Functional Impairment in COPD Patients: The Impact of Anxiety and Depression

Kim, H. Florence Seung; Kunik, Mark E.; Molinari, Victor; Hillman, Stephany L.; Lalani, Suleman; Orengo, Claudia A.; Petersen, Nancy J.; Nahas, Ziad; Goodnight-White, Sheila

doi:10.1176/appi.psy.41.6.465

Cited by 269 publications

(229 citation statements)

References 17 publications

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“…(17)(18) It is possible that depression and anxiety are being underdiagnosed and undertreated in the population of patients with COPD. (19) In the present study, a post-PRP reduction in anxiety was observed in all of the groups analyzed. However, this reduction was significantly greater in patients receiving psychotherapy (G1 and G2 patients) than in those not receiving such therapy (G3 patients).…”

Section: Discussionsupporting

confidence: 59%

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

Godoy

Godoy²,

Júnior

et al. 2005

J. bras. pneumol.

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The effect of psychotherapy provided as part of a pulmonary rehabilitation program for the treatment of patients with chronic obstructive pulmonary disease 499The effect of psychotherapy provided as part of a pulmonary rehabilitation program for the treatment of patients with chronic obstructive pulmonary disease* ABSTRACTObjective: To assess the effect of psychotherapy on levels of anxiety and depression, as well as on quality of life and exercise capacity in patients with chronic obstructive pulmonary disease enrolled in a pulmonary rehabilitation program. Methods: A randomized, controlled, blind clinical trial was conducted involving 49 chronic obstructive pulmonary disease patients. Patients were randomized into three groups: those submitted to the complete pulmonary rehabilitation program, which included psychotherapy and an exercise regimen (group 1); those submitted to the program minus physical exercise (group 2); and those submitted to the program minus psychotherapy (group 3). The three groups underwent a 12-week treatment program. All patients were evaluated at baseline and at completion of the pulmonary rehabilitation program through four instruments: The Beck Anxiety Inventory, Beck Depression Inventory and St. George's Respiratory Questionnaire were applied. The distance walked-weight product was also calculated. Results: Statistically significant absolute improvements in exercise capacity were found for groups 1 and 2, although not for group 3 (p = 0.007, p = 0.008 and p = 0.06, respectively). In groups 1 and 2, levels of anxiety and depressions were also significantly reduced (group 1: p = 0.0000 and p < 0.0003; group 2: p = 0.0001 and p = 0.0014), and quality of life was significantly improved (p = 0.0007 and p = 0.002, respectively). Anxiety levels were also reduced in group 3 (p = 0.03), although levels of depression were not, and quality of life was unaffected. Conclusion: Psychotherapy sessions provided as part of a pulmonary rehabilitation program assist patients with chronic obstructive pulmonary disease in coping with disease-related limitations by reducing behavioral symptoms, especially depression, thereby influencing exercise capacity and health-related quality of life. Original Article

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Section: Discussionsupporting

confidence: 59%

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

Godoy

Godoy²,

Júnior

et al. 2005

J. bras. pneumol.

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“…Perhaps, not surprisingly, older adult patients with COPD who present with comborbid anxiety or depression show more functional impairment than those COPD patients without comorbid anxiety or depression. [123] Other respiratory problems have been examined as well. In a study of Veterans with breathing disorders (M 5 63.3, SD 5 11.8), 82.8% screened positive for depression and/or anxiety using a brief patient telephone questionnaire.…”

Section: Comorbidity and Differential Diagnosismentioning

confidence: 99%

Anxiety disorders in older adults: a comprehensive review

Wolitzky-Taylor¹,

Castriotta²,

Lenze³

et al. 2010

Depress. Anxiety

600

398

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This review aims to address issues unique to older adults with anxiety disorders in order to inform potential changes in the DSM-V. Prevalence and symptom expression of anxiety disorders in late life, as well as risk factors, comorbidity, cognitive decline, age of onset, and treatment efficacy for older adults are reviewed. Overall, the current literature suggests: (a) anxiety disorders are common among older age individuals, but less common than in younger adults; (b) overlap exists between anxiety symptoms of younger and older adults, although there are some differences as well as limitations to the assessment of symptoms among older adults; (c) anxiety disorders are highly comorbid with depression in older adults; (d) anxiety disorders are highly comorbid with a number of medical illnesses; (e) associations between cognitive decline and anxiety have been observed; (f) late age of onset is infrequent; and (g) both pharmacotherapy and CBT have demonstrated efficacy for older adults with anxiety. The implications of these findings are discussed and recommendations for the DSM-V are provided, including extending the text section on age-specific features of anxiety disorders in late life and providing information about the complexities of diagnosing anxiety disorders in older adults. Depression and Anxiety 27:190-211, 2010.

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“…One of the most common is depression that occurs in 10 to 42% of persons with COPD and is associated with low quality of life 6 . Depression is associated with increased frequency of hospital admissions, prolonged length of stay, increased number of consultations, low compliance with medical treatment and premature death 7,8 . Patients with COPD have a higher prevalence of depression and anxiety than the general population 9,10 and COPD patients have relative risk of 1.69 of developing depression 11 .…”

Section: Introductionmentioning

confidence: 99%

Exercise alleviates depression related systemic inflammation in chronic obstructive pulmonary disease patients

2017

Afr H. Sci.

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Background: Depression is a highly prevalent co-morbidity in Chronic Obstructive Pulmonary Disease (COPD) which was shown to be associated with a worse course of disease, including reduced quality of life and increased symptoms burden, healthcare use, and even mortality. It has been speculated that systemic inflammation may play a role in the presence of depression. Currently, physical activity is an important lifestyle factor that has the potential to modify inflammatory cytokines and depression, however our understanding of how to use exercise effectively in COPD patients to alleviate depression related systemic inflammation is incomplete and has prompted our interest to identify the type and intensities of effective exercise. Objective: The aim of this study was to measure the changes in depression related systemic inflammation of aerobic exercise training in COPD patients in Jeddah area. Material and methods: Eighty patients with moderate severity of COPD participated in this study and were divided into two groups; the first group received aerobic exercise, whereas the second group received no exercise training for 12 weeks. Results:The mean values of tumor necrosis factor-alpha (TNF-α), interleukin-4 (IL-4), interleukin-6 (IL-6), C-reactive protein (CRP) and Beck Depression Inventory (BDI) scores were significantly decreased in in group (A) after treatments, but the changes in group (B) were not significant .Also, there were significant differences between mean levels of the investigated parameters in group (A) and group (B) at the end of the study. Conclusion: Aerobic exercise is an effective treatment policy to improve depression related to systemic inflammation in patients with chronic obstructive pulmonary disease.

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Functional Impairment in COPD Patients: The Impact of Anxiety and Depression

Cited by 269 publications

References 17 publications

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

O efeito da assistência psicológica em um programa de reabilitação pulmonar para pacientes com doença pulmonar obstrutiva crônica

Anxiety disorders in older adults: a comprehensive review

Exercise alleviates depression related systemic inflammation in chronic obstructive pulmonary disease patients

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