Psychosocial Intervention in Chronic Obstructive Pulmonary Disease: Meta-Analysis of Randomized Controlled Trials

Farver-Vestergaard, Ingeborg; Danielsen, Josefine Tingdal Taube; Løkke, Anders; Zachariae, Robert

doi:10.1097/psy.0000000000001043

Cited by 14 publications

(9 citation statements)

References 101 publications

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“…Psychotherapy is also a well-known supportive strategy, because COPD patients struggle with depression and anxiety. The results of a meta-analysis conducted by Farver-Vestergaard et al, support the use of psychosocial intervention in patients diagnosed with COPD as a multidisciplinary respiratory care tool because of the potential it has to improve both psychological and physical outcomes [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

Role of pulmonary rehabilitation in chronic obstructive pulmonary disease - a historical perspective

Stavarache

Buculei

Cernomaz

et al. 2022

Medicine and Pharmacy Reports

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Introduction. Pulmonary rehabilitation is known as an effective therapy for patients with chronic obstructive pulmonary disease (COPD). This article is a brief introduction into the history of medical and pulmonary rehabilitation, presenting the evolution of applied therapies and methods from ancient to present times. It also highlights the role of physical effort in the prevention and treatment of lung diseases, with special consideration to COPD. Methods. For this literature review, the international databases Medline and Scopus were used to identify relevant articles, between January 1981 to December 2021; eighty articles were considered: thirty-six reviews, eight original research and six general articles which met the criteria for inclusion. A total of thirty references were excluded because they were not relevant. Results. Available published data suggest a rich history of rehabilitation reaching for thousands of years even though it was developed as a medical branch only in the 20th century. Pulmonary rehabilitation is currently an important component of the management of COPD patients, with a positive impact on symptoms, frequency of exacerbations, severity and mortality rates. Conclusions. Even though this type of intervention is known to be beneficial for this type of patients more studies need to be conducted in this field.

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Section: Resultsmentioning

confidence: 99%

Role of pulmonary rehabilitation in chronic obstructive pulmonary disease - a historical perspective

Stavarache

Buculei

Cernomaz

et al. 2022

Medicine and Pharmacy Reports

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“…CBT is the most studied psychological intervention in COPD [ 121 ]. Its principles were originally developed to treat depression and anxiety disorders [ 122 , 123 ] and have, over the decades, been adapted and adjusted for applications in several somatic and psychiatric symptoms and settings [ 124 , 125 ].…”

Section: Management Of Psychological Distress In Copdmentioning

confidence: 99%

Nonpharmacological management of psychological distress in people with COPD

et al. 2023

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Psychological distress is prevalent in people with COPD and relates to a worse course of disease. It often remains unrecognised and untreated, intensifying the burden on patients, carers and healthcare systems. Nonpharmacological management strategies have been suggested as important elements to manage psychological distress in COPD. Therefore, this review presents instruments for detecting psychological distress in COPD and provides an overview of available nonpharmacological management strategies together with available scientific evidence for their presumed benefits in COPD. Several instruments are available for detecting psychological distress in COPD, including simple questions, questionnaires and clinical diagnostic interviews, but their implementation in clinical practice is limited and heterogeneous. Moreover, various nonpharmacological management options are available for COPD, ranging from specific cognitive behavioural therapy (CBT) to multi-component pulmonary rehabilitation (PR) programmes. These interventions vary substantially in their specific content, intensity and duration across studies. Similarly, available evidence regarding their efficacy varies significantly, with the strongest evidence currently for CBT or PR. Further randomised controlled trials are needed with larger, culturally diverse samples and long-term follow-ups. Moreover, effective nonpharmacological interventions should be implemented more in the clinical routine. Respective barriers for patients, caregivers, clinicians, healthcare systems and research need to be overcome.

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“…Other interventions may also confer significant effects on their specific outcomes in selected patients. For example, psychosocial support interventions showed measurable improvements in mental health [ 21 ], which may be of particular benefit to patients with impaired psychosocial status at baseline. Up to half of patients included in cardiac or pulmonary rehabilitation report “fear” of exercise and nearly 70% of patients indicate that specific interventions to tackle these fears would be beneficial [ 22 ].…”

Section: Definition Of (Modern) Pulmonary Rehabilitationmentioning

confidence: 99%

Pulmonary rehabilitation and physical interventions

Troosters¹,

Janssens²,

Demeyer³

et al. 2023

Eur Respir Rev

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Pulmonary rehabilitation has established a status of evidence-based therapy for patients with symptomatic COPD in the stable phase and after acute exacerbations. Rehabilitation should have the possibility of including different disciplines and be offered in several formats and lines of healthcare. This review focusses on the cornerstone intervention, exercise training, and how training interventions can be adapted to the limitations of patients. These adaptations may lead to altered cardiovascular or muscular training effects and/or may improve movement efficiency. Optimising pharmacotherapy (not the focus of this review) and oxygen supplements, whole-body low- and high-intensity training or interval training, and resistance (or neuromuscular electrical stimulation) training are important training modalities for these patients in order to accommodate cardiovascular and ventilatory impairments. Inspiratory muscle training and whole-body vibration may also be worthwhile interventions in selected patients. Patients with stable but symptomatic COPD, those who have suffered exacerbations and patients waiting for or who have received lung volume reduction or lung transplantation are good candidates. The future surely holds promise to further personalise exercise training interventions and to tailor the format of rehabilitation to the individual patient's needs and preferences.

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Psychosocial Intervention in Chronic Obstructive Pulmonary Disease: Meta-Analysis of Randomized Controlled Trials

Cited by 14 publications

References 101 publications

Role of pulmonary rehabilitation in chronic obstructive pulmonary disease - a historical perspective

Role of pulmonary rehabilitation in chronic obstructive pulmonary disease - a historical perspective

Nonpharmacological management of psychological distress in people with COPD

Pulmonary rehabilitation and physical interventions

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