A Cognitive-Behavioral Self-Help Educational Program for Patients with COPD

Lisansky, Donna P.; Clough, Dorothy Hendel

doi:10.1159/000289054

Cited by 37 publications

(41 citation statements)

References 19 publications

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“…Five previous controlled trials have provided evidence that CBT can decrease anxiety symptoms in COPD patients who have not been selected on the basis of existing psychopathology [11][12][13][14][15]. However, in all five studies, anxiety symptoms were measured solely by self-report questionnaire and only one of the studies included a follow-up assessment (at 3 months) [12].…”

Section: Discussionmentioning

confidence: 99%

“…The results of several controlled trials using self-report questionnaires have indicated that CBT can decrease anxiety symptoms in patients with COPD; however, the effects of CBT on panic attacks and the development of panic disorder in COPD have not been assessed [11][12][13][14][15]. Intervening early with individuals at risk of panic disorder can prevent the personal and economic effects of the disorder becoming entrenched [16].…”

mentioning

confidence: 99%

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Prevention of panic attacks and panic disorder in COPD

Livermore

Sharpe²,

McKenzie³

2009

Eur Respir J

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This study examined whether cognitive behavioural therapy (CBT) could prevent the development or worsening of panic-spectrum psychopathology and anxiety symptoms in chronic obstructive pulmonary disease (COPD).41 patients with COPD, who had undergone pulmonary rehabilitation, were randomised to either a four-session CBT intervention condition (n521) or a routine care condition (n520). Assessments were at baseline, post-intervention, and at 6-, 12-and 18-month follow-ups. Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates.There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic attack in the previous 6 months, with two (17%) of these being diagnosed with panic disorder, while no CBT group participants experienced any panic attacks during the followup phase. There were also significant reductions in anxiety symptoms and catastrophic cognitions in the CBT group at all three follow-ups and a lower number of hospital admissions between the 6-and 12-month follow-ups.The study provides evidence that a brief, specifically targeted CBT intervention can treat panic attacks in COPD patients and prevent the development and worsening of panic-spectrum psychopathology and anxiety symptoms.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prevention of panic attacks and panic disorder in COPD

Livermore

Sharpe²,

McKenzie³

2009

Eur Respir J

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“…Results from the neuro-psychological tests showed that the memory of these patients is damaged, which impedes the evocation of verbal and non-verbal information, making it difficult to remember the lessons, and recognition of the studied material 11 . Cognitive development has particular relevance in populations suffering from COPD, because research shows that the cognitive deficits of patients with hypoxemia contribute to a lower quality of life due to mental confusion and memory problems 12 .…”

Section: Discussionmentioning

confidence: 99%

“…Lisansky et al 12 studied cognition, anxiety, depression, somatic symptoms, hostility and inaptitude disturbances in patients suffering from COPD by means of an educational and self-care program, with initial and final interventions.…”

Section: Discussionmentioning

confidence: 99%

Avaliação do aprendizado de pacientes com doença pulmonar obstrutiva crônica em um programa de reabilitação pulmonar

Galvez¹,

Malaguti²,

Battagim³

et al. 2007

Rev. bras. fisioter.

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Background: Patients who undergo pulmonary rehabilitation programs also participate in an educational program with classes covering matters related to their disease and treatment. Such programs aim to provide patients with the knowledge needed for them to be able to deal with their disease and its repercussions. Objective: To evaluate whether the educational program applied to patients undergoing pulmonary rehabilitation has effective results regarding their learning. Method: This was a prospective study involving 22 patients who underwent a pulmonary rehabilitation program. Their mean age was 63 years (SD ± 11.8). Initially, a questionnaire developed and validated by the Pulmonary Rehabilitation Center of UNIFESP/LESF was applied to evaluate the patients' knowledge about the disease before and after the educational intervention. The patients were divided into two groups: one with the educational program and the other serving as a control group (no educational program). The educational program group answered the questionnaire twice (before and after the intervention), and the control group answered only once. Results: The patients who underwent the educational program presented an increase in the percentage of correct answers, from before to after the intervention (69% versus 84%, respectively), and a decrease in the percentage of mistakes, from before to after the intervention (20% versus 14%, respectively). Conclusion: The educational program applied to patients in the pulmonary rehabilitation program was effective to increase the patients' knowledge about their disease, its consequences and its treatment.

