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Cited by 249Chronic Obstructive Pulmonary Disease (COPD) ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCardiac Health and Mental Health

Overview of the prevalence, impact, and management of depression and anxiety in chronic obstructive pulmonary disease

Open access
Coventry, Peter, Panagioti, Maria, Scott, Charlotte, Blakemore, Amy·2014·International Journal of Chronic Obstructive Pulmonary Disease
DOI 10.2147/copd.s72073PMC PMC4235478
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Abstract

More than one third of individuals with chronic obstructive pulmonary disease (COPD) experience comorbid symptoms of depression and anxiety. This review aims to provide an overview of the burden of depression and anxiety in those with COPD and to outline the contemporary advances and challenges in the management of depression and anxiety in COPD. Symptoms of depression and anxiety in COPD lead to worse health outcomes, including impaired health-related quality of life and increased mortality risk. Depression and anxiety also increase health care utilization rates and costs. Although the quality of the data varies considerably, the cumulative evidence shows that complex interventions consisting of pulmonary rehabilitation interventions with or without psychological components improve symptoms of depression and anxiety in COPD. Cognitive behavioral therapy is also an effective intervention for managing depression in COPD, but treatment effects are small. Cognitive behavioral therapy could potentially lead to greater benefits in depression and anxiety in people with COPD if embedded in multidisciplinary collaborative care frameworks, but this hypothesis has not yet been empirically assessed. Mindfulness-based treatments are an alternative option for the management of depression and anxiety in people with long-term conditions, but their efficacy is unproven in COPD. Beyond pulmonary rehabilitation, the evidence about optimal approaches for managing depression and anxiety in COPD remains unclear and largely speculative. Future research to evaluate the effectiveness of novel and integrated care approaches for the management of depression and anxiety in COPD is warranted.

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  • Mindfulness-based interventions are effective in improving mindful awareness, CD3+ T cell number, CD4+ T cell number and depression, and in reducing the nutritional risk index and CD8+ T cell number in patients with COPD.

    “It is verified that MBIs are effective in improving mindful awareness, CD3+ T cell number, CD4+ T cell number28 and depression,29 reducing the nutritional risk index and CD8+ T cell number in patients with COPD.28”

    From The efficacy of mindfulness-based interventions for patients with COPD: A systematic review and meta-analysis protocol (2019) · cites this paper as [29]

    Citation 29 is attached to the claim that mindfulness-based interventions improve depression in patients with COPD. In Results > Implications for practice and research (page unavailable), the source says that mindfulness meditation’s effectiveness among COPD patients has not yet been confirmed, contrary to the sentence’s assertion that it is verified. (LLM, conf=0.88)

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Authors
Coventry, P., Panagioti, M., Scott, C., & Blakemore, A.
Affiliations
Manchester Academic Health Science Centre (GB)
Corresponding author
Coventry, Peter
ORCID
Venue
International Journal of Chronic Obstructive Pulmonary Disease
Publisher
Informa UK Limited
Published
2014-11
Volume
9
Pages
1289
ISSN
  • 1176-9106 (ISSN-L)
  • 1178-2005
DOI
10.2147/copd.s72073
PMC
PMC4235478
OpenAlex
W2014085762
Cited by
249
References
32
Citations by year
2026: 6 · 2025: 22 · 2024: 20 · 2023: 17 · 2022: 29 · 2021: 35 · 2020: 21 · 2019: 30 · 2018: 16 · 2017: 19 · 2016: 26 · 2015: 7
FWCI
2.97
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of COPD (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Funders
National Institute for Health and Care Research
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
chronic obstructive pulmonary disease, depression, anxiety, comorbidities, pulmonary rehabilitation, cognitive behavioral therapy, mindfulness-based interventions, collaborative care, health-related quality of life, health care utilization, psychological intervention
MeSH terms
Anxiety, Combined Modality Therapy, Depression, Humans, Health Knowledge, Attitudes, Practice, Patient Care Team, Quality of Life, Health Behavior, Comorbidity, Prevalence, Treatment Outcome, Pulmonary Disease, Chronic Obstructive

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