Psychological assessment in COPD and lung cancer patients in pulmonary rehabilitation

Psychological assessment can be a part of Pulmonary Rehabilitation patients with COPD and lung cancer. Most of the patients have anxiety against lung cancer and oncological therapeutic regimen and COPD. Hospital Anxiety and Depression Scale (HADS) can charactarize anxiety (a) and depression (d).160 patients with COPD (n=104) and lung cancer (n=56) (FEV1: 50±20 %pred, age: 62±8 years, male (m): female(f)=88:72) participated. As a part of the complex respiratory support for COPD and perioperative pulmonary rehabilitation program there is a psychological training for 60 minutes every week and individualized psychological preparation. In HADS we asked 7 items for anxiety and 7 items for depression. Psychological visual analog scale was performed, also. We asked about quality of life assessment and neccesity of psychological training.The two investigational groups have showed similarities. In 62% of patients had respiratory symptoms, like breathlessness and haemoptysis. Otherwise HADS showed depression with no significant gender differences, but the values were higher than normal population (d:6,8±2,1 and a: 7,3±1,6). There was significant difference between age groups, younger patients showed higher values of depression and anxiety (d: <59 years d:7,4±1,2 a:7,8±2,0 vs. 60-75 years d:7,0±1,9 a:7,2±2,0 vs. >75 years d:6,3±2,0, a:6,4±1,5, p<0,05). Psychological visual analog scale (VAS) and quality of lif...

Source: European Respiratory Journal - October 30, 2015 Category: Respiratory Medicine Authors: Hodovan, Z., Lorik, E., Varga, J. Tags: 1.2 Rehabilitation and Chronic Care Source Type: research