Pulmonary rehabilitation reduces depression and enhances health-related quality of life in COPD patients - especially in patients with mild or moderate disease

Bratås, Ola; Espnes, GA; Rannestad, Toril; Walstad, R. A.

doi:10.1177/1479972310374343

Cited by 31 publications

(20 citation statements)

References 38 publications

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“…Two of the authors (SK and CLK) independently evaluated articles for eligibility, and 128 articles were excluded for the following reasons: participants did not have a diagnosis of unipolar depression (Akandere and Demir, 2011;Annesi and Gorjala, 2010;Blumenthal et al, 2012a;Bonnet, 2005;Bratås et al, 2010;Brenes et al, 2007;Cakt et al, 2010;Carraro and Gobbi, 2014;Cassilhas et al, 2010;Chen et al, 2012;Christensen et al, 2012;Chrysohoou et al, 2014;Chu, 2008;Collins et al, 2011;Conradsson et al, 2010;Dalgas et EXERCISE AS A TREAMENT FOR DEPRESSION al., 2010;De Zeeuw et al, 2010;Effing et al, 2011;Eldridge et al, 2011;Ellard et al, 2014;Faulconbridge et al, 2012;Fremont and Craighead, 1987;Gallagher et al, 2014;Ha and Choi, 2014;Harris et al, 2010;Heim et al, 2011;Hess-Homeier, 1981;Hoffman et al, 2010;Holmgren et al, 2010;Howarter et al, 2014;Hughes et al, 2012;Imayama et al, 2011;Johannesson et al, 2011;Khallaf and Fathy, 2011;Kline et al, 2012;Korstjens et al, 2011;Kouidi et al, 2010;Lee et al, 2010;Legrand and Heuze, ...…”

Section: Results Of the Literature Searchmentioning

confidence: 99%

Exercise as a treatment for depression: A meta-analysis

Kvam

Kleppe

Nordhus

et al. 2016

Journal of Affective Disorders

640

368

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Section: Results Of the Literature Searchmentioning

confidence: 99%

Exercise as a treatment for depression: A meta-analysis

Kvam

Kleppe

Nordhus

et al. 2016

Journal of Affective Disorders

640

368

View full text Add to dashboard Cite

“…This study lays the framework for understanding the relationship between fatigue and QoL. We do know that QoL is improved after patients participate in pulmonary rehabilitation [32]. If this effect is in part contributed by improvement in fatigue needs yet to be explained by further prospective studies.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

Talwar

Sahni

John

et al. 2014

Advances in Respiratory Medicine

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Introduction: Fatigue is a known symptom of advanced lung disease and impacts quality of life and psychological health. Many of these patients undergo pulmonary rehabilitation as part of their therapy. Understanding the effect of pulmonary rehabilitation on fatigue in these patients is important, as one may be able to design more focused rehabilitation programs. The aim of this study is to evaluate the effect of pulmonary rehabilitation on fatigue as measured by the Fatigue Severity Scale (FSS) in patients with advanced lung disease. Material and Methods: Patients were enrolled in a standardized 6 week pulmonary rehabilitation program. They were asked to complete questionnaires to evaluate their self-reported fatigue (FSS), and depression as measured by Geriatric Depression Scale (GDS). The GDS is a self-reported assessment tool used to identify depression in patients. The FSS is a validated instrument that indicates a perception of fatigue that might require medical intervention. Participants completed questionnaires both at baseline and after completing the standardized pulmonary rehabilitation program. Data was analyzed in Statistical Analysis System (SAS). The change in FSS was evaluated using the Wilcoxon signed-rank test. p-values < 0.05 were considered statistically significant. Results: 21 patients (12 females; 9 males; mean age 64.3 ± 11.2 yrs) were considered for the study. Pre-pulmonary rehabilitation FSS scores ranged from 1.6 to 6.7 (mean score of 4.6 ± 1.7). Post pulmonary rehabilitation FSS scores ranged 1.0 to 6.2 (mean score of 3.9 ± 1.6). The median pre-rehabilitation FSS was 5.3 (inter quartile range; Q1–Q3: 3.0–6.1), and median post rehabilitation FSS was 3.9 (inter quartile range; Q1–Q3: 2.6–5.1). There was a significant decrease in FSS scores after completing pulmonary rehabilitation program (p < 0.0208). There was a decrease in GDS (pre-rehabilitation, mean: 5.5 ± 3.6; post-rehabilitation, mean: 4.2 ± 2.9), but this decrease was not statistically significant. The change in GDS correlated with the change in FSS (Spearman Correlation Coefficient 0.525, p < 0.0146). Conclusions: Patients with advanced lung disease reported a measurable component of fatigue. Participating in pulmonary rehabilitation resulted in significant improvement in patient’s self-reported fatigue severity. Further studies are necessary to evaluate and design interventions to improve fatigue in in the setting of advanced lung disease.

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“…3 It has been shown to improve depression scores and decrease the prevalence of depression cases in patients with comorbid COPD and depression. 39 Nonetheless, a study of depressed patients with COPD who were admitted to an inpatient PR unit found that a history of depression treatment was associated with limited change in depressive symptoms. 40 Although most patients with comorbid COPD and depression do not receive inpatient PR, results from this study suggest that some patients with COPD may require psychological interventions other than those offered by a PR program.…”

Section: Nonpharmacological Treatmentmentioning

confidence: 98%

Depression in Patients with Chronic Obstructive Pulmonary Disease

Garvey

2012

Postgraduate Medicine

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Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality in adults in the United States and worldwide. Depression is a common comorbidity in this population, but often goes undiagnosed in persons with COPD. Because the presence of depression has the potential to negatively impact COPD-related outcomes, it is essential for health care practitioners involved in the care of patients with COPD to diagnose and treat COPD and the associated comorbidities, including depression. Although there is a lack of comprehensive guidelines for treating depression in those with COPD, an algorithm has been proposed to screen and manage depression in these patients. Several questionnaires are available that can be used to assess and assist in diagnosing depression in these patients. Following diagnosis, antidepressant therapy should be considered along with nonpharmacological strategies, such as pulmonary rehabilitation and cognitive behavioral therapy.

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Pulmonary rehabilitation reduces depression and enhances health-related quality of life in COPD patients - especially in patients with mild or moderate disease

Cited by 31 publications

References 38 publications

Exercise as a treatment for depression: A meta-analysis

Exercise as a treatment for depression: A meta-analysis

Effects of Pulmonary Rehabilitation on Fatigue Severity Scale In Patients with Lung Disease

Depression in Patients with Chronic Obstructive Pulmonary Disease

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