RT Journal Article
SR Electronic
T1 COPD: Disease coping styles
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2908
VO 40
IS Suppl 56
A1 Yanina Galetskayte
A1 Dmitriy Pushkarev
A1 Svetlana Ovcharenko
A1 Beatrice Volel
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P2908.abstract
AB It is generally known that desadaptive coping plays an important role in deterioration of medical patients' quality of life (QoL). However, rehabilitation of COPD patients in general is performed uniformly, while individual psychological features of the patient remain ignored.Aim: To identify the basic styles of disease coping in COPD patients.Methods: 43 COPD therapeutic inpatients (male n=36; mean age 65,6±10,4 yr.) were included into the study. All patients were examined by a pulmonologist and clinically interviewed by a psychiatrist. Psychometric scales Beck Depression Inventory (BDI), Temperament and Character Inventory (TCI-125) and NEO-Five Factor Inventory (NEO-FFI), SF-36, Index of Cooperation (IC - developed by Moscow Research Institute of Pulmonology) were also used.Results: Three styles of disease coping were identified: maladaptive denial of physical illness (n=21, 48,8%), health anxiety (n=18, 41,8%), and depression (n=4, 9,3%). Maladaptive denial was comorbid with clinically diagnosed dissocial personality disorder (PD) (n=9, 20,9%), low NEO-FFI Agreeableness and Conscientiousness scores, and low TCI-125 Self-Directedness score. Health anxiety and depression were often comorbid with histrionic PD (n=7, 16,3%), or avoidant PD (n=2, 4,6%). QoL decrease was prominent in health anxiety and depression groups. Maladaptive denial patients showed relatively fair QoL scores (measured by SF-36), but had disturbances in treatment compliance (measured by IC).Discussion: On the assumption of typology described, we propose developing patient-centered rehabilitation programs, according to the individual COPD patient's coping style: QoL-oriented program for health anxiety/depression patients, and compliance-oriented for maladaptive denial patients.