Psychological Aspects of Chronic Obstructive Pulmonary Disease

Agle, David P.; Baum, Gerald L.

doi:10.1016/s0025-7125(16)31294-9

Cited by 121 publications

(48 citation statements)

References 10 publications

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“…Several studies have shown that depression is prevalent in COPD patients [22][23][24][25]. In addition, although disputed by others [26], several studies found depression to be related to functional status in COPD patients [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Muscle weakness is related to utilization of health care resources in COPD patients

Decramer¹,

Gosselink²,

Troosters³

et al. 1997

Eur Respir J

403

236

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The factors determining utilization of health care resources in patients with chronic obstructive pulmonary disease (COPD) are poorly understood. In order to obtain insight into these factors, we studied the utilization of health care resources in 57 stable COPD patients with a forced expiratory volume in one second (FEV1) of 36±9% predicted.Patients were divided into two groups: admitted at least twice in the last year (high medical consumption; n=23) or not admitted in the last year (low medical consumption; n=34). Other variables related to utilization of health care resources studied were: the number of hospital days; the number of out-patient visits to a pulmonary department in the last year; and the average daily dose (ADD) of corticosteroids taken in the last 6 months. The actual cost of utilization of health care resources, however, was not studied. In addition, pulmonary function, serum electrolytes, blood gas values, 6 min walking distance, respiratory and peripheral muscle force, and appraisal of self-care agency (ASA score) were studied.Pulmonary function, serum electrolytes, blood gas values, ASA score and walking distance were not different between the two groups (e.g. FEV1 36±8 vs 36±10% pred). Respiratory muscle forces tended to be lower in the high medical consumption group, this tendency almost reaching statistical significance for maximal expiratory pressure (PE,max) (p=0.08). Peripheral muscle force, however, was clearly reduced in the high medical consumption group (quadriceps force 63±20 vs 82±26% pred; p<0.05). The number of admissions, the number of hospital days, the number of out-patient visits, and ADD were interrelated and also related to ventilatory and peripheral muscle force (r -0.18 to -0.38). This relationship was statistically significant for PE,max, whilst a similar tendency was present for maximal inspiratory pressure (PI,max). In stepwise multiple regression analysis, only quadriceps force was a significant determinant of utilization of health care services.We conclude that utilization of health care services in patients with chronic obstructive pulmonary disease is related to ventilatory and peripheral muscle force. Whether or not reduced muscle force is simply an expression of disease severity remains to be determined.

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Section: Discussionmentioning

confidence: 99%

Muscle weakness is related to utilization of health care resources in COPD patients

Decramer¹,

Gosselink²,

Troosters³

et al. 1997

Eur Respir J

403

236

View full text Add to dashboard Cite

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“…The reason that the three groups in this study did not differ in their responses on MASmay be that MASdoes not refer to the respiratory area (16). Anxiety in COPDpatients is considered to be closely associated with dyspnea (6,9,21). Moreover, one possible source of bias in the present study is that all the subjects were 65 years or older.…”

Section: Discussionmentioning

confidence: 76%

“…A number of reports, including the study of McSweenyand colleagues (2), have also suggested that there is a high prevalence of emotional and psychological disturbance, restriction in daily functioning, and social withdrawal in patients with COPD (5-7, 21, 22). Anxiety, which is assessed by MAS,has been viewed as a major factor in psychological disturbances in COPDpatients (6,9,21). The reason that the three groups in this study did not differ in their responses on MASmay be that MASdoes not refer to the respiratory area (16).…”

Section: Discussionmentioning

confidence: 82%

Quality of Life Measurements Using a Linear Analog Scale for Elderly Patients with Chronic Lung Disease.

Hiratsuka

Kida

1993

Intern. Med.

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Wedeveloped a linear analogue scale (QOL Scale) to measure the quality of life (QOL) in elderly patients with chronic lung disease. In this study, the validity of the QOLScale was assessed and QOLScale scores were compared with the results of other conventional questionnaires. A total of76 subjects, aged 65 years or older, divided into three groups according to disease severity, were tested by the QOLScale and two additional questionnaires. The QOLScale had the advantages of comprehensibility, acceptability and reproducibility.QOLScale scores differed among the groups, while the other questionnaires showedno significant differences according to disease severity. QOL Scale scores correlated with the tendency toward neurosis shown by another index. Weconclude that the QOLScale is a practical and useful indicator ofQOLin elderly patients with chronic lung disease. (Internal Medicine 32: 832-836, 1993)

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“…Clinically Data expressed as mean ± standard deviation G1: group 1 (physical exercises, psychotherapy, physical therapy and education); G2: group 2 (psychotherapy, physical therapy and education); G3: group 3 (physical exercises, physical therapy and education); FVC: forced vital capacity; FEV1: forced expiratory volume in one second; PaCO2: arterial carbon dioxide tension; SpO2: arterial oxygen saturation by pulse oximetry; BMI: body mass index significant levels of anxiety are found in 40% to 96% of such patients, (14)(15)(16) and depression is seen in 51% to 74% of cases. (17)(18) It is possible that depression and anxiety are being underdiagnosed and undertreated in the population of patients with COPD.…”

Section: Discussionmentioning

confidence: 99%

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

Godoy

Godoy²,

Júnior

et al. 2005

J. bras. pneumol.

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The effect of psychotherapy provided as part of a pulmonary rehabilitation program for the treatment of patients with chronic obstructive pulmonary disease 499The effect of psychotherapy provided as part of a pulmonary rehabilitation program for the treatment of patients with chronic obstructive pulmonary disease* ABSTRACTObjective: To assess the effect of psychotherapy on levels of anxiety and depression, as well as on quality of life and exercise capacity in patients with chronic obstructive pulmonary disease enrolled in a pulmonary rehabilitation program. Methods: A randomized, controlled, blind clinical trial was conducted involving 49 chronic obstructive pulmonary disease patients. Patients were randomized into three groups: those submitted to the complete pulmonary rehabilitation program, which included psychotherapy and an exercise regimen (group 1); those submitted to the program minus physical exercise (group 2); and those submitted to the program minus psychotherapy (group 3). The three groups underwent a 12-week treatment program. All patients were evaluated at baseline and at completion of the pulmonary rehabilitation program through four instruments: The Beck Anxiety Inventory, Beck Depression Inventory and St. George's Respiratory Questionnaire were applied. The distance walked-weight product was also calculated. Results: Statistically significant absolute improvements in exercise capacity were found for groups 1 and 2, although not for group 3 (p = 0.007, p = 0.008 and p = 0.06, respectively). In groups 1 and 2, levels of anxiety and depressions were also significantly reduced (group 1: p = 0.0000 and p < 0.0003; group 2: p = 0.0001 and p = 0.0014), and quality of life was significantly improved (p = 0.0007 and p = 0.002, respectively). Anxiety levels were also reduced in group 3 (p = 0.03), although levels of depression were not, and quality of life was unaffected. Conclusion: Psychotherapy sessions provided as part of a pulmonary rehabilitation program assist patients with chronic obstructive pulmonary disease in coping with disease-related limitations by reducing behavioral symptoms, especially depression, thereby influencing exercise capacity and health-related quality of life. Original Article

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Psychological Aspects of Chronic Obstructive Pulmonary Disease

Cited by 121 publications

References 10 publications

Muscle weakness is related to utilization of health care resources in COPD patients

Muscle weakness is related to utilization of health care resources in COPD patients

Quality of Life Measurements Using a Linear Analog Scale for Elderly Patients with Chronic Lung Disease.

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

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