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Association of inadequate social support and clinical outcomes in patients with chronic obstructive pulmonary disease - A cross-sectional study.
- Source :
-
Respiratory medicine [Respir Med] 2024 May; Vol. 226, pp. 107625. Date of Electronic Publication: 2024 Apr 02. - Publication Year :
- 2024
-
Abstract
- Introduction: In patients with chronic obstructive pulmonary disease (COPD), loneliness and social isolation are associated with increased morbidity and decreased mobility, self-reliance, and health-related quality of life. Social support has been shown to improve these outcomes.<br />Aims: This cross-sectional study aimed to investigate the level of experienced social support and the clinical outcomes associated with inadequate social support among patients with COPD with a resident loved one.<br />Methods: Level of social support was assessed with the Medical Outcomes Study - Social Support Survey (MOS-SSS) in patients with COPD with a resident loved one. Patients were sub-grouped into adequate or inadequate social support. Multiple clinical outcomes were assessed, including lung function, degree of dyspnoea, health status, symptoms of anxiety and depression, the degree of care dependency, functional status, and mobility.<br />Results: The study included 191 Dutch patients with COPD (53.4% men, age: 65.6 ± 8.9 years, FEV <subscript>1</subscript> : 47.3 ± 17.7% predicted). Eighteen percent of the patients reported inadequate social support. Patients with inadequate social support reported a significantly symptom severity of COPD (p = 0.004), a higher care dependency level (p = 0.04) and a higher level of depression (p = 0.004) compared to patients with adequate social support. Other traits were comparable for both groups.<br />Conclusion: Patients with COPD with a resident loved one who perceive an inadequate level of social support are more likely to report a higher impact of COPD, a higher care dependency and symptoms of depression. Other characteristics are comparable with patients who perceive adequate social support.<br />Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (Copyright © 2024 Elsevier Ltd. All rights reserved.)
- Subjects :
- Humans
Cross-Sectional Studies
Male
Female
Aged
Middle Aged
Loneliness psychology
Anxiety psychology
Dyspnea psychology
Severity of Illness Index
Health Status
Social Isolation psychology
Surveys and Questionnaires
Netherlands
Pulmonary Disease, Chronic Obstructive psychology
Pulmonary Disease, Chronic Obstructive physiopathology
Social Support
Quality of Life
Depression psychology
Depression epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3064
- Volume :
- 226
- Database :
- MEDLINE
- Journal :
- Respiratory medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38570144
- Full Text :
- https://doi.org/10.1016/j.rmed.2024.107625