title: Breathlessness and psychiatric morbidity in chronic bronchitis and emphysema: a study of psychotherapeutic management.
abstract: This paper describes a study of the outcome of psychotherapy with patients disabled by chronic obstructive airways disease giving rise to dyspnoea. Forty-three men and 22 women with severe COAD were randomly allocated for 8 weeks to one of three types of psychotherapy or to an untreated control group, and were followed up six months later. The group treated by a medical nurse without training in psychotherapy experienced sustained relief of dyspnoea but tended to undergo less psychodynamic change; psychiatric symptoms were reduced in those receiving supportive, but not analytical, psychotherapy. The psychosomatic mechanisms involved and the implications for medical and nursing practice and for liaison psychotherapy are discussed.
mesh_terms: D000368:Aged; D004417:Dyspnea / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications*; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000628:therapy; D011569:Psychiatric Status Rating Scales; D011575:Psychoanalytic Therapy; D011613:Psychotherapy / Q000379:methods*; D012129:Respiratory Function Tests