BACKGROUND: As many as 30% of patients who start pulmonary rehabilitation (PR) fail to complete it, and depressed mood has been associated with PR non-completion. Depression is more common in women than men with COPD and historically women with COPD have been under studied. However, no studies to date have investigated gender-specific predictors of PR completion. METHODS: The study included 111 patients with COPD who enrolled in a community based outpatient PR program in Providence, RI. Patients who attended 20 or more sessions were designated "completers". Depression was measured using the CES-D. Logistic regression models were evaluated to test depressed mood as a predictor of PR completion. Analyses controlled for demographic and health variables found to differ between completers and non-completers. RESULTS: Patients were 95% white and 49.5% women, and 74% had a GOLD stage ≥3. Sixty-eight percent of patients were PR completers. A logistic regression model, showed that lower depressed mood independently predicted PR completion across all patients (adjusted OR = 0.92, p = .002). In gender-stratified analyses, lower depressed mood was an independent predictor of PR completion for women (adjusted OR = .91, p = .024) but not men (adjusted OR = .97, p = .45). Greater 6-min walk test distance was also an independent predictor of PR completion among women. CONCLUSION: Depressed mood is an important predictor of completion of community based PR among women. Screening and brief treatment of depression should be considered in practice.
BACKGROUND: As many as 30% of patients who start pulmonary rehabilitation (PR) fail to complete it, and depressed mood has been associated with PR non-completion. Depression is more common in women than men with COPD and historically women with COPD have been under studied. However, no studies to date have investigated gender-specific predictors of PR completion. METHODS: The study included 111 patients with COPD who enrolled in a community based outpatient PR program in Providence, RI. Patients who attended 20 or more sessions were designated "completers". Depression was measured using the CES-D. Logistic regression models were evaluated to test depressed mood as a predictor of PR completion. Analyses controlled for demographic and health variables found to differ between completers and non-completers. RESULTS:Patients were 95% white and 49.5% women, and 74% had a GOLD stage ≥3. Sixty-eight percent of patients were PR completers. A logistic regression model, showed that lower depressed mood independently predicted PR completion across all patients (adjusted OR = 0.92, p = .002). In gender-stratified analyses, lower depressed mood was an independent predictor of PR completion for women (adjusted OR = .91, p = .024) but not men (adjusted OR = .97, p = .45). Greater 6-min walk test distance was also an independent predictor of PR completion among women. CONCLUSION:Depressed mood is an important predictor of completion of community based PR among women. Screening and brief treatment of depression should be considered in practice.
Authors: N H Chavannes; M J H Huibers; T R J Schermer; A Hendriks; C van Weel; E F M Wouters; C P van Schayck Journal: Fam Pract Date: 2005-07-15 Impact factor: 2.267
Authors: Sarah E Jones; Stuart A Green; Amy L Clark; Mandy J Dickson; Ann-Marie Nolan; Clare Moloney; Samantha S C Kon; Faisal Kamal; Joy Godden; Cathy Howe; Derek Bell; Sharon Fleming; B Mimi Haselden; William D-C Man Journal: Thorax Date: 2013-08-14 Impact factor: 9.139
Authors: Afroditi K Boutou; Rebecca J Tanner; Victoria M Lord; Lauren Hogg; Jane Nolan; Helen Jefford; Evelyn J Corner; Christine Falzon; Cassandra Lee; Rachel Garrod; Michael I Polkey; Nicholas S Hopkinson Journal: BMJ Open Respir Res Date: 2014-11-03
Authors: Jean-Marie Grosbois; Sarah Gephine; Anne Sophie Diot; Maeva Kyheng; François Machuron; Gaelle Terce; Benoit Wallaert; Cécile Chenivesse; Olivier Le Rouzic Journal: ERJ Open Res Date: 2020-10-26