Pulmonary rehabilitation improves clinically relevant anxiety and depression in patients with stable COPD

Hdl Handle:
http://hdl.handle.net/10147/189769
Title:
Pulmonary rehabilitation improves clinically relevant anxiety and depression in patients with stable COPD
Authors:
Bowen, BR; McSwiney, EA; Armstrong, LM; Plant, BJ; Kennedy, MP; Murphy, DM; Henry, Michael T
Affiliation:
Department of Respiratory Medicine, Cork University Hospital, Cork; 2. Department of Physiotherapy, PCCC, St. Finbarr’s Hospital, Cork
Citation:
November 2011, Irish Journal of Medical Science, Vol 180, Supplement 12, S455
Journal:
Irish Journal of Medical Science
Issue Date:
Nov-2011
URI:
http://hdl.handle.net/10147/189769
DOI:
DOI 10.1007/s11845-011-0759-4
Item Type:
Article
Language:
en
Description:
We investigated the impact of an eight week community based pulmonary rehabilitation programme (PR) on anxiety and depression in patients with stable COPD. Interventions include handouts from the British Lung Foundation on anxiety and depression with discussion to encourage self empowerment through exercise, education and group interaction within a supportive environment. Patients completed the Hospital Anxiety and Depression Scale (HADS) (Score 0-21) pre and post PR. Lower scores indicate reduced anxiety and depression. 81 patients were recruited. Overall, PR improved symptoms relating to depression (HADS-D score) (p=0.02) and anxiety (HADS-A score) (p=0.01). Many patients had no improvement in symptoms of depression (n=43; 53%) or anxiety (n=39; 48%). These patients had lower pre-PR scores (HADS-D: Mean 4.39±2.88 vs. 5.91±3.02, p=0.02; Median 4 vs. 5) (HADS-A: Mean 5.46±3.50 vs. 8.74±3.92, p<0.01; Median 5 vs. 9). However 16 patients with clinically relevant depression (HADS-D score ≥8), the majority improved following PR (11; 69.8%, 10±2.57 vs. 7.46±3.33, p<0.01). Likewise, 23 (65.7%) patients with a HADS-A score of ≥8 improved following PR. A high pre-PR HADS-A score was associated with a greater likelihood of improvement (11.57±2.81 vs. 9.67±1.67, p=0.04; Median 11 vs. 9). No correlation existed between likelihood of improvement in anxiety /depression, and age, BMI, gender, FEV1, LTOT or smoking status. Patients with clinically relevant anxiety and depression benefit from pulmonary rehabilitation.
Keywords:
DEPRESSION; CHRONIC DISEASE
Local subject classification:
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); ANXIETY DISORDERS

Full metadata record

DC FieldValue Language
dc.contributor.authorBowen, BRen
dc.contributor.authorMcSwiney, EAen
dc.contributor.authorArmstrong, LMen
dc.contributor.authorPlant, BJen
dc.contributor.authorKennedy, MPen
dc.contributor.authorMurphy, DMen
dc.contributor.authorHenry, Michael Ten
dc.date.accessioned2011-11-16T15:02:00Z-
dc.date.available2011-11-16T15:02:00Z-
dc.date.issued2011-11-
dc.identifier.citationNovember 2011, Irish Journal of Medical Science, Vol 180, Supplement 12, S455en
dc.identifier.doiDOI 10.1007/s11845-011-0759-4-
dc.identifier.urihttp://hdl.handle.net/10147/189769-
dc.descriptionWe investigated the impact of an eight week community based pulmonary rehabilitation programme (PR) on anxiety and depression in patients with stable COPD. Interventions include handouts from the British Lung Foundation on anxiety and depression with discussion to encourage self empowerment through exercise, education and group interaction within a supportive environment. Patients completed the Hospital Anxiety and Depression Scale (HADS) (Score 0-21) pre and post PR. Lower scores indicate reduced anxiety and depression. 81 patients were recruited. Overall, PR improved symptoms relating to depression (HADS-D score) (p=0.02) and anxiety (HADS-A score) (p=0.01). Many patients had no improvement in symptoms of depression (n=43; 53%) or anxiety (n=39; 48%). These patients had lower pre-PR scores (HADS-D: Mean 4.39±2.88 vs. 5.91±3.02, p=0.02; Median 4 vs. 5) (HADS-A: Mean 5.46±3.50 vs. 8.74±3.92, p<0.01; Median 5 vs. 9). However 16 patients with clinically relevant depression (HADS-D score ≥8), the majority improved following PR (11; 69.8%, 10±2.57 vs. 7.46±3.33, p<0.01). Likewise, 23 (65.7%) patients with a HADS-A score of ≥8 improved following PR. A high pre-PR HADS-A score was associated with a greater likelihood of improvement (11.57±2.81 vs. 9.67±1.67, p=0.04; Median 11 vs. 9). No correlation existed between likelihood of improvement in anxiety /depression, and age, BMI, gender, FEV1, LTOT or smoking status. Patients with clinically relevant anxiety and depression benefit from pulmonary rehabilitation.en
dc.language.isoenen
dc.subjectDEPRESSIONen
dc.subjectCHRONIC DISEASEen
dc.subject.otherCHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)en
dc.subject.otherANXIETY DISORDERSen
dc.titlePulmonary rehabilitation improves clinically relevant anxiety and depression in patients with stable COPDen
dc.typeArticleen
dc.contributor.departmentDepartment of Respiratory Medicine, Cork University Hospital, Cork; 2. Department of Physiotherapy, PCCC, St. Finbarr’s Hospital, Corken
dc.identifier.journalIrish Journal of Medical Scienceen
dc.description.provinceMunster-
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