A randomized controlled trial of cognitive behavioral therapy for anxiety and depression in COPD

Abstract

The findings indicate that CBT may provide rapid symptom relief for COPD patients with clinically significant anxiety and depression, and underline the need for integrating mental health care into the overall medical regimen for COPD.

Catastrophic interpretations and anxiety sensitivity as predictors of panic-spectrum psychopathology in chronic obstructive pulmonary disease

“…In studies with physically healthy people, decreases in catastrophic interpretations and anxiety sensitivity have mediated the effectiveness of cognitive behavior therapy for panic disorder, and cognitive behavior therapy for high anxiety sensitivity has prevented the development of panic-spectrum psychopathology [11,[53][54][55]. In patients with COPD, effective cognitive behavior therapy for panic attacks, and for the prevention of panic-spectrum psychopathology, has been associated with decreased catastrophic interpretations over an 18 month follow-up period [7].…”

Depression and suicidality in COPD: understandable reaction or independent disorders?

“…Whether these improvements are larger than those in the control condition is important. To date, only one study found CBT to have stronger antidepressant effects in COPD patients than standard care [62]. Other studies including one with a waiting list as the control group failed to find significant effects.…”

Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease

“…[1][2][3][4] Psychologically based interventions (e.g. cognitive behaviour therapy) have also been used in this same population to manage anxiety, depression, QOL, [5][6][7][8][9][10][11] dyspnoea 12 and exercise tolerance. 13 Over the last decade, four systematic reviews (with and without meta-analysis) have examined the evidence base for psychologically based interventions to alleviate anxiety and depression in people with COPD [14][15][16][17] with one systematic review for adults with asthma.…”