Cited by 284Chronic Obstructive Pulmonary Disease (COPD) ResearchAsthma and respiratory diseasesCardiac Health and Mental Health

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Influence of anxiety on health outcomes in COPD

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Eisner, M. D, Blanc, P. D, Yelin, E. H, Katz, P. P, Sanchez, G., Iribarren, C., Omachi, T. A·2010·Thorax

DOI 10.1136/thx.2009.126201PMC PMC3111227

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Abstract

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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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
ORCID: Eisner, M. D
Blanc, P. D
Yelin, E. H
Katz, P. P
Iribarren, C.
Omachi, T. A
Venue: Thorax
Publisher: BMJ
Published: 2010-03-01
Volume: 65
Issue: 3
Pages: 229-234
ISSN: 0040-6376 (ISSN-L)
DOI: 10.1136/thx.2009.126201
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 › Pulmonary and Respiratory Medicine › 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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