Ear acupuncture for anxiety in patients with COPD attending pulmonary rehabilitation: a feasibility study
Conclusion: Ear acupuncture was a feasible adjunctive treatment option for this sample of patients with COPD, attending PR. A larger trial is needed to confirm efficacy.
Anxiety and depression are usually under diagnosed among the patients with Chronic Obstructive Pulmonary Disease (COPD), which has a negative impact on patient quality of life through restriction of activities...
Conclusions: Despite the time involved, PPI activities generated considerable public interest in TANDEM and informed the design and delivery of the trial.Funding: NIHR HTA: 13/146/02
Conclusions: Male COPD patients with poor IMP are more likely to be anxious. Inspiratory muscle training may play a role in reducing anxiety in this population. Further examination of this relationship in males and females with COPD is warranted.
Conclusions: The pre-pilot study has enabled significant refinement of the TANDEM intervention prior to piloting. This may prove key to successful, cost-effective, implementation within the larger planned randomized controlled trial.Funding: NIHR HTA 13/146/02
206 COPD patients (age - (64,4±0,8) yrs, males - 158) and 100 healthy individuals (age - (61,5±1,3) yrs, males - 56) were examined by traditional pulmonological methods, standardized psychological questionnaires (The State-Trait Anxiety Inventory (STAI), Zung Self-Rating Depression Scale (SRDS), The Wasserman scale of neurotization level (LN), assessment of QL by International questionnaire MOS SF-36. The inspection of psychological status of respondents showed that 42 (20.4%) COPD patients had the clinically meaningful syndrome (SPD), which manifested by detection high levels of all scales. Among healthy ind...
Conclusion: Patient-carer agreement was worse for less observable symptoms and ADLs, less patient-carer interaction, greater disease and caring burden, and poorer dyad health. Greater communication within dyads should be promoted.
Conclusion: In a large Hellenic COPD cohort more than 85% of the COPD individuals suffered from a least 1 comorbidity with Cardiovascular and Metabolic diseases to be the most prevalent.
Conclusion: HADS has the highest diagnostic significance of screening for COPD pts for the presence of mental disorders.
Mental disorders, clinical, functional signs of COPD could have a combined negative impact on COPD patients (pts).Aim: to identify COPD pts with the highest and lowest frequency, severity of depression, anxiety symptoms.Materials and Methods: 100 COPD pts GOLD 1-4 (age – 63,5±0,9 yrs, male – 85 (85%)). Measurements: clinical status, FEV1post, SpO2, 6MWT, mMRC, CAT, CCQ, SGRQ. Mental state assessed by PHQ-9, BDI-SF, HADS, STAI.Results: cluster analysis found 3 clusters with maximum difference between all indicators that were studied (p
Mental disorders in COPD have significant impact on the overall condition of pts. "Gold standard" of diagnosis of mental disorders is only qualified examination of patients by psychiatrist.Aim: to determine the frequency and types of mental disorders in COPD pts according to severity of COPD.Materials and Methods: we studied 56 COPD pts GOLD 1-4 (age – 63,9±1,0 yrs, male – 46 (82,1%). Examination included general clinical methods, CAT, FEV1post by spirometry. Final mental state assessment of all pts was performed by a psychiatrist who applied clinical anamnestic, psychopathological and psychodi...