The DOI matches its Crossref record.
Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease
Abstract
Exercise rehabilitation is recommended increasingly for patients with chronic obstructive pulmonary disease (COPD). This study examined the effect of exercise and education on 79 older adults (M age = 66.6 +/- 6.5 years; 53% female) with COPD, randomly assigned to 10 weeks of (a) exercise, education, and stress management (EXESM; n = 29); (b) education and stress management (ESM; n = 25); or (c) waiting list (WL; n = 25). EXESM included 37 sessions of exercise, 16 educational lectures, and 10 weekly stress management classes. ESM included only the 16 lectures and 10 stress management classes. Before and after the intervention, assessments were conducted of physiological functioning (pulmonary function, exercise endurance), psychological well-being (depression, anxiety, quality of life), and cognitive functioning (attention, motor speed, mental efficiency, verbal processing). Repeated measures multivariate analysis of variance indicated that EXESM participants experienced changes not observed among ESM and WL participants, including improved endurance, reduced anxiety, and improved cognitive performance (verbal fluency).
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In the citing paper
“Emery and colleagues96 found reductions in symptoms of anxiety and depression following a 10-week PR intervention.”
From Anxiety and Depression in COPD (2008) · cites this paper as [96]
In the citing paper
“Subsequent participation in supervised whole-body exercise training has been shown in several randomized controlled trials95–98 to improve symptoms of anxiety and depression as a consequence of training-related gains in functional capacity.”
From Anxiety and Depression in COPD (2008) · cites this paper as [96]
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“Furthermore, Emery et al. evaluated the effects of a physical rehabilitation program on the cognitive function and psychological state of patients with COPD [91].”
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“[20] Emery 1998 USA The three groups in the study are as follows: 10 weeks of 37 total exercise training sessions, 16 lectures, and 10 stress management classes; 10 weeks of only 16 lectures and 10 stress management classes; or a waiting list.”
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“In a randomized trial of exercise, education and stress management among patients with COPD, Emery was able to show that the group in the arm that included all three components improved endurance, reduced anxiety and improved cognitive performance better than the education/stress management or waiting list groups (30).”
BackgroundMusic: More than just a melody
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“This finding is confirmed in the literature (Arvanitakis et al., 2004; Emery et al., 1998; Reger et al., 2002; Teunissen et al., 2003).”
ResultAssessment in pulmonary rehabilitation
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Self-citationL’éducation thérapeutique du patient atteint de BPCO : le discours du médecin généraliste
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“The researchers found that the experimental group had decreased symptoms of depression and anxiety, demonstrating that exercise-related programs produce observable changes (Emery et al., 1998), whereas Güell et al. (2000) found results supporting a program that included 3 months of daily exercise.”
ZuWallack, R. (2007) · doi:10.1002/9780470755976.ch50 · Cited by 4
Sequential Cognitive Skills in Emphysema Patients Following Lung Volume Reduction Surgery
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Self-citationRosenstein, B., Smyrnova, A., Rizk, A., Escudier, F., Gagnon, J., & Pepin, V. (2020) · Canadian Journal of Respiratory Critical Care and Sleep Medicine · doi:10.1080/24745332.2020.1790060 · Cited by 4
“tests administered and interpreted by neuropsychologists, which was not the case in most former trials.(30,33,34,36,37)”
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Barchfeld, T. (2015) · Der Pneumologe · doi:10.1007/s10405-015-0016-z · Cited by 2
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Scharloo, M., Fischer, M. J., van den Ende, E. D., & Kapstein, A. A. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199733989.013.0018 · Cited by 2
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BackgroundPsychische Störungen bei somatischen Krankheiten
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Alkandari, S., Nuhmani, S., AlSubaiei, M., & Abualait, T. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1753968 · Cited by 1
“…the intervention varied, including aerobic exercise in 10 studies (39, 40, 42, 47, 49–54), strengthening exercises in six studies (40, 42, 47, 50, 52, 53), education sessions in six studies (39, 40, 47, 51, 52, 54), breathing exercises in four studies (39, 42, 49, 53), medical management in…”
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Metadata
- Authors
- Emery, C. F., Schein, R. L., Hauck, E. R., & MacIntyre, N. R.
- Affiliations
- The Ohio State University (US)
- Venue
- Health Psychology
- Published
- 1998
- Volume
- 17
- Issue
- 3
- Pages
- 232-240
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2090976943
- Cited by
- 353
- References
- 0
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 9 · 2020: 15 · 2019: 11 · 2018: 8 · 2017: 12 · 2016: 8 · 2015: 18 · 2014: 24 · 2013: 17 · 2012: 15
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7r29hl045290-05)
- National Institute on Aging (AG 00029)
- National Heart, Lung, and Blood Institute (HL 45290)
- 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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- chronic obstructive pulmonary disease, exercise rehabilitation, stress management, patient education, older adults, lung function, exercise endurance, depression, anxiety, quality of life, cognitive performance, verbal fluency, attention, motor speed
- MeSH terms
- Aged, Analysis of Variance, Anxiety, Cognition Disorders, Combined Modality Therapy, Depression, Exercise Therapy, Female, Humans, Health Knowledge, Attitudes, Practice, Lung Diseases, Obstructive, Male, Middle Aged, Neuropsychological Tests, Patient Education as Topic, Physical Fitness, Quality of Life, Regression Analysis, Relaxation Therapy, Respiratory Function Tests, Stress, Psychological, Causality, Treatment Outcome
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