Cognitive and Psychological Outcomes of Exercise in a 1-Year Follow-Up Study of Patients With Chronic Obstructive Pulmonary Disease.

Emery, Charles F.; Shermer, Rebecca L.; Hauck, Emily R.; Hsiao, Evana T.; MacIntyre, Neil R.

doi:10.1037/0278-6133.22.6.598

Cited by 86 publications

(60 citation statements)

References 34 publications

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“…In contrast, attendance at the education and stress management sessions without supervised exercise training did not improve anxiety, indicating that exercise training, rather than education, is the component of a comprehensive pulmonary rehabilitation programme capable of improving such symptoms [66]. Nevertheless, without adherence to an effective exercise maintenance programme, the longevity of any reduction in anxiety demonstrated on completion of a comprehensive pulmonary rehabilitation programme was ,12 months [63,67]. The addition of target-flow inspiratory muscle training to pulmonary rehabilitation did not confer additional benefit [68].…”

Section: Pharmacological Therapymentioning

confidence: 93%

Anxiety and depression in end-stage COPD

Hill

Geist²,

Goldstein³

et al. 2008

Eur Respir J

230

142

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Although feelings of anxiety and depression are common in patients with chronic obstructive pulmonary disease (COPD), estimates of their prevalence vary considerably. This probably reflects the variety of scales and methods used to measure such symptoms. Regardless of whether anxiety and depression are considered separately or as a single construct, their impact on COPD patients is important.A heightened experience of dyspnoea is likely to be a contributing factor to anxiety. Feelings of depression may be precipitated by the loss and grief associated with the disability of COPD. Smoking has been associated with nicotine addiction, and the factors that contribute to smoking may also predispose to anxiety and depressive disorders.Randomised controlled trials indicate that exercise training and carefully selected pharmacological therapy are often effective in ameliorating anxiety and depression. Most medical illnesses are influenced by the psychological responses and coping mechanisms that patients use. However, anxiety and depression are associated with dyspnoea, fatigue and altered sleep, all of which also occur in COPD.An understanding of the psychological history and coping mechanisms of patients and the role of anxiety and depressive reactions to illness may enable clinicians to reduce these symptoms and improve quality of life among patients with chronic obstructive pulmonary disease.KEYWORDS: Anxiety, chronic obstructive pulmonary disease, depression C hronic obstructive pulmonary disease (COPD) is characterised by airflow obstruction that is not fully reversible [1]. In addition to the primary pulmonary pathology, the impact of secondary skeletal muscle dysfunction on exercise capacity and survival is well established [2,3]. Psychological impairments, ranging from feelings of depression and anxiety to full diagnostic mental disorders, although prevalent in this population, have received less interest. As COPD is incurable, therapeutic interventions aim to optimise function and slow disease progression [4]. Attention has focused predominantly on the effectiveness of strategies such as smoking cessation [5], longterm oxygen therapy (LTOT) [6,7], influenza vaccines [8], respiratory-specific pharmacological management [9], surgical options [10], conditioning of the peripheral muscles with graduated exercise training [11] and chronic disease selfmanagement strategies [12].Despite the prevalence of depression and anxiety and their impact on the morbidity associated with COPD, these psychological consequences of the disease are rarely addressed, at least in the respiratory medicine community. The purpose of the present review is to raise awareness among pulmonologists, general practitioners and allied health professionals to the secondary psychological impairment associated with COPD. Although anxiety and depression often coexist, they represent separate constructs [13]. Broader reviews of the psychological characteristics of patients with COPD are available [14]. ANXIETY Classification and diagnostic cr...

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Section: Pharmacological Therapymentioning

confidence: 93%

Anxiety and depression in end-stage COPD

Hill

Geist²,

Goldstein³

et al. 2008

Eur Respir J

230

142

View full text Add to dashboard Cite

show abstract

“…Cross-sectional research suggests several health-related lifestyle factors are linked to cognitive status, particularly nutrition (Corrêa-Leite, Nicolosi, Cristina, Hauser, & Nappi, 2001), cigarette smoking (Hill, Nilsson, Nyberg, & Bäckman, 2003;Kalmijn et al, 2002;Razani, Boone, Lesser, & Weiss, 2004;Richards, Jarvis, Thompson, & Wadsworth, 2003;Zhou et al, 2003), alcohol consumption (Britton, Singh-Manoux, & Marmot, 2004;Espeland et al, 2005;Harris, Albaugh, Goldman, & Enoch, 2003;Kalmijn, van Boxtel, & Verschuren, 2002;Leroi, Sheppard, & Lyketsos, 2002;Perreira & Sloan, 2002;Schinka, Belanger, Mortimer, & Borenstein-Graves, 2003;Zhang, Heeren, & Ellison, 2005;Zhou et al, 2003), and physical activity (Churchill et al, 2002;Dik, Deeg, Visser, & Jonker, 2003;Emery, Shermer, Hauchk, Hsiao, & MacIntyre, 2003;Heyn, Abreu, & Ottenbacher, 2004;Hillman, Belopolsky, Snook, Kramer, & McAuley, 2004;Schuit, Feskens, Launer, & Kromhout, 2001;Yaffe et al, 2003). Although the research is somewhat mixed, cigarette smoking is a risk factor for healthy cognitive functioning, the relationship of alcohol use seems to favor moderate drinkers, and there is little doubt that a physically active life is good for the brain.…”

Section: The Linkages Between Health and Cognitionmentioning

confidence: 99%

Opportunities and Challenges for Interdisciplinary Research

Lwin¹

2008

Handbook of Cognitive Aging: Interdisciplinary Perspectives

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“…Patients with COPD who maintain activity have less dyspnoea during daily activity, better health-related quality of life [7], and enhanced long-term functional [8], physiological and psychological outcomes [9]. In order to develop and implement cost-effective physical activity maintenance interventions in the clinical setting, however, more information is needed on the sociodemographic and disease-related characteristics of individuals with differing patterns of physical activity following rehabilitation.…”

mentioning

confidence: 99%

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

Soicher¹,

Mayo²,

Gauvin³

et al. 2011

Eur Respir J

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Maintenance of physical activity following pulmonary rehabilitation remains a challenge for patients with chronic obstructive pulmonary disease (COPD). The objectives of this study were to identify patterns of endurance activity after completion of pulmonary rehabilitation and to characterise people who succeed and those who have difficulty maintaining endurance activity.In a longitudinal study embedded within a randomised clinical trial, 206 individuals with COPD underwent a 3-month pulmonary rehabilitation programme. Weekly duration of endurance activity was assessed at 4, 6, 8 and 12 months after the start of rehabilitation. Trajectory modelling was used to determine the most common patterns of activity during the post-rehabilitation phase from 4-12 months.Three distinct patterns were identified, two of which indicated difficulty in maintaining endurance activity: 61 individuals reported a high activity level at 4 months (2.7 h?week ) and declined. The low activity group was characterised by more severe disease and greater respiratory impairment. The high and declined group had less severe disease and respiratory impairment, but reported greater barriers to exercise.Pulmonary rehabilitation should include interventions aimed at minimising barriers, in order to induce long-term behaviour change.

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Cognitive and Psychological Outcomes of Exercise in a 1-Year Follow-Up Study of Patients With Chronic Obstructive Pulmonary Disease.

Cited by 86 publications

References 34 publications

Anxiety and depression in end-stage COPD

Anxiety and depression in end-stage COPD

Opportunities and Challenges for Interdisciplinary Research

Trajectories of endurance activity following pulmonary rehabilitation in COPD patients

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