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The impact of disease-specific fears on outcome measures of pulmonary rehabilitation in patients with COPD.
Reijnders, Thomas; Schuler, Michael; Wittmann, Michael; Jelusic, Danijel; Troosters, Thierry; Janssens, Wim; Stenzel, Nikola M; Schultz, Konrad; von Leupoldt, Andreas.
Afiliação
  • Reijnders T; Health Psychology, University of Leuven, Leuven, Belgium. Electronic address: thomas.reijnders@kuleuven.be.
  • Schuler M; Institute for Psychotherapy and Medical Psychology, University of Würzburg, Würzburg, Germany.
  • Wittmann M; Clinic Bad Reichenhall, Centre for Rehabilitation, Pneumology and Orthopedics, Bad Reichenhall, Germany.
  • Jelusic D; Clinic Bad Reichenhall, Centre for Rehabilitation, Pneumology and Orthopedics, Bad Reichenhall, Germany.
  • Troosters T; Cardiovascular and Respiratory Rehabilitation, University of Leuven, Leuven, Belgium.
  • Janssens W; Pneumology, University of Leuven, Leuven, Belgium.
  • Stenzel NM; Clinical Psychology and Psychotherapy, Berlin Psychological University, Berlin, Germany.
  • Schultz K; Clinic Bad Reichenhall, Centre for Rehabilitation, Pneumology and Orthopedics, Bad Reichenhall, Germany.
  • von Leupoldt A; Health Psychology, University of Leuven, Leuven, Belgium.
Respir Med ; 146: 87-95, 2019 01.
Article em En | MEDLINE | ID: mdl-30665524
Anxiety is a highly prevalent psychological comorbidity in patients with chronic obstructive pulmonary disease (COPD) and has detrimental effects on pulmonary rehabilitation (PR) outcomes. It has been suggested that disease-specific fears could play an even more important role in COPD patients' disease progression. However, little is known about how different disease-specific fears impact COPD. This study examined how different disease-specific fears relate to different PR outcome measures in COPD patients and how these relationships evolve over the course of PR. Before and after a 3-week inpatient PR program, COPD patients (N = 104) underwent a 6-min walking test to measure functional exercise capacity. Disease-specific fears (fear of physical activity, fear of dyspnea, fear of disease progression, fear of social exclusion) were assessed with the COPD-Anxiety-Questionnaire-Revised. Health-related quality of life (HQoL), COPD health status, dyspnea in daily life, depression, and anxiety were measured using validated questionnaires. Multiple regression showed that greater disease-specific fears at the start of PR were associated with worse functional exercise capacity, HQoL, health status, and depression at the start and end of PR (controlling for age, sex, lung function, smoking status, and general anxiety). Patients who showed a stronger decrease in disease-specific fears improved more in PR outcome measures over the course of PR. Furthermore, different disease-specific fears were related to different PR outcome measures. The results show that disease-specific fears are associated with treatment outcome measures, both cross-sectionally and prospectively. Therefore, disease-specific fears should be addressed in COPD patients as they might play a significant role in disease progression.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Doença Pulmonar Obstrutiva Crônica / Dispneia / Medo Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Respir Med Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Doença Pulmonar Obstrutiva Crônica / Dispneia / Medo Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Respir Med Ano de publicação: 2019 Tipo de documento: Article