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Managing mood disorders in patients attending pulmonary rehabilitation clinics

BACKGROUND: There is good evidence for the positive benefits of pulmonary rehabilitation (PR) in the prevention of hospital admissions, lower mortality, and improved health-related quality of life. There is also increasing evidence about the impact of PR on mental health and, in particular, mood dis...

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Autores principales: Doyle, Colleen, Dunt, David, Ames, David, Selvarajah, Suganya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3540906/
https://www.ncbi.nlm.nih.gov/pubmed/23319857
http://dx.doi.org/10.2147/COPD.S36378
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author Doyle, Colleen
Dunt, David
Ames, David
Selvarajah, Suganya
author_facet Doyle, Colleen
Dunt, David
Ames, David
Selvarajah, Suganya
author_sort Doyle, Colleen
collection PubMed
description BACKGROUND: There is good evidence for the positive benefits of pulmonary rehabilitation (PR) in the prevention of hospital admissions, lower mortality, and improved health-related quality of life. There is also increasing evidence about the impact of PR on mental health and, in particular, mood disorders. We aimed to identify how depression in chronic obstructive pulmonary disease (COPD) patients in Victoria, Australia, is being managed in PR, to identify the prevalence of depressive symptoms among COPD patients who attend PR, and to determine whether patients with depressive symptoms or anxiety symptoms dropped out of PR early. METHOD: Of 61 PR clinics, 44 were invited and 22 agreed to participate. Telephone interviews were conducted to see how depression and anxiety in COPD patients were being recognized and managed in these clinics. A total of 294 questionnaires were distributed to patients by clinic coordinators to determine the prevalence of anxiety/depression, as measured by the Hospital Anxiety and Depression Scale. Coordinators were contacted to provide information on whether respondents dropped out of rehabilitation early or continued with their treatment at 2–4 months post program. RESULTS: Seven clinics were not aware of local guidelines on assessment/treatment/management of mood. Four clinics did not use any screening tools or other aids in the recognition and management of depression and/or anxiety. Overall, eight clinics participating in this study requested advice on suitable screening tools. The patient survey indicated that the mean depression score on the Hospital Anxiety and Depression Scale was 5.0 (standard deviation 3.0, range 1–13). The mean anxiety score was 5.5 (standard deviation 3.4, range 0–18). There was no evidence of a link between failure to complete rehabilitation and depression or anxiety scores, as only three of 105 patients failed to complete their rehabilitation. Discussion: Awareness of management guidelines for depression and anxiety in COPD patients was variable across the clinics recruited into our study. We found no link between compliance with rehabilitation and depression, but our sample had limitations. CONCLUSION: Future research needs to investigate how best to encourage more use of available guidelines regarding integrating psychological and psychosocial support to supplement the exercise and education that are currently offered routinely by all PR clinics studied in Victoria, Australia.
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spelling pubmed-35409062013-01-14 Managing mood disorders in patients attending pulmonary rehabilitation clinics Doyle, Colleen Dunt, David Ames, David Selvarajah, Suganya Int J Chron Obstruct Pulmon Dis Original Research BACKGROUND: There is good evidence for the positive benefits of pulmonary rehabilitation (PR) in the prevention of hospital admissions, lower mortality, and improved health-related quality of life. There is also increasing evidence about the impact of PR on mental health and, in particular, mood disorders. We aimed to identify how depression in chronic obstructive pulmonary disease (COPD) patients in Victoria, Australia, is being managed in PR, to identify the prevalence of depressive symptoms among COPD patients who attend PR, and to determine whether patients with depressive symptoms or anxiety symptoms dropped out of PR early. METHOD: Of 61 PR clinics, 44 were invited and 22 agreed to participate. Telephone interviews were conducted to see how depression and anxiety in COPD patients were being recognized and managed in these clinics. A total of 294 questionnaires were distributed to patients by clinic coordinators to determine the prevalence of anxiety/depression, as measured by the Hospital Anxiety and Depression Scale. Coordinators were contacted to provide information on whether respondents dropped out of rehabilitation early or continued with their treatment at 2–4 months post program. RESULTS: Seven clinics were not aware of local guidelines on assessment/treatment/management of mood. Four clinics did not use any screening tools or other aids in the recognition and management of depression and/or anxiety. Overall, eight clinics participating in this study requested advice on suitable screening tools. The patient survey indicated that the mean depression score on the Hospital Anxiety and Depression Scale was 5.0 (standard deviation 3.0, range 1–13). The mean anxiety score was 5.5 (standard deviation 3.4, range 0–18). There was no evidence of a link between failure to complete rehabilitation and depression or anxiety scores, as only three of 105 patients failed to complete their rehabilitation. Discussion: Awareness of management guidelines for depression and anxiety in COPD patients was variable across the clinics recruited into our study. We found no link between compliance with rehabilitation and depression, but our sample had limitations. CONCLUSION: Future research needs to investigate how best to encourage more use of available guidelines regarding integrating psychological and psychosocial support to supplement the exercise and education that are currently offered routinely by all PR clinics studied in Victoria, Australia. Dove Medical Press 2013 2013-01-04 /pmc/articles/PMC3540906/ /pubmed/23319857 http://dx.doi.org/10.2147/COPD.S36378 Text en © 2013 Doyle et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
Doyle, Colleen
Dunt, David
Ames, David
Selvarajah, Suganya
Managing mood disorders in patients attending pulmonary rehabilitation clinics
title Managing mood disorders in patients attending pulmonary rehabilitation clinics
title_full Managing mood disorders in patients attending pulmonary rehabilitation clinics
title_fullStr Managing mood disorders in patients attending pulmonary rehabilitation clinics
title_full_unstemmed Managing mood disorders in patients attending pulmonary rehabilitation clinics
title_short Managing mood disorders in patients attending pulmonary rehabilitation clinics
title_sort managing mood disorders in patients attending pulmonary rehabilitation clinics
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3540906/
https://www.ncbi.nlm.nih.gov/pubmed/23319857
http://dx.doi.org/10.2147/COPD.S36378
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