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Cited by 171Chronic Obstructive Pulmonary Disease (COPD) ResearchCardiac Health and Mental HealthAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

de Godoy, Dagoberto V, de Godoy, Rossane F·2003·Archives of Physical Medicine and Rehabilitation
DOI 10.1016/s0003-9993(03)00239-9
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Abstract

Objective To assess the effect of psychotherapy on the anxiety and depression levels of patients with chronic obstructive pulmonary disease (COPD).Design A blind, randomized, controlled trial.Setting Outpatient university pulmonary rehabilitation program in Brazil.Participants Thirty patients with COPD (mean age, 60.33y; 22 men) attending a pulmonary rehabilitation program were randomized into 2 groups: experimental group (G1) and control group (G2). Both groups underwent a 12-week treatment program.Interventions Group 1 (n=14) participated in 24 sessions of physical exercise, 24 sessions of physiotherapy, 12 psychologic sessions, and 3 educational sessions. Group 2 did not participate in psychotherapy sessions.Main outcome measures All patients were evaluated at baseline and at completion of the pulmonary rehabilitation program by using 3 instruments: the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and 6-minute walk distance (6MWD).Results Both groups showed statistically significant improvements on the 6MWD (G1, P<.001; G2, P=.03). Only G1 had a significant reduction in anxiety and depression levels (G1: BAI, P<.001; BDI, P<.001; G2: BAI, P=.156; BDI, P=.142). Statistically significant differences existed between G1 and G2 for BAI (P<.001) and BDI (P=.02).Conclusions Including psychotherapy in a pulmonary rehabilitation program for COPD reduced patients' anxiety and depression levels but did not modify 6MWD performance.

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  • Psychological therapies compared with co-intervention reduce anxiety in people with COPD (mean difference -4.41, 95% CI -8.28 to -0.53, P = 0.03).

    “Total *** 157 162 100% -4.41[-8.28,-0.53]Heterogeneity: Tau =7.21; Chi =5.2, df=2(P=0.07);I =61.51%Test for overall effect: Z=2.23(P=0.03)”

    From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as de Godoy 2003

  • In the long term (6 to 12 months), psychological therapies compared with co-intervention do not significantly improve six minute walking distance in people with COPD (MD -30.08, 95% CI -170.92 to 110.77, P = 0.68).

    “Subtotal *** 132 136 100% -30.08[-170.92,110.77]Heterogeneity: Tau =8340.78;Chi =5.01, df=1(P=0.03);I =80.04%Test for overall effect: Z=0.42(P=0.68)”

    From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as de Godoy 2003

  • In the short term (0 to 3 months), psychological therapies compared with co-intervention do not significantly improve six minute walking distance in people with COPD (MD 29.35, 95% CI -30.13 to 88.82, P = 0.33).

    “Subtotal *** 132 136 100% 29.35[-30.13,88.82]Heterogeneity: Tau =0; Chi =0.2, df=1(P=0.65);I =0% Test for overall effect: Z=0.97(P=0.33)”

    From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as de Godoy 2003

  • In the short term (0 to 3 months), psychological therapies compared with co-intervention reduce anxiety in people with COPD (MD -3.86, 95% CI -6.63 to -1.10, P = 0.01).

    “Subtotal *** 157 162 100% -3.86[-6.63,-1.1]Heterogeneity: Tau =1.16; Chi =2.47, df=2(P=0.29);I =19.09%Test for overall effect: Z=2.74(P=0.01)”

    From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as de Godoy 2003

  • Psychological therapies compared with co-intervention do not significantly improve six minute walking distance in people with COPD (MD -2.78, 95% CI -58.49 to 52.94, P = 0.92).

    “Total *** 132 136 100% -2.78[-58.49,52.94]Heterogeneity: Tau =0; Chi =5.01, df=1(P=0.03);I =80.04%Test for overall effect: Z=0.1(P=0.92)”

    From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as de Godoy 2003

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Authors
de Godoy, D. V., & de Godoy, R. F.
Venue
Archives of Physical Medicine and Rehabilitation
Publisher
Elsevier BV
Published
2003-08
Volume
84
Issue
8
Pages
1154-1157
ISSN
0003-9993 (ISSN-L)
DOI
10.1016/s0003-9993(03)00239-9
OpenAlex
W2082290270
Cited by
171
References
51
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 6 · 2016: 9 · 2015: 6 · 2014: 18 · 2013: 8 · 2012: 6
FWCI
7.02
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Archives of Physical Medicine and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
chronic obstructive pulmonary disease, psychotherapy, anxiety, depression, pulmonary rehabilitation, exercise training, physiotherapy, 6-minute walk distance, psychological intervention
MeSH terms
Analysis of Variance, Anxiety, Depression, Exercise Test, Exercise Therapy, Female, Humans, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Psychotherapy, Single-Blind Method, Treatment Outcome, Exercise Tolerance, Pulmonary Disease, Chronic Obstructive

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