Psychological characteristics of patients with chronic obstructive pulmonary disease: A review

Hynninen, Kia Minna; Breitve, Monica H.; Wiborg, Alice B.; Pallesen, Ståle; Nordhus, Inger Hilde

doi:10.1016/j.jpsychores.2005.04.007

Cited by 188 publications

(168 citation statements)

References 85 publications

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Section: Prevalence In Copdmentioning

confidence: 99%

“…Although anxiety and depression often coexist, they represent separate constructs [13]. Broader reviews of the psychological characteristics of patients with COPD are available [14]. …”

mentioning

confidence: 99%

“…Reviews of studies that have examined feelings of anxiety in COPD patients report prevalence ranging 2-96% [14,20,21]. The prevalence of generalised anxiety disorder ranges 10-33% [14,22], and the prevalence of panic attacks or panic disorder ranges 8-67% [14]. The considerable disparity in these estimates pertains to methodological discrepancies, including variations in sample size and proportion of nonparticipants, and between-study differences in assessment instruments and the threshold standards used to identify the presence of anxiety-related symptoms.…”

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confidence: 99%

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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: Prevalence In Copdmentioning

confidence: 99%

“…Although anxiety and depression often coexist, they represent separate constructs [13]. Broader reviews of the psychological characteristics of patients with COPD are available [14]. …”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Anxiety and depression in end-stage COPD

Hill

Geist²,

Goldstein³

et al. 2008

Eur Respir J

230

142

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“…In a review article by Hynninen et al 38 including 81 studies, the psychological characteristics of patients with respiratory insufficiency are discussed. The authors concluded that there is an effect on neuropsychological functioning such as impairment on memory functions and higher cognitive functions.…”

Section: 11mentioning

confidence: 99%

Two Eyes Are Better Than One—Binocular Summation of Dark Vision in Healthy Individuals and Patients with Chronic Respiratory Disease

Thylefors

Havelius

2014

Neuro-Ophthalmology

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We compared monocular and binocular absolute thresholds of dark adaptation in two separate study populations. Eighteen healthy individuals (Group A) and 13 patients with chronic respiratory insufficiency (Group B) were examined three times each by computerised dark adaptometry with simultaneous but separate recordings from each eye and binocularly. The respiratory patients received oxygen supplement at visits 1 and 3. In Group A, at all three visits, binocular dark adaptation was significantly more sensitive (40.5%) than monocular dark adaptation with either eye. In Group B, at visits 1 and 3, binocular dark adaptation was also significantly more sensitive than monocular dark adaptation (40.5% higher than the right and 47% higher than the left eye). However, in Group B, at visit 2 without oxygen treatment, no significant differences were observed between monocular and binocular sensitivities. Binocular dark vision was superior to monocular dark vision in healthy individuals and in patients with respiratory insufficiency that were provided oxygen supplementation. Furthermore, deficit in oxygen seems to affect binocular summation, perhaps by impaired enhancement in the central nervous system.

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“…Individuals who suffer COPD have serious complications, including respiratory infection [2], heart problems [3], a higher risk for developing lung cancer [4], pulmonary hypertension [5], and depression [6]. According to the World Health Organization (WHO), individuals with moderate to severe COPD had reached roughly 200 million in 2010 and the number of the patients accounted for 10 percent of total disability [9] and all deaths around the world [10].…”

Section: Introductionmentioning

confidence: 99%

Mind-Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease:A Systematic Review with Meta-Analysis

Liu¹,

Lin²,

Li³

et al. 2018

Preprint

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Baduanjin exercise is a traditional Chinese health-Qigong routine, created by an ancient physician for health promotion. Its mild-to-moderate exercise intensity is suitable for individuals with medical conditions. Recently, a large number of trials were conducted to investigate the effects of Baduanjin exercise in patients with chronic obstructive pulmonary disease (COPD). It needs to be determined whether Baduanjin exercise prescription is beneficial for the management of COPD patients. Thus, we conducted a systematic review to objectively evaluate the existing literature on this topic. We searched six databases (PubMed, Web of Science, Cochrane Library, Scopus, CNKI, and Wanfang) from its inception till early May, 2018. The adapted PEDro scale was used for study quality assessment of all randomized controlled trials (RCT). The pooled effect size (Hedge's g) of exercise capability (6-Minute Walking Test, 6-MWT), lung function parameters (forced expiratory volume in first second, FEV1; forced volume vital capacity, FVC; FEV1/FVC ratio), and quality of life were calculated based on the random-effects model. Twenty may potentially improve exercise capability and pulmonary function of COPD patients as well as quality of life. Baduanjin exercise could be tentatively prescribed for COPD in combination with the conventional rehabilitation program to quicken the process of recovery. To confirm the positive effects of Baduanjin exercise for COPD patients, future researchers need to consider our suggestions mentioned in this article.

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Psychological characteristics of patients with chronic obstructive pulmonary disease: A review

Cited by 188 publications

References 85 publications

Anxiety and depression in end-stage COPD

Anxiety and depression in end-stage COPD

Two Eyes Are Better Than One—Binocular Summation of Dark Vision in Healthy Individuals and Patients with Chronic Respiratory Disease

Mind-Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease:A Systematic Review with Meta-Analysis

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