RT Journal Article
SR Electronic
T1 Changes in anxiety and depression after pulmonary rehabilitation in distressed patients with sarcoidosis in ProKaSaRe
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA4902
DO 10.1183/1393003.congress-2017.PA4902
VO 50
IS suppl 61
A1 Daniel Nowik
A1 Konrad Schultz
A1 Heike Buhr-Schinner
A1 Rolf Heitmann
A1 Stefan Hummel
A1 Ulrich Tönnesmann
A1 Jochen van der Meyden
A1 Heidrun Lingner
YR 2017
UL http://erj.ersjournals.com/content/50/suppl_61/PA4902.abstract
AB Introduction: Pulmonary rehabilitation (PR) has shown good results in patients with sarcoidosis. Psychological aspects like anxiety and depression are powerful influences with regard to the general outcomes of PR, necessitating more detailed analyses in order to further optimize individualized PR.Aim: To assess the effects of PR on anxiety and depression in (sub-)clinically distressed patients with sarcoidosis.Methods: Analysis of the outcomes of consecutive patients after PR with HADS scores ≥ 8 or ≥ 11: compare baseline to one year follow up values in anxiety and depression, including standardized response means (SRM) and their confidence intervals; document patients achieving clinically relevant improvement (2 point reduction) over time; multilevel modeling of changes will be presented at the conference.Results: Out of n=296 patients, n=117 patients with relevant anxiety and n=105 with relevant depressive symptoms sustained reduction of anxiety/ depression one year post PR (p≤.001; SRM 0.39; 95% CI 0.21-0.57); (p≤.001; SRM 0.47; 95% CI 0.28-0.66). A proportion of 27.3% and respectively 40% of the anxiety /depression subsample reported clinically relevant symptom reduction. The effect of PR is more pronounced in severely distressed patients (HADS≥11): 47.4% respectively 57.1% patients reported clinically relevant symptom reduction (Anxiety: n=38; SRM 0.64; 95% CI 0.32-0.95; Depression n=35; SRM 1.03; 95% CI 0.69-1.36).Conclusion: Multidisciplinary PR seems to have a long lasting positive effect on psychological distress in patients with sarcoidosis even one year after PR.