PT  - JOURNAL ARTICLE
AU  - Virginia Almadana
AU  - Ana Paulina Gómez-Bastero
AU  - Estefania Luque
AU  - Concha Romero
AU  - Jesus Sánchez
AU  - Teodoro Montemayor
TI  - Changes in anxiety and depression in COPD patients after a pulmonary rehabilitation program
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P3746
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P3746.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P3746.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Objectives: To identify the effects of a pulmonary rehabilitation program (PR) for COPD patients by assessing the levels of anxiety(A) and depression(D) in such patients. Methods: A prospective study of consecutive COPD patients who underwent an PR program in the last year. Inclusion criteria: stable symptomatic COPD despite optimal treatment. Programme type: 36 sessions: 10 min warm up + resistance exercise bike and force + respiratory physiotherapy. Assessment of A and D levels before and after PR by self-administered questionnaire HADS(Hospital Anxiety and Depression Scale). Results: n: 35. Characteristics of patients are described in Table 1. View this table:General patient characteristics included in the PR. Variables expressed in percentages (qualitative) or as an average ± and standard deviation (quantitative).The mean scores of A and D at the beginning of the PR are within the normal range(5.8 A/D 4.9), although 14.3% of patients had a high probability of A and 8.6% of D. There were no significant differences in mean scores for A and D after performing a PR(A 5,86±4,16 vs 5,56±3,81,p 0,51; D 4,91±4,35 vs 4,35±2,95,p 0.34). Conclusions:The prevalence of A and D in our series of patients specific to PR was significantly lower than for COPD generally described in the literature, although the patients assessed were moderate and multipathological.The PR tends to decrease A levels and especially D,although this is not significant.