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Role of detailed psychological evaluation and treatment in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease
- Source :
- Monaldi Archives for Chest Disease (2024)
- Publication Year :
- 2024
- Publisher :
- PAGEPress Publications, 2024.
-
Abstract
- Psychological co-morbidities are common in chronic obstructive pulmonary disease (COPD) but remain overlooked. Psychosocial interventions are deemed to promote mental health and optimize management. This study aimed to determine the role of detailed psychological evaluation and treatment in the comprehensive management of COPD. COPD patients after screening with the general health questionnaire-12 (GHQ-12) for psychological co-morbidity were divided into three groups (26 patients each): i) group A [GHQ-12 score3, in addition, received management by a psychiatrist and counseling by a pulmonologist, respectively). At baseline and 8 weeks of follow-up, all participants were evaluated for respiratory [forced expiratory volume in the first second (FEV1), six-minute walk distance (6-MWD), St. George's respiratory questionnaire (SGRQ), modified medical research council (mMRC) dyspnea scale], and psychological [GHQ-12, patient distress thermometer (PDT), coping strategy checklist (CSCL), World Health Organization-quality of life-brief (WHOQOL-Bref-26), and depression anxiety stress scales (DASS)] parameters. Psychological distress (GHQ-12>3) decreased significantly at follow-up, with 11.5% and 53.8% of patients having psychological distress in groups B and C, respectively, versus baseline (p
- Subjects :
- COPD
PR
psychological distress
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 11220643 and 25325264
- Database :
- Directory of Open Access Journals
- Journal :
- Monaldi Archives for Chest Disease
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.71e3b081e3da4649a181b15269c31d47
- Document Type :
- article
- Full Text :
- https://doi.org/10.4081/monaldi.2024.2849