCI 66 .…”
Section: General Findingsmentioning
confidence: 99%
“…Vice versa, in people with chronic lung diseases MCI should be taken into account. For example, one in four people with COPD has MCI 64 and the presence of MCI in this population is associated with a higher risk for developing depression, which is an important barrier for complying with PA prescriptions in this population 65 . Also, older people with asthma have a higher risk for MCI 66 .…”
Section: General Findingsmentioning
confidence: 99%
“…Furthermore, this plan for personalized therapy may decrease complications, enhance endurance, social participation, and reduce health care budgets (Brooke, Spiliopoulos, & Collins, 2016). Pulmonary rehabilitation for patients with COPD mainly includes psychological treatment, oxygen treatment, nutritional sustenance, functional exercise, and education (Pierobon et al, 2017). As early as the 1970s, Gimenez et al (Gimenez, Uffholtz, Pham, & Sobradillo, 1978) carried out a 10-year follow-up research on pulmonary rehabilitation in patients with COPD.…”
Section: Introductionmentioning
confidence: 99%
“…In our study, patients attending pulmonary rehabilitation demonstrated a high incidence of anxiety (44%) and depression symptoms (48%). COPD was the largest cohort, and the incidence of anxiety in this subgroup was 42%, while depression was 50%, which was somewhat higher than previous studies of similar patients (88,230). The high incidence of psychological comorbidities in the rehabilitation group likely reflects patients with severe and symptomatic disease, which are generally the reasons that prompted a referral to pulmonary rehabilitation in the first instance.…”
Section: Incidence Of Anxiety and Depression Symptomsmentioning
confidence: 69%
“…Pulmonary rehabilitation is an essential component of standard care for people who are symptomatic from chronic lung diseases, such as COPD, causing breathlessness and functional impairment (227,228). Large observational studies of pulmonary rehabilitation participants have reported the prevalence of anxiety symptoms to range between 25% (229) and 40.5% (230), and depressive symptoms to range between 17% (229) and 46.7% (230). The symptoms of anxiety and depression have been associated with program non-completion (229,231), increased dyspnoea (232), fear of exercise and reduced functional performance both at commencement, completion of pulmonary rehabilitation (233,234) and reduced adherence to exercise prescription (230).…”
Section: Pulmonary Rehabilitationmentioning
confidence: 99%
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