Strategies to improve anxiety and depression in patients with COPD: a mental health perspective

被引:93
作者
Tselebis, Athanasios [1 ]
Pachi, Argyro [1 ]
Ilias, Ioannis [2 ]
Kosmas, Epaminondas [3 ]
Bratis, Dionisios [1 ]
Moussas, Georgios [1 ]
Tzanakis, Nikolaos [4 ,5 ]
机构
[1] Sotiria Gen Hosp Chest Dis, Psychiat Dept, Mesoge 152, Athens 11527, Greece
[2] Elena Venizelou Hosp, Endocrinol Dept, Athens, Greece
[3] Metropolitan Gen Hosp, Pulm Dept, Athens, Greece
[4] Univ Crete, Sch Med, Dept Thorac Med, Iraklion, Greece
[5] Univ Crete, Sch Med, Social Med, Lab Epidemiol, Iraklion, Greece
关键词
COPD; anxiety; depression; pharmacological treatment; psychotherapy; OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; COGNITIVE-BEHAVIORAL THERAPY; C-REACTIVE PROTEIN; REHABILITATION PROGRAM; ELDERLY-PATIENTS; PSYCHOLOGICAL OUTCOMES; RESPIRATORY-DISEASE; MAJOR DEPRESSION;
D O I
10.2147/NDT.S79354
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease characterized by progressive and only partially reversible symptoms. Worldwide, the incidence of COPD presents a disturbing continuous increase. Anxiety and depression are remarkably common in COPD patients, but the evidence about optimal approaches for managing psychological comorbidities in COPD remains unclear and largely speculative. Pharmacological treatment based on selective serotonin reuptake inhibitors has almost replaced tricyclic antidepressants. The main psychological intervention is cognitive behavioral therapy. Of particular interest are pulmonary rehabilitation programs, which can reduce anxiety and depressive symptoms in these patients. Although the literature on treating anxiety and depression in patients with COPD is limited, we believe that it points to the implementation of personalized strategies to address their psychopathological comorbidities.
引用
收藏
页码:297 / 328
页数:32
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