Influence of anxiety on health outcomes in COPD

Eisner, Mark D.; Blanc, Paul D.; Yelin, Edward H.; Katz, Patricia P.; Sánchez, Gabriela; Iribarren, Carlos; Omachi, Theodore A.

doi:10.1136/thx.2009.126201

Cited by 247 publications

(197 citation statements)

References 42 publications

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“…Patients with COPD present with anxiety 6,7 and fatigue 8 associated with the unpleasant perception of dyspnea and related to various psychological factors. 8 Even if there is no evidence of a relationship between failure to complete a rehabilitation program and level of anxiety, 9 this last factor is related to reduced exercise tolerance.…”

Section: Introductionmentioning

confidence: 99%

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

et al. 2015

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BACKGROUND: Pulmonary rehabilitation is a key element in the treatment of COPD. Music has been shown to have a positive effect on parameters related to a decrease in exercise tolerance. The aim of this study was to evaluate the effect of listening to ambient music on perceived exertion during a pulmonary rehabilitation session for COPD subjects. METHODS: COPD subjects randomly performed a session of pulmonary rehabilitation with or without ambient music. Perceived exertion (Borg scales), anxiety (Hospital Anxiety and Depression Scale-Anxiety Subscale), dyspnea (visual analog scale), and cardiorespiratory parameters were compared at the end of both sessions. RESULTS: Forty-one subjects were analyzed. The characteristics of the COPD subjects were as follows: age, 70.5 ؎ 8.4 y; body mass index, 22.7 ؎ 3.9 kg/m 2 ; and FEV 1 , 38.6 ؎ 12.5 % predicted. Perceived exertion was not modified by ambient music, but anxiety was improved (P ‫؍‬ .02). Dyspnea, fatigue and cardiorespiratory parameters were not influenced by music during a typical session of the pulmonary rehabilitation program. CONCLUSIONS: This study demonstrates that perceived exertion during one pulmonary rehabilitation session was not influenced by ambient music. However, a positive effect on anxiety was observed. (ClinicalTrials.gov registration NCT01833260.)

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Section: Introductionmentioning

confidence: 99%

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

et al. 2015

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“…Indeed, no method can be of help when the relevant potential confounders are missing because they are not available in the original dataset. In the present study, the absence of data on relevant COPD outcomes, namely respiratory symptoms, symptoms of anxiety/depression, spirometric abnormalities, health-related quality of life, or smoking or work status, all of them potentially affecting both COPD prognosis and the duet of anxiety/depression, impairs the validity of the results [6,20]. The large differences in the estimates of the association between benzodiazepine use and all-cause mortality in patients without exacerbations in the previous year and those with hospital admissions for exacerbations clearly supports the notion that residual confounding can be present.…”

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confidence: 90%

“…However, American Thoracic Society/European Respiratory Society guidelines warn against the use of benzodiazepines and recommend avoiding hypnotics, if possible, in patients with severe COPD [3]. According to NICE and in the 2011 revision of the Global Initiative for Obstructive Lung Disease (GOLD) strategy [4], anxiety and depression, irrespective of whether they are considered separately or in combination, are viewed as major comorbidities in COPD and predict poor prognosis [5,6]. Both are often associated with younger age, female sex, cigarette smoking, more airflow limitation (lower forced expiratory volume in 1 s (FEV1)), cough, worse health-related quality of life and cardiovascular disease antecedents [7].…”

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confidence: 99%

Should we exercise caution with benzodiazepine use in patients with COPD?

Rodríguez-Roisín

Garcia‐Aymerich

2014

Eur Respir J

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“…For almost all LTCs the presence of CMDs reduces quality of life (Moussavi et al 2007), increases disability (Scott et al 2009), impairs outcome and increases utilization of health care (Frasure-Smith et al 2000 ;Katon & Ciechanowski, 2002). Such links have been demonstrated in coronary artery disease (Penninx et al 2001 ;Stafford et al 2007), chronic obstructive pulmonary disease (COPD) (Ng et al 2007 ;Eisner et al 2010) and diabetes (Schram et al 2009 ;Ali et al 2010). LTCs and mental disorders almost certainly influence each other through a reciprocating, perpetuating causal ring, in which causes become consequences and consequences become causes (see Fig.…”

Section: Introductionmentioning

confidence: 99%

“…LTCs and mental disorders almost certainly influence each other through a reciprocating, perpetuating causal ring, in which causes become consequences and consequences become causes (see Fig. 1) (Scott et al 2009 ;Eisner et al 2010). These influences include physical and psychological processes, and may be mediated by health behaviours (Leventhal et al 2008).…”

Section: Introductionmentioning

confidence: 99%

The population impact of common mental disorders and long-term physical conditions on disability and hospital admission

Weich

Bebbington²,

Rai³

et al. 2012

Psychol. Med.

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Background. Long-term physical conditions (LTCs) consume the largest share of healthcare budgets. Although common mental disorders (CMDs) and LTCs often co-occur, the potential impact of improved mental health treatment on severe disability and hospital admissions for physical health problems remains unknown. Method.A cross-sectional study of 7403 adults aged 16-95 years living in private households in England was performed. LTCs were ascertained by prompted self-report. CMDs were ascertained by structured clinical interview. Disability was assessed using questions about problems with activities of daily living. Population impact and potential preventive gain were estimated using population-attributable fraction (PAF), and conservative estimates were obtained using ' treated non-cases ' as the reference group.Results. Of the respondents, 20.7 % reported at least one LTC. The prevalence of CMDs increased with the number of LTCs, but over two-thirds (71.2 %) of CMD cases in people with LTCs were untreated. Statistically significant PAFs were found for CMDs and recent hospital admission [13.5 %, 95 % confidence intervals (CI) 6.6-20.0] and severe disability (31.3 %, 95 % CI 27.1-35.2) after adjusting for LTCs and other confounders. Only the latter remained significant when using the most conservative estimate of PAF (21.8 %, 95 % CI 14.0-28.9), and this was reduced only slightly when considering only participants with LTCs (18.5 %, 95 % CI 7.9-27.9).Conclusions. Better treatments for CMDs in people with LTCs could achieve almost the same population health gain in terms of reducing severe disability as those targeted at the entire population. Interventions to reduce the prevalence of CMDs among people with LTCs should be part of routine medical care.

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Influence of anxiety on health outcomes in COPD

Cited by 247 publications

References 42 publications

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

Influence of Ambient Music on Perceived Exertion During a Pulmonary Rehabilitation Session: A Randomized Crossover Study

Should we exercise caution with benzodiazepine use in patients with COPD?

The population impact of common mental disorders and long-term physical conditions on disability and hospital admission

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