2023
DOI: 10.2147/copd.s404701
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COPD-Related Anxiety: A Systematic Review of Patient Perspectives

Abstract: Background Anxiety in patients with chronic obstructive pulmonary disease (COPD) is prevalent but often unidentified and therefore not adequately managed. Clinicians find it difficult to detect anxiety symptoms and to differentiate subclinical anxiety from anxiety disorders, because of the considerable overlap between symptoms of COPD and anxiety. Purpose We synthesized existing qualitative research on patients’ experiences of COPD-related anxiety with the purpose of ga… Show more

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Cited by 7 publications
(3 citation statements)
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References 86 publications
(297 reference statements)
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“…While the HADs provides a generic assessment of anxiety and depression in people with somatic medical conditions and has been frequently used within previous studies of CBT interventions in people with COPD [11], it may not capture disease-specific aspects of anxiety in COPD. Recently, Christiansen et al (2023) [64] have proposed a conceptual model of COPD-related anxiety derived from patient experiences. Factors included in this model, such as fear of dying, unsafe environments and fear-based avoidance behaviors are not reflected in HADs items, raising the possibility that HADs scores may underestimate the severity and prevalence of COPD-specific anxiety.…”
Section: Discussionmentioning
confidence: 99%
“…While the HADs provides a generic assessment of anxiety and depression in people with somatic medical conditions and has been frequently used within previous studies of CBT interventions in people with COPD [11], it may not capture disease-specific aspects of anxiety in COPD. Recently, Christiansen et al (2023) [64] have proposed a conceptual model of COPD-related anxiety derived from patient experiences. Factors included in this model, such as fear of dying, unsafe environments and fear-based avoidance behaviors are not reflected in HADs items, raising the possibility that HADs scores may underestimate the severity and prevalence of COPD-specific anxiety.…”
Section: Discussionmentioning
confidence: 99%
“…In addition to pulmonary symptoms, the most common complications of COPD include cardiovascular disease, diabetes, asthma, and anemia, and the majority of patients have one or two comorbidities, adding to the burden on society and the medical system ( Mannino et al, 2015 ). Moreover, most COPD patients suffer from mental diseases that have a negative impact on their quality of life ( Christiansen et al, 2023 ). Given that COPD is a preventive disease, effective treatment can delay the recurrence and progression of the disease.…”
Section: Introductionmentioning
confidence: 99%
“…This is a complex symptom, with several associated mechanisms and closely related to exercise tolerance and quality of life. In both nosological groups, depression and anxiety are common [4][5][6][7][8] , and may be related with the level of dyspnea/tolerance for exertion, which, in turn, may condition physical and emotional participation in basic activities of daily living 6 .…”
Section: Introductionmentioning
confidence: 99%