Impact of psychological factors on the health-related quality of life of patients treated for pulmonary arterial hypertension

Halimi, Laurence; Marin, Grégory; Molinari, Nicolas; Gamez, Anne‐Sophie; Boissin, Clément; Suehs, Carey M.; Vachier, Isabelle; Bourdin, Arnaud

doi:10.1016/j.jpsychores.2017.12.003

Cited by 18 publications

(28 citation statements)

References 39 publications

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“…Other more recent studies outlined the prevalence of anxiety and depression disorders and their association with QoL, clinical parameters, and survival in patients with PAH. 17 – 22 …”

Section: Resultsmentioning

confidence: 99%

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Anxiety and depression in patients with pulmonary hypertension: impact and management challenges

Bussotti¹,

Sommaruga²

2018

VHRM

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BackgroundAnxiety and depression are frequent disorders in patients with pulmonary arterial hypertension (PAH), but despite this only less than one-fourth of them is treated. Our aim was to review the studies regarding the prevalence and the impact of anxiety and depression and to propose management challenges.MethodsA literature review regarding 1) anxiety and depression studies in PAH patients and caregivers, 2) psychological interventions, 3) slow breathing approach, and 4) pharmacological approach was performed, based on evidence of effectiveness through a search of the most well-known databases (Cochrane Library, Medline, PsychINFO [2004–2018]).ResultsThe prevalence of mental disorders in PAH patients lies between 7.5% and 53% for depression and 19% and 51% for anxiety and panic disorders. The latest guidelines of the European Society of Cardiology recommend a psychological support with a class of recommendation I and a level of evidence c. The analysis of psychological intervention shows that at present there is no evidence of specific psychological interventions in these patients. However, treatment approaches based on other chronic illnesses are suggested, especially based on relaxation training, slow breathing, and cognitive behavioral therapy. Finally, data concerning the use of antidepressant drugs are conflicting.ConclusionFirstly, our data demonstrate a common underestimation of mental disorders by health professionals and secondly, the need of implementing appropriate methods of screening for mental disorders in PAH patients. However, the paucity of large observational studies in this area requires the attention of researchers. The evidence about optimal approaches for managing anxiety and depression in PAH also remains unclear and largely speculative. The challenge is the introduction of routine psychological intervention, as suggested by the European Society of Cardiology and already applied in other chronic disease.

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“…Other more recent studies outlined the prevalence of anxiety and depression disorders and their association with QoL, clinical parameters, and survival in patients with PAH. 17 – 22 …”

Section: Resultsmentioning

confidence: 99%

“…Finally, a more recent study explored QoL, anxiety, depression, and coping strategies in 55 PAH patients and found high anxiety and depression, coping focused on medical information strategies, and poor QoL. 22 …”

Section: Resultsmentioning

confidence: 99%

Anxiety and depression in patients with pulmonary hypertension: impact and management challenges

Bussotti¹,

Sommaruga²

2018

VHRM

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“…The increase of chronic respiratory diseases in the elderly impacts the national medical budget, economic loss from not being able to sustain a normal life, limitations in emotional activities, and mortality rate. Therefore, there is a need for a program that prevents respiratory diseases, promotes lung functions, and increase quality of life [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of a Respiratory Training Program Using Wind Instruments on Cardiopulmonary Function, Endurance, and Quality of Life of Elderly Women

Kim

Park

et al. 2018

Med Sci Monit

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BackgroundPhysical changes due to aging lead to weakening of respiratory muscles and decreased lung functions that result in increasing risk of chronic respiratory disease. A complex respiratory rehabilitation program is needed to prevent respiratory diseases and improve lung functions and quality of life. The purpose of the present study was to examine the effects of respiratory training programs on pulmonary functions, cardiovascular endurance, and quality of life in elderly women.Material/MethodsThe program was structured with respiration exercise and playing wind musical instruments for 10 weeks (n=13) and 5 weeks (n=16), respectively, for elderly women in 2 different community welfare centers. The program consisted of breathing exercises twice a week, 20 min per session, and 40 min of wind instrumentation. Effects were assessed using forced vital capacity (FVC), forced expiratory volume-one second (FEV1), FEV1/FVC ratio (FEV1%), maximum voluntary ventilation (MVV), 6-minute walk test (6MWT), modified Borg scale (MBS), and life satisfaction scale (LSS).ResultsThe 10-week program group (10WPG) showed significant differences in FVC, MVV, 6MWT, MBS, and LSS before and after interventions (p<.05), and the 5-week program group (5WPG) showed significant differences in FVC and 6MWT. MVV, MBS, and LSS were not significantly different between the 2 groups (p<.05).ConclusionsThis study confirms that the long-term respiration training program has positive effects on pulmonary functions, cardiopulmonary endurance, and quality of life. Various respiratory training programs and long-term implementations are needed to prevent respiratory illness and to improve lung functions and quality of life of respiratory patients.

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“… 7 The results of our study reveal that in addition to the multiple impacts mentioned above, patients with PH are also likely to experience psychological states of anxiety, depression, worthlessness, uncertainty about the future, and hopelessness. 5 , 21 , 22 Although past studies have pointed out the importance of psychiatric referrals in patients with PH, 20 , 23 one study has shown that the percentage of patients with PH with psychological and emotional disturbances undergoing psychiatric treatment is low. 24 Our study finds that the underlying cause of the low percentage of psychiatric treatment involved is not that the medical team fails to notice the patients’ psychological and emotional disturbances.…”

Section: Discussionmentioning

confidence: 99%

Exploring the experiences and psychosocial stresses of Taiwanese patients with pulmonary hypertension: a qualitative interview study

Chiang

Couper

et al. 2018

Pulm. circ.

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About half of all patients with pulmonary hypertension (PH) experience psychological and emotional disturbances that affect their quality of life (QOL). There is a lack of studies exploring how psychiatric professionals can provide specific and effective mental health treatment to patients with PH. This study aimed to explore and understand the treatment experiences of patients with PH in Taiwan. We employed an exploratory qualitative design involving interviews with 17 patients with PH who were treated at Kaohsiung Veterans General Hospital in Taiwan. Participants were interviewed by a psychiatrist; the interviews were audiotaped and transcribed for thematic analysis by two researchers. We corroborate earlier findings showing that patients who have the rare disease PH often experience psychological or emotional disturbances throughout the treatment process. This study explored a model for psychiatric intervention based on patients’ experience of having PH. We find that assessing and strengthening links to external resources can enhance patients’ long-term coping abilities, and thereby help reduce their psychological and emotional disturbances and improve their QOL.

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Impact of psychological factors on the health-related quality of life of patients treated for pulmonary arterial hypertension

Abstract: Clinical trial N°: NCT01380054.

Cited by 18 publications

References 39 publications

Anxiety and depression in patients with pulmonary hypertension: impact and management challenges

Anxiety and depression in patients with pulmonary hypertension: impact and management challenges

Effect of a Respiratory Training Program Using Wind Instruments on Cardiopulmonary Function, Endurance, and Quality of Life of Elderly Women

Exploring the experiences and psychosocial stresses of Taiwanese patients with pulmonary hypertension: a qualitative interview study

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