PMID- 26603339
OWN - NLM
STAT- MEDLINE
DCOM- 20160919
LR  - 20220409
IS  - 1532-3064 (Electronic)
IS  - 0954-6111 (Linking)
VI  - 109
IP  - 12
DP  - 2015 Dec
TI  - Differences in change in coping styles between good responders, moderate 
      responders and non-responders to pulmonary rehabilitation.
PG  - 1540-5
LID - S0954-6111(15)30072-X [pii]
LID - 10.1016/j.rmed.2015.10.008 [doi]
AB  - INTRODUCTION: Pulmonary rehabilitation (PR) improves exercise tolerance and 
      health status in patients with chronic obstructive pulmonary disease (COPD). Data 
      on the effects of PR on coping styles are limited. Aim of the present study was 
      to compare changes in coping styles between patients who had a good, moderate and 
      no improvement in either exercise tolerance or health status after PR. METHODS: 
      Coping styles of 439 COPD patients undergoing PR were assessed by the Utrecht 
      Coping List (UCL) at baseline and after PR. Patients' pulmonary function, 
      six-minute walking distance (6MWD), St. George's Respiratory Questionnaire (SGRQ) 
      and Hospital Anxiety and Depression Scale (HADS-A and HADS-D) were recorded. 
      Good, moderate and non-responders were defined on the basis of minimally 
      clinically important difference (MCID) for SGRQ total score and/or 6MWD. RESULTS: 
      Overall, 54.0% of the patients fulfilled the criteria for good responders, while 
      22.1% were moderate responders. Change in passive reaction pattern coping style 
      differed significantly between good responders and non-responders following PR (p 
      < 0.001). Moreover, within the groups, changes in coping styles after PR occurred 
      among the good responders, whereas the majority of moderate responders' and 
      non-responders' coping styles were not significantly influenced by PR. 
      CONCLUSION: Good responders decreased their passive reaction pattern coping style 
      in contrast to non-responders after PR. In general, PR did not change the coping 
      among moderate and non-responders. Further research is warranted to determine 
      whether including interventions targeting coping styles may modify coping 
      behaviour of COPD patients, as well as improvement in exercise tolerance or 
      health status after PR.
CI  - Copyright (c) 2015 Elsevier Ltd. All rights reserved.
FAU - Stoilkova-Hartmann, Ana
AU  - Stoilkova-Hartmann A
AD  - Department of Respiratory Medicine, Maastricht University Medical Centre+ 
      (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands. Electronic address: 
      a.stoilkova@maastrichtuniversity.nl.
FAU - Janssen, Daisy J A
AU  - Janssen DJ
AD  - Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ 
      Failure, Hornerheide 1, 6085 NM Horn, The Netherlands; Centre of Expertise for 
      Palliative Care, Maastricht University Medical Centre+ (MUMC+), PO Box 616, 6200 
      MD Maastricht, The Netherlands.
FAU - Franssen, Frits M E
AU  - Franssen FM
AD  - Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ 
      Failure, Hornerheide 1, 6085 NM Horn, The Netherlands.
FAU - Wouters, Emiel F M
AU  - Wouters EF
AD  - Department of Respiratory Medicine, Maastricht University Medical Centre+ 
      (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands; Department of Research 
      & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Hornerheide 1, 
      6085 NM Horn, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20151022
PL  - England
TA  - Respir Med
JT  - Respiratory medicine
JID - 8908438
SB  - IM
MH  - *Adaptation, Psychological
MH  - Aged
MH  - Anxiety/etiology
MH  - Depression/etiology
MH  - Exercise Therapy/methods
MH  - Exercise Tolerance/physiology
MH  - Female
MH  - Forced Expiratory Volume/physiology
MH  - Health Status
MH  - Humans
MH  - Male
MH  - Pulmonary Disease, Chronic Obstructive/physiopathology/psychology/*rehabilitation
MH  - Retrospective Studies
MH  - Self Care/methods
MH  - Treatment Outcome
MH  - Vital Capacity/physiology
OTO - NOTNLM
OT  - Chronic obstructive pulmonary disease
OT  - Coping styles
OT  - Disease-specific health status
OT  - Exercise tolerance
OT  - Pulmonary rehabilitation
OT  - Self-management
EDAT- 2015/11/26 06:00
MHDA- 2016/09/20 06:00
CRDT- 2015/11/26 06:00
PHST- 2015/06/05 00:00 [received]
PHST- 2015/10/06 00:00 [revised]
PHST- 2015/10/11 00:00 [accepted]
PHST- 2015/11/26 06:00 [entrez]
PHST- 2015/11/26 06:00 [pubmed]
PHST- 2016/09/20 06:00 [medline]
AID - S0954-6111(15)30072-X [pii]
AID - 10.1016/j.rmed.2015.10.008 [doi]
PST - ppublish
SO  - Respir Med. 2015 Dec;109(12):1540-5. doi: 10.1016/j.rmed.2015.10.008. Epub 2015 
      Oct 22.