Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire

Yohannes, Abebaw Mengistu; Baldwin, Robert C.; Connolly, Martin J.

doi:10.1002/1099-1166(200012)15:12<1090::aid-gps249>3.0.co;2-l

Cited by 272 publications

(192 citation statements)

References 27 publications

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“…Although prevalence estimates for these comorbidities vary greatly due to differences in sampling and the use of different instruments [81], a prevalence of 36% for anxiety and 40% for depression appears to be a valid estimate [82]. The incidence of depression in people with COPD is 2.5 times higher compared with the healthy elderly [83].…”

Section: Promoting Mental Healthmentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

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Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management. @ERSpublications This paper describes several components of comprehensive pulmonary rehabilitation, other than simply exercise training http://ow.ly/mMNRp Pulmonary rehabilitation for chronic obstructive pulmonary diseaseChronic obstructive pulmonary disease (COPD) is characterised by persistent airflow limitation due to chronic inflammation within the airways and lung in response to noxious particles or gases [1]. People with this condition are limited by dyspnoea and have impaired exercise capacity and health-related quality of life [1]. The prevalence of COPD amongst adults aged o40 years is ,10% [2], and increases to 21% in those with a significant smoking history who are visiting their family physician for any reason [3]. The natural course of COPD is punctuated with episodes of acute worsening, known as exacerbations, which contribute

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Section: Promoting Mental Healthmentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

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show abstract

“…With finite health care resources, hospital or health centre exercise may not always be viable or available on an on-going basis. In addition the UK has seen an increased provision of rehabilitation programmes for people with long term conditions within local leisure or community centres; most notably cardiac 29 and pulmonary 30 rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

et al. 2011

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Objective: To establish the effects of a twelve week, community based, group exercise intervention for people moderately affected with Multiple Sclerosis (MS) (Extended Disability Status Score 5-6.5). Design: Randomised controlled pilot trialSetting: Two community leisure centres.Participants: 32 subjects with MS were randomised into an intervention or control group. Intervention:The intervention group received twelve weeks of twice weekly, 60 minute group exercise sessions, which included mobility, balance and resistance exercises. The control group received usual care. Main Outcome measures:An assessor blinded to group allocation assessed participants at baseline, after eight weeks and after twelve weeks (i.e after the intervention period). The primary outcome measure was 25 Foot Walk time (T25FW), secondary outcomes assessed walking endurance, balance, physical function, leg strength, body mass index, activity levels, fatigue, anxiety and depression, quality of life and goal attainment. ResultsThe intervention led to an improvement in all outcome measures. Physical activity results showed a significant group effect (p<0.001) and interaction effect (p=0.009), post hoc analysis revealed this was significant at week eight (p<0.001) and week twelve (p=0.005).Balance confidence results showed a significant group effect (p=0.001). Good effect sizes were found for activity levels (d=1.05), dynamic balance (d=0.80), perceived balance (d=0.94) and leg strength (d=1.33). Conclusion:Although further research is required, the results of the study suggest that community based group exercise classes are a feasible option for people moderately affected with MS, and offer benefits such as improved physical activity levels, balance and leg strength.3

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“…The diagnosis of COPD includes patients with chronic bronchitis, characterised by a fixed obstruction of the airways, and pulmonary emphysema, caused by a decreased elasticity of the lung tissue. COPD has a serious impact on the quality of life (QoL) of patients [6], for example, most patients with www.elsevier.com/locate/pateducou Patient Education and Counseling 61 (2006) [99][100][101][102][103][104][105][106][107][108] COPD experience physical limitations as well as psychological problems, such as feelings of anxiety or depression [7].…”

Section: Introductionmentioning

confidence: 99%

Changes in personal control as a predictor of quality of life after pulmonary rehabilitation

Arnold

Ranchor

Koëter

et al. 2006

Patient Education and Counseling

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Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire

Cited by 272 publications

References 27 publications

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study

Changes in personal control as a predictor of quality of life after pulmonary rehabilitation

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