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“…La clasificación de los sujetos en función de sus alteraciones ansiosas y depresivas nos da una indicación de la alta prevalencia de éstas, y nos permite apreciar cómo aumenta cuando se produce una descompensación del cuadro. Además, estos datos nos remiten a los existentes en la bibliografía en torno a las importantes manifestaciones ansiosas y depresivas que aparecen en los enfermos con EPOC (Anderson, 1995;Araúxo, Sureda y Pablo, 1997;Creer, 1983;Lisansky y Clough, 1996;Quirk y Jones, 1995;Van Elderen, 1995). Así, los trabajos previos no sólo nos informan de la alta prevalencia en estos enfermos sino también de las diferencias que existen entre los síntomas depresivos y ansiosos, con una mayor presencia de aquellos.…”

Section: Discussionunclassified

Análisis del uso de estrategias de afrontamiento en la enfermedad pulmonar obstructiva crónica (EPOC) : implicaciones conceptuales

Rodríguez¹,

Gregorio²,

Picabía³

2000

RPPC

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El concepto de afrontamiento ocupa un lugar de primer orden en la investigación actual en el ámbito de la salud-enfermedad, pero se enfrenta a una situación de confusión conceptual que limita su operatividad. Hemos evaluado el uso de estrategias de afrontamiento y el estado afectivo en pacientes ambulatorios y hospitalizados que padecen una Enfermedad Pulmonar Obstructiva Crónica (EPOC) con un triple objetivo: a) obtener información sobre el uso de estrategias de afrontamiento y acerca del estado afectivo en los enfermos con EPOC; b) determinar los niveles de sensibilidad del concepto de Afrontamiento a los estresores que configuran las situaciones médicas; y c) establecer la capacidad de este concepto para predecir la presencia de alteraciones afectivas. Nuestros resultados nos han mostrado la debilidad del concepto de Afrontamiento, dada su falta de sensibilidad a los elementos que configuran la situación estresante y su incapacidad para recoger los factores moduladores del estado afectivo; hemos apuntado algunas explicaciones a esta situación y propuesto modificaciones en la definición y evaluación del Afrontamiento.Palabras clave: Afrontamiento, Enfermedad Pulmonar Obstructiva Crónica (EPOC), alteraciones afectivas. Analysis ofthe use ofcoping at Chronic Obstructive Pulmonary Disease (COPD):conceptual impUcations Coping is at the first Une at current research about health-illness, but it is facing a conceptual confusión that limits its efficiency. We have assessed the use of coping and the affective state in ambulatory and hospitalized Chronic obstructive pulmonary disease (COPD) patients, with three aims: a) getting of Information about the use of coping and the affective states in COPD patients; b) determination of coping sensitivity levéis to the stressors that configure medical situations; and c) establishment of capacity of this concept to predict the presence of emotional disorders. Our results have shown us the weakness of coping concept, now that its lack of sensitivity to the shaping items in the stressful situation and its incapacity to coUect the modulating factors of the affective State; we have pointed out several explanations to this situation and proposed changes in coping evaluation and definition.

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A Cognitive-Behavioral Self-Help Educational Program for Patients with COPD

Cited by 37 publications

References 19 publications

Prevention of panic attacks and panic disorder in COPD

Prevention of panic attacks and panic disorder in COPD

Avaliação do aprendizado de pacientes com doença pulmonar obstrutiva crônica em um programa de reabilitação pulmonar

Análisis del uso de estrategias de afrontamiento en la enfermedad pulmonar obstructiva crónica (EPOC) : implicaciones conceptuales

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