What else should we know about experiencing COPD? A narrative review in search of patients' psychological burden alleviation.
The present paper is a narrative review focusing on the psychological impact, identification of protective factors, and interventions minimizing the psychological burdens of chronic obstructive pulmonary disease (COPD). The research reviews studies on neurocognitive functions, personality, emotional problems, and health-related quality of life. This is done with regard to resources as well as activities enabling or enhancing a patient's adaptation. PubMed and PsychArticles databases were searched for relevant medical (eg, CODP, emphysema), psychopathology (eg, depression), and psychological (eg, personality) keywords, followed by hand search. After application of the inclusion and exclusion criteria, the search resulted in 82 articles and book chapters. The choice was based on evidence accepted by evidence-based medicine, although at different levels of strength. Psychological experiencing of COPD appears to be very unequally represented with scientific research on emotional problems and functioning decrease significantly outnumbering those addressing resources or effective interventions. As our initial literature search called for an urgent need for further exploration, we have carefully pointed out numerous areas where the knowledge on how to protect or restore psychological well-being among COPD patients should be broadened.
Second Faculty of Medicine with The English Division and The Physiotherapy Division, Department of Medical Psychology, Medical University of Warsaw, Warsaw, Poland.
Marta
M
Rzadkiewicz
Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.
Ola
O
Bråtas
Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway.
Geir Arild
GA
Espnes
D000223:Adaptation, Psychological; D003071:Cognition; D017281:Cost of Illness; D004644:Emotions; D006304:Health Status; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008603:Mental Health; D010551:Personality; D011379:Prognosis; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D011788:Quality of Life; D055500:Resilience, Psychological
COPD; HRQoL; chronic illness; mental health; personality; psychological intervention
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