PMID- 12917854
OWN - NLM
STAT- MEDLINE
DCOM- 20030909
LR  - 20190901
IS  - 0003-9993 (Print)
IS  - 0003-9993 (Linking)
VI  - 84
IP  - 8
DP  - 2003 Aug
TI  - A randomized controlled trial of the effect of psychotherapy on anxiety and 
      depression in chronic obstructive pulmonary disease.
PG  - 1154-7
AB  - OBJECTIVE: To assess the effect of psychotherapy on the anxiety and depression 
      levels of patients with chronic obstructive pulmonary disease (COPD). DESIGN: A 
      blind, randomized, controlled trial. SETTING: Outpatient university pulmonary 
      rehabilitation program in Brazil. PARTICIPANTS: Thirty patients with COPD (mean 
      age, 60.33y; 22 men) attending a pulmonary rehabilitation program were randomized 
      into 2 groups: experimental group (G1) and control group (G2). Both groups 
      underwent a 12-week treatment program. INTERVENTIONS: Group 1 (n=14) participated 
      in 24 sessions of physical exercise, 24 sessions of physiotherapy, 12 psychologic 
      sessions, and 3 educational sessions. Group 2 did not participate in 
      psychotherapy sessions. MAIN OUTCOME MEASURES: All patients were evaluated at 
      baseline and at completion of the pulmonary rehabilitation program by using 3 
      instruments: the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), 
      and 6-minute walk distance (6MWD). RESULTS: Both groups showed statistically 
      significant improvements on the 6MWD (G1, P<.001; G2, P=.03). Only G1 had a 
      significant reduction in anxiety and depression levels (G1: BAI, P<.001; BDI, 
      P<.001; G2: BAI, P=.156; BDI, P=.142). Statistically significant differences 
      existed between G1 and G2 for BAI (P<.001) and BDI (P=.02). CONCLUSIONS: 
      Including psychotherapy in a pulmonary rehabilitation program for COPD reduced 
      patients' anxiety and depression levels but did not modify 6MWD performance.
FAU - de Godoy, Dagoberto V
AU  - de Godoy DV
AD  - Pulmonary Rehabilitation Program, Department of Pulmonology and Thoracic Surgery, 
      Universidade de Caxias do Sul, Rio Grande do Sul, Brazil. dvggodoy@terra.com.br
FAU - de Godoy, Rossane F
AU  - de Godoy RF
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Analysis of Variance
MH  - Anxiety/etiology/*rehabilitation
MH  - Depression/etiology/*rehabilitation
MH  - Exercise Test/methods
MH  - Exercise Therapy/methods
MH  - Exercise Tolerance
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Psychiatric Status Rating Scales
MH  - Psychotherapy/*methods
MH  - Pulmonary Disease, Chronic Obstructive/complications/*rehabilitation
MH  - Single-Blind Method
MH  - Treatment Outcome
EDAT- 2003/08/15 05:00
MHDA- 2003/09/10 05:00
CRDT- 2003/08/15 05:00
PHST- 2003/08/15 05:00 [pubmed]
PHST- 2003/09/10 05:00 [medline]
PHST- 2003/08/15 05:00 [entrez]
AID - S0003-9993(03)00239-9 [pii]
AID - 10.1016/s0003-9993(03)00239-9 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2003 Aug;84(8):1154-7. doi: 10.1016/s0003-9993(03)00239-9.