title: "Getting stuck with LAM": patients perspectives on living with lymphangioleiomyomatosis.
abstract: BACKGROUND
  Lymphangioleiomyomatosis (LAM) is a rare, progressive lung disease that affects almost exclusively women and is most often diagnosed before menopause. The main symptom of LAM is shortness of breath. LAM patients' perceptions of how the disease impacts their lives is largely unknown, but such information could be useful to generate patient reported outcome measures for use in drug trials (or other research studies) and to formulate interventions aimed at easing the burdens LAM imposes on patients.
  
  
  OBJECTIVE
  To capture patients' perceptions of how LAM affects their lives.
  
  
  METHODS
  We used reflexive team analysis to analyze transcripts from semi-structured focus groups conducted with LAM patients at LAMposium 2013. We sought to determine what patients perceive as the primary symptoms of LAM and how the disease affects them in their daily lives.
  
  
  RESULTS
  The 37 participants described seven primary symptoms of LAM and five common psychological experiences from living with the disease. Shortness of breath and low energy (or fatigue) dominated the symptomatic picture; cough, sensations in the chest, difficulty sleeping, gastrointestinal issues, and mild cognitive difficulties were less common. The common psychological experiences participants reported included frustration, worry, loss of identity, embarrassment, and in some participants, a healthy defiance against the disease.
  
  
  CONCLUSIONS
  Patients perceive the physical symptoms from LAM to be intrusive and limiting. Women living with LAM are frustrated by their physical limitations, and they worry about what the future will be like if the disease progresses. Therapeutic interventions should take aim at improving these perceptions.
authors.forename: Amanda
authors.initials: A
authors.lastname: Belkin
authors.forename: Karen
authors.initials: K
authors.lastname: Albright
authors.forename: Kaitlin
authors.initials: K
authors.lastname: Fier
authors.forename: Jennifer
authors.initials: J
authors.lastname: Desserich
authors.affiliation: Autoimmune Lung Center and Interstitial Lung Disease Program, National Jewish Health, 1400 Jackson Street, Denver, CO 80206, USA. swigrisj@njc.org.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Swigris
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology; D001294:Attitude to Health; D017281:Cost of Illness; D004417:Dyspnea / Q000209:etiology; D005221:Fatigue / Q000209:etiology; D005239:Fear / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology*; D018192:Lymphangioleiomyomatosis / Q000150:complications / Q000523:psychology*; D008297:Male; D008875:Middle Aged