Marital adjustment among patients with chronic obstructive pulmonary disease who are participating in pulmonary rehabilitation

Ashmore, Jamile; Emery, Charles F.; Hauck, Emily R.; MacIntyre, Neil R.

doi:10.1016/j.hrtlng.2004.12.005

Cited by 27 publications

(35 citation statements)

References 51 publications

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“…There is compelling evidence that suggests a correlation between sexual function and marital adjustment in the general population (Dracup et al, 2004) and chronically ill patients (Ashmore et al, 2005). Our results were also indicative of a correlation between RDAS total score and one of its subscores, i.e.…”

Section: Discussionsupporting

confidence: 65%

“…Chronic illnesses affect all aspects of patients and their families' life (Campbell & Campbell, 1978;Steele, Finkelstein, & Finkelstein, 1976); some like cancer and coronary heart disease beget marital discord and its concomitant morbidity and mortality (Ashmore, Emery, Hauck, & MacIntyre, 2005;Burman & Margolin, 1992). Such undesirable ramifications of marital discord in chronic illnesses (Trief, Grant, Elbert, & Weinstock, 2001) render familial support vital (Primomo, Yates, & Woods, 1990).…”

Section: Introductionmentioning

confidence: 99%

“…There are also studies in which quality of life, sexual relationship, anxiety and depression are represented as correlated factors with marital relationship in endstage renal disease (ESRD) patients (Ashmore et al, 2005;Chowance & Binik, 1982;Glass et al, 1987;Holcomb & MacDonald, 1973).…”

Section: Introductionmentioning

confidence: 99%

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Marital relationship and its correlates in kidney recipients

Einollahi

Tavallaii

Bahaeloo-Horeh

et al. 2009

Psychology, Health & Medicine

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Marital discordance is known to be associated with morbidity and mortality in chronically ill patients, but its correlates have yet to be fully addressed in renal recipients. The aim of this study was to assess marital relationship and its correlation with patients' morbidity after kidney transplantation. Ninety-three married Iranian kidney recipients who had undergone kidney transplantation in Baqiyatallah Hospital, Tehran, Iran, were assessed for marital adjustment with the Revised Dyadic Adjustment Scale (RDAS). The patients' quality of life (Short From-36), anxiety and depression (Hospital Anxiety and Depression Scale), and sexual relationship (Relationship and Sexuality Scale) were also evaluated. Eighty-seven subjects (93.5%) completed our study. The mean (SD) of RDAS was 52.9 (9.7). RDAS score showed a significant correlation with anxiety symptoms, frequency of intercourse and quality of life (p < 0.05). Also, RDAS score was poorer in recipients with low education level, low family income and positive history of graft rejection (p < 0.05). RDAS score was not significantly associated with gender, occupation, age at transplantation time, transplant-to-rejection time interval, source of graft, cause and duration of end-stage renal disease and depression (p > 0.05). Transplantation medical teams should refer patients to psychologists and/or psychiatrists for marital satisfaction consultation before kidney transplantation. This is of great significance especially in those with older ages, lower levels of education and lower income. Marital discord may also be considered as a cause or an effect of an unsatisfactory sexual relationship, higher anxiety or lower quality of life after kidney transplantation.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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Marital relationship and its correlates in kidney recipients

Einollahi

Tavallaii

Bahaeloo-Horeh

et al. 2009

Psychology, Health & Medicine

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“…Greater levels of anxiety in COPD patients have been associated with poor satisfaction with marital relationships [24], and are more common in females than males and in current smokers than nonsmokers [25]. Furthermore, COPD patients with anxiety are often also depressed, with the magnitude of depressionrelated symptoms estimated to account for 66% of the variance in the measurement of anxiety-related symptoms [26].…”

Section: Risk Factorsmentioning

confidence: 99%

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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“…Dat is vreemd, aangezien sociale problemen veelvuldig aanwezig zijn bij COPD patie¨nten. Toch zijn er aanwijzingen dat multidisciplinaire revalidatieprogramma's een gunstige invloed kunnen hebben op het sociaal functioneren en het verminderen van gevoelens van isolement (Ashmore, Emery, Hauck, & MacIntyre, 2005;Fuchs-Climent, Le Gallais, Varray, Desplan, Cadopi, & Pre´fant, 1999;Mineo et al, 2004 ;Woo et al, 2006).…”

Section: Interventies In Het Kader Van Revalidatieunclassified

Respiratoire aandoeningen en medische psychologie

Kaptein¹,

Fischer²,

Scharloo³

2007

PSEG

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Respiratory disorders and medical psychologyThis paper reviews psychological aspects of respiratory disorders, in particular asthma and COPD (chronic obstructive pulmonary disease). It discusses definition, epidemiology, risk factors and medical management of both disorders, in the context of psychological and social factors. Psychosocial consequences of asthma are described, as is the psychological management of patients with this respiratory disorder. On the basis of Cochrane reviews, a cautious optimism seems warranted: incorporating self-management training into medical care leads to positives outcomes for patients with asthma.

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Marital adjustment among patients with chronic obstructive pulmonary disease who are participating in pulmonary rehabilitation

Cited by 27 publications

References 51 publications

Marital relationship and its correlates in kidney recipients

Marital relationship and its correlates in kidney recipients

Anxiety and depression in end-stage COPD

Respiratoire aandoeningen en medische psychologie

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