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

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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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Improved Neurobehavioral Functioning in Emphysema Patients Following Lung Volume Reduction Surgery Compared With Medical Therapy
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Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease
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“5배에 이르며, 불안 등의 정서장애, 우울증이 COPD 환자의 20~40%에서 동반되어 있는 것으로 알려져 있고, 호흡 재활 프로그램에서 운동 훈련만 시행된 경우보다 정신과 적보조가더해지는경우더큰정서개선효과를얻을수 있다(12).”
Anxiety, Depression, and Cognitive Impairment in Patients with Chronic Respiratory Disease
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Effects of cognitive behavioral therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A meta‐analysis and systematic review
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“1 item [12] The study did not report anxiety scores after intervention, the rest [13, 18-25] The results of the pooled study were SMD = -0.”
BackgroundMethodInfluential
Management of anxiety and depression in patients with COPD
Yohannes, A. M. (2008) · Expert Review of Respiratory Medicine · doi:10.1586/17476348.2.3.337 · Cited by 36
Effect of Individual Psychological Intervention in Chinese Women With Gynecologic Malignancy: A Randomized Controlled Trial
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Influence de l’anxiété et de la dépression sur les exacerbations au cours de la BPCO
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Repercussões tardias de um programa de reabilitação pulmonar sobre os índices de ansiedade, depressão, qualidade de vida e desempenho físico em portadores de DPOC
de Godoy, R. F., Teixeira, P. J. Z., Júnior, B. B., Michelli, M., & de Godoy, D. V. (2009) · Jornal Brasileiro de Pneumologia · doi:10.1590/s1806-37132009000200005 · Cited by 33
Managing co-morbid depression and anxiety in primary care patients with asthma and/or chronic obstructive pulmonary disease: study protocol for a randomized controlled trial
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“Earlier research has demonstrated that this type of treatment is effective in reducing psychological distress in patients with asthma or COPD [20,28-31].”
Method
Effect of Depression Care on Outcomes in COPD Patients With Depression
Jordan, N., Lee, T. A., Valenstein, M. M., Pirraglia, P. A., & Weiss, K. B. (2008) · CHEST Journal · doi:10.1378/chest.08-0839 · Cited by 30
Chronic obstructive pulmonary disease and its comorbidities
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Anxiety and depression in chronic obstructive pulmonary disease: A new intervention and case report
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Revista Española de Geriatría y Gerontología
Santos, R. P., Torres, C. F., Martín‐Arranz, M. D., de Parga, J. M. S., & Martínez, M. A. (2016) · Cited by 26
Cognitive behavioural therapy (CBT) for patients with chronic lung disease and psychological comorbidities undergoing pulmonary rehabilitation
Pumar, M., Roll, M., Fung, P., Rolls, T., Walsh, J., Bowman, R., Fong, K. M., & Yang, I. A. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.10.23 · Cited by 25
MBCT for Patients with Respiratory Conditions Who Experience Anxiety and Depression: A Qualitative Study
Malpass, A., Kessler, D., Sharp, D., & Shaw, A. (2015) · Mindfulness · doi:10.1007/s12671-014-0370-7 · Cited by 25
Do antidepressants work in patients with chronic obstructive pulmonary disease with comorbid depression?
Yohannes, A. M., & Connolly, M. J. (2011) · Expert Review of Respiratory Medicine · doi:10.1586/ers.11.70 · Cited by 25
Cognitive Behavioral Therapy for People with Chronic Obstructive Pulmonary Disease: Rapid Review
Williams, M., Johnston, K., & Paquet, C. (2020) · International Journal of COPD · doi:10.2147/copd.s178049 · Cited by 55
Treating COPD in Older and Oldest Old Patients
Corsonello, A., Scarlata, S., Pedone, C., Bustacchini, S., Fusco, S., Zito, A., & Incalzi, R. A. (2015) · Current Pharmaceutical Design · doi:10.2174/1381612821666150130121229 · Cited by 24
A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training
Ranjita, R., Badhai, S., Hankey, A., & Nagendra, H. R. (2016) · International Journal of Yoga · doi:10.4103/0973-6131.183714 · Cited by 24
“[58] Another study on patients who participated in education and stress management in addition to exercise training during a 12‐week intervention reported reductions in depression and anxiety.[59]”
Background
Effect of a Pulmonary Rehabilitation Program on the levels of anxiety and depression and on the quality of life of patients with chronic obstructive pulmonary disease
da Costa, C. C., Lermen, C. D. A., Colombo, C., Canterle, D. B., Machado, M. L. L., Kessler, A., & Teixeira, P. J. Z. (2014) · Revista Portuguesa de Pneumologia · doi:10.1016/j.rppneu.2014.03.007 · Cited by 21
“Godoy and Godoy (2003) in a randomized study demonstrated that individualized psychotherapy permitted more significant improvement in anxiety and depression scores, unlike that in the control group, which only had physical training.(20) One study analyzed patients with COPD who spent 64% of their time sitting or lying…”
Background
Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease
Wiles, L., Cafarella, P., & Williams, M. T. (2015) · Respirology · doi:10.1111/resp.12419 · Cited by 21
Differences Between Depressed Patients With Heart Failure and Those With Pulmonary Disease
Koenig, H. G. (2006) · American Journal of Geriatric Psychiatry · doi:10.1097/01.jgp.0000192495.73673.3e · Cited by 21
Practical management problems of stable chronic obstructive pulmonary disease in the elderly
Pistelli, R., Ferrara, L., Misuraca, C., & Bustacchini, S. (2011) · Current Opinion in Pulmonary Medicine · doi:10.1097/01.mcp.0000410747.20958.39 · Cited by 17

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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