Influence of anxiety on health outcomes in COPD
Open accessAbstract
BACKGROUND: Psychological functioning is an important determinant of health outcomes in chronic lung disease. To better define the role of anxiety in chronic obstructive pulmonary disease (COPD), a study was conducted of the inter-relations between anxiety and COPD in a large cohort of subjects with COPD and a matched control group. METHODS: Data were used from the FLOW (Function, Living, Outcomes, and Work) cohort of patients with COPD (n=1202) and matched controls without COPD (n=302). Anxiety was measured using the Anxiety subscale of the Hospital Anxiety and Depression Scale. RESULTS: COPD was associated with a greater risk of anxiety in multivariable analysis (OR 1.85; 95% CI 1.072 to 3.18). Among patients with COPD, anxiety was related to poorer health outcomes including worse submaximal exercise performance (less distance walked during the 6-min walk test: -66.3 feet for anxious vs non-anxious groups; 95% CI -127.3 to -5.36) and a greater risk of self-reported functional limitations (OR 2.41; 95% CI 1.71 to 3.41). Subjects with COPD with anxiety had a higher longitudinal risk of COPD exacerbation in Cox proportional hazards analysis after controlling for covariates (HR 1.39; 95% CI 1.007 to 1.90). CONCLUSION: COPD is associated with a higher risk of anxiety. Once anxiety develops among patients with COPD, it is related to poorer health outcomes. Further research is needed to determine whether systematic screening and treatment of anxiety in COPD will improve health outcomes and prevent functional decline and disability.
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COPD is associated with a higher risk of anxiety, and co-morbid COPD and anxiety is related to poor health outcomes in terms of exercise tolerance, quality of life, COPD exacerbations, inappropriate use of medications and persistence of smoking as a coping strategy for anxiety management.
“COPD is associated with a higher risk of anxiety, and co morbid COPD and anxiety is related to poor health outcomes in terms of exercise tolerance, quality of life, COPD exacerbations (Eisner 2010), inappropriate use of medications and persistence of smoking as a coping strategy for anxiety management (Royal College of Physcians).”
From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as Eisner 2010
Among people with COPD, anxiety is related to poorer health outcomes including worse submaximal exercise performance, greater risk of self-reported functional limitations and a higher longitudinal risk of COPD exacerbations.
“A recent study has shown that among people with COPD, anxiety is related to poorer health outcomes including worse submaximal exercise performance, greater risk of self-reported functional limitations and a higher longitudinal risk of COPD exacerbations (Eisner 2010).”
From Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease (2017) · cites this paper as Eisner 2010
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- Authors
- Eisner, M. D., Blanc, P. D., Yelin, E. H., Katz, P. P., Sanchez, G., Iribarren, C., & Omachi, T. A.
- Affiliations
- University of California, San Francisco (US)
- Kaiser Permanente (US)
- Corresponding author
- Eisner, M. D
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2010-03-01
- Volume
- 65
- Issue
- 3
- Pages
- 229-234
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC3111227
- OpenAlex
- W2159978779
- Cited by
- 284
- References
- 51
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 18 · 2023: 23 · 2022: 22 · 2021: 26 · 2020: 17 · 2019: 14 · 2018: 17 · 2017: 23 · 2016: 19 · 2015: 21 · 2014: 15 · 2013: 16 · 2012: 19
- FWCI
- 12.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institutes of Health (and K24)
- National Heart, Lung, and Blood Institute (K24HL097245, R01HL077618)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- chronic obstructive pulmonary disease, anxiety, psychological comorbidity, health outcomes, COPD exacerbations, exercise capacity, 6-minute walk test, functional limitations, anxiety screening, disability
- MeSH terms
- Aged, Anxiety Disorders, Epidemiologic Methods, Exercise Test, Female, Humans, Male, Middle Aged, Prognosis, Psychiatric Status Rating Scales, Psychometrics, Pulmonary Disease, Chronic Obstructive
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