Ana Stoilkova-Hartmann1, Daisy J A Janssen2, Frits M E Franssen3, Emiel F M Wouters4. 1. Department of Respiratory Medicine, Maastricht University Medical Centre+ (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands. Electronic address: a.stoilkova@maastrichtuniversity.nl. 2. Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Hornerheide 1, 6085 NM Horn, The Netherlands; Centre of Expertise for Palliative Care, Maastricht University Medical Centre+ (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands. 3. Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Hornerheide 1, 6085 NM Horn, The Netherlands. 4. Department of Respiratory Medicine, Maastricht University Medical Centre+ (MUMC+), PO Box 616, 6200 MD Maastricht, The Netherlands; Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Hornerheide 1, 6085 NM Horn, The Netherlands.
Abstract
INTRODUCTION: Pulmonary rehabilitation (PR) improves exercise tolerance and health status in patients with chronic obstructive pulmonary disease (COPD). Data on the effects of PR on coping styles are limited. Aim of the present study was to compare changes in coping styles between patients who had a good, moderate and no improvement in either exercise tolerance or health status after PR. METHODS: Coping styles of 439 COPD patients undergoing PR were assessed by the Utrecht Coping List (UCL) at baseline and after PR. Patients' pulmonary function, six-minute walking distance (6MWD), St. George's Respiratory Questionnaire (SGRQ) and Hospital Anxiety and Depression Scale (HADS-A and HADS-D) were recorded. Good, moderate and non-responders were defined on the basis of minimally clinically important difference (MCID) for SGRQ total score and/or 6MWD. RESULTS: Overall, 54.0% of the patients fulfilled the criteria for good responders, while 22.1% were moderate responders. Change in passive reaction pattern coping style differed significantly between good responders and non-responders following PR (p < 0.001). Moreover, within the groups, changes in coping styles after PR occurred among the good responders, whereas the majority of moderate responders' and non-responders' coping styles were not significantly influenced by PR. CONCLUSION: Good responders decreased their passive reaction pattern coping style in contrast to non-responders after PR. In general, PR did not change the coping among moderate and non-responders. Further research is warranted to determine whether including interventions targeting coping styles may modify coping behaviour of COPD patients, as well as improvement in exercise tolerance or health status after PR.
INTRODUCTION: Pulmonary rehabilitation (PR) improves exercise tolerance and health status in patients with chronic obstructive pulmonary disease (COPD). Data on the effects of PR on coping styles are limited. Aim of the present study was to compare changes in coping styles between patients who had a good, moderate and no improvement in either exercise tolerance or health status after PR. METHODS: Coping styles of 439 COPDpatients undergoing PR were assessed by the Utrecht Coping List (UCL) at baseline and after PR. Patients' pulmonary function, six-minute walking distance (6MWD), St. George's Respiratory Questionnaire (SGRQ) and Hospital Anxiety and Depression Scale (HADS-A and HADS-D) were recorded. Good, moderate and non-responders were defined on the basis of minimally clinically important difference (MCID) for SGRQ total score and/or 6MWD. RESULTS: Overall, 54.0% of the patients fulfilled the criteria for good responders, while 22.1% were moderate responders. Change in passive reaction pattern coping style differed significantly between good responders and non-responders following PR (p < 0.001). Moreover, within the groups, changes in coping styles after PR occurred among the good responders, whereas the majority of moderate responders' and non-responders' coping styles were not significantly influenced by PR. CONCLUSION: Good responders decreased their passive reaction pattern coping style in contrast to non-responders after PR. In general, PR did not change the coping among moderate and non-responders. Further research is warranted to determine whether including interventions targeting coping styles may modify coping behaviour of COPDpatients, as well as improvement in exercise tolerance or health status after PR.
Authors: Sara Souto-Miranda; Maria A Mendes; João Cravo; Lília Andrade; Martijn A Spruit; Alda Marques Journal: J Clin Med Date: 2022-01-20 Impact factor: 4.241
Authors: Ingrid M L Augustin; Frits M E Franssen; Sarah Houben-Wilke; Daisy J A Janssen; Swetlana Gaffron; Herman-Jan Pennings; Frank W J M Smeenk; Willem R Pieters; Amber Hoogerwerf; Arent-Jan Michels; Frits van Merode; Emiel F M Wouters; Martijn A Spruit Journal: PLoS One Date: 2022-02-17 Impact factor: 3.240