A cognitive-behavioral self-help educational program for patients with COPD. A pilot study.
BACKGROUND
The purpose of this pilot study was to evaluate the impact of an 8-week cognitive-behavioral self-help educational program for individuals with COPD on level of disability.


METHODS
Eight adults ranging in age from 58 to 83 years attended a program that included a cognitive-behavioral intervention strategy. Levels of disability, cognitive distortion, anxiety, depression, somatic symptoms, and hostility were measured pre- and posttreatment using the Sickness Impact Profile, two Cognitive Error Questionnaires and the Symptom Questionnaire.


RESULTS
Significant decreases were found in the Psychosocial and Total Sickness Impact Profile Scores (p value = 0.02 and p value = 0.03, respectively). On the General-Cognitive Error Questionnaire, the personalization subscale decreased significantly (p value = 0.04). On the COPD-Cognitive Error Questionnaire, the selective abstraction subscale decreased significantly (p value = 0.02).


CONCLUSIONS
Findings suggest a positive treatment response to the program.
Lisansky
D P
DP
College of Nursing, University of New Mexico, Albuquerque 87106-1889, USA.
Clough
D H
DH
D000293:Adolescent; D000368:Aged; D001521:Behavior Therapy; D002908:Chronic Disease; D003072:Cognition Disorders / Q000209:etiology* / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy; D010865:Pilot Projects; D012657:Self-Help Groups; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires