Journal of Psychosomatic Research
Volume 59, Issue 6 , Pages 429-443 , December 2005

Psychological characteristics of patients with chronic obstructive pulmonary disease: A review

  • Kia Minna J. Hynninen

      Affiliations

    • Department of Clinical Psychology, University of Bergen, Bergen N-5015, Norway
    • Corresponding Author InformationCorresponding author. Department of Clinical Psychology, University of Bergen, Christiesgt. 12, Bergen N-5015, Norway. Tel.: +47 404 535 64; fax: +47 55 58 98 77
    • ,
  • Monica H. Breitve

      Affiliations

    • Department of Clinical Psychology, University of Bergen, Bergen N-5015, Norway
    • ,
  • Alice B. Wiborg

      Affiliations

    • Department of Clinical Psychology, University of Bergen, Bergen N-5015, Norway
    • ,
  • Ståle Pallesen

      Affiliations

    • Department of Psychosocial Science, University of Bergen, Bergen N-5015, Norway
    • ,
  • Inger Hilde Nordhus

      Affiliations

    • Department of Clinical Psychology, University of Bergen, Bergen N-5015, Norway

Received 7 October 2004 ,Revised 6 April 2005 ,Accepted 6 April 2005.

References 

  1. Global Initiative for Chronic Obstructive Lung Disease . Pocket guide to COPD diagnosis, management, and prevention. USA: National Institute of Health, National Heart, Lung, and Blood Institute; 2003;
  2. Brenes GA. Anxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment. Psychosom Med. 2003;65:963–970
  3. Rose C, Wallace L, Dickson R, Ayres J, Lehman R, Searle Y, et al. The most effective psychologically-based treatments to reduce anxiety and panic in patients with chronic obstructive pulmonary disease (COPD): a systematic review. Patient Educ Couns. 2002;47:311–318
  4. Godoy DV, Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2003;84:1154–1157
  5. Gulsvik A. Veileder til diagnose, behandling og forebygging av kronisk obstruktiv lungesykdom (KOLS). Oslo: Den norske lægeforenings strategigruppe for KOLS; 2002;
  6. Kim HFS, Kunik ME, Molinari VA, Hillman SL, Lalani S, Orengo CA, et al. Functional impairment in COPD patients. The impact of anxiety and depression. Psychosomatics. 2000;41:465–471
  7. Mikkelsen RL, Middelboe T, Pisinger C, Stage KB. Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review Nord J Psychiatry. 2004;58:66–70
  8. Anderson KL. The effect of chronic obstructive pulmonary disease on quality of life. Res Nurs Health. 1995;18:547–556
  9. Kaptein AA, Brand PL, Dekker FW, Kerstiens HA, Postma DS, Sluiter HJ. Quality-of-life in a long-term multicentre trial in chronic nonspecific lung disease: assessment at baseline. The Dutch CNSLD Study Group. Eur Respir J. 1993;6:1479–1484
  10. Yohannes AM, Roomi J, Waters K, Connolly MJ. Quality of life in elderly patients with COPD: measurement and predictive factors. Respir Med. 1998;92:1231–1236
  11. Bauer H, Duijsens IJ. Personality disorders in pulmonary patients. Br J Med Psychol. 1998;71:165–173
  12. Kaplan RM, Eakin EG, Ries AL. Psychosocial issues in the rehabilitation of patients with chronic obstructive pulmonary disease. In:  Casaburi R,  Perry TL editor. Principles and practice of pulmonary rehabilitation. Philadelphia, Pennsylvania: Saunders; 1993;
  13. Dudley DL, Glaser EM, Jorgenson BN, Logan DL. Psychosocial concomitants to rehabilitation in chronic obstructive pulmonary disease. Chest. 1980;77:413–420
  14. Van Ede L, Yzermans CJ, Brouwer HJ. Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review. Thorax. 1999;54:688–692
  15. Greenberg GD, Ryan JJ, Bourlier PF. Psychological and neuropsychological aspects of COPD. Psychosomatics. 1985;26:29–33
  16. Yohannes AM, Baldwin RC, Connolly MJ. Mood disorders in elderly patients with chronic obstructive pulmonary disease. Rev Clin Gerontol. 2000;10:193–202
  17. Abrahamson R, Garg M, Angell J. Living dangerously—the effect of chronic pulmonary and renal failure on self-image. Psychother Psychosom. 1975;26:303–311
  18. Dudley DL, Rowlett D, Masuda M, Martin CJ. Psychiatric and biochemical correlates of respiratory decompensation in a terminal and non-terminal chronic pulmonary disease patient. Int J Psychiatry Med. 1977–1978;8:347–359
  19. Nicolson P, Anderson P. Quality of life, distress and self-esteem: a focus group study of people with chronic bronchitis. Br J Health Psychol. 2003;8:251–270
  20. Aghanwa HS, Erhabor GE. Specific psychiatric morbidity among patients with chronic obstructive pulmonary disease in a Nigerian general hospital. J Psychosom Res. 2001;50:179–183
  21. Karajgi B, Rifkin A, Doddi S, Kolli R. The prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease. Am J Psychiatry. 1990;147:200–201
  22. Yellowlees PM, Alpers JH, Bowden JJ, Bryant GD, Ruffin RE. Psychiatric morbidity in patients with chronic airflow obstruction. Med J Aust. 1987;146:305–307
  23. Aydin IO, Ulusahin A. Depression, anxiety comorbidity, and disability in tuberculosis and chronic obstructive pulmonary disease patients: applicability of GHQ-12. Gen Hosp Psychiatry. 2001;23:77–83
  24. Borak J, Sliwinski P, Piasecki Z, Zielinski J. Psychological status of COPD patients on long term oxygen therapy. Eur Respir J. 1991;4:59–62
  25. Bosley CM, Corden ZM, Rees PJ, Cochrane GM. Psychological factors associated with use of home nebulized therapy for COPD. Eur Respir J. 1996;9:2346–2350
  26. Dowson C, Laing R, Barraclough R, Mulder R, Norris K, Drennan C. The use of the Hospital Anxiety and Depression Scale (HADS) in patients with COPD: a pilot study. N Z Med J. 2001;114:447–449
  27. Engström C-P, Persson L-O, Larsson S, Rydén A, Sullivan M. Functional status and well being in chronic obstructive pulmonary disease with regard to clinical parameters and smoking: a descriptive and comparative study. Thorax. 1996;51:825–830
  28. Gurney-Smith B, Cooper MJ, Wallace LM. Anxiety and panic in chronic obstructive pulmonary disease: the role of catastrophic thoughts. Cogn Ther Res. 2002;26:143–155
  29. Jones PW, Baveystock CM, Littlejohns P. Relationships between general health measured with the Sickness Impact Profile and respiratory symptoms, physiological measures, and mood in patients with chronic airflow limitation. Am Rev Respir Dis. 1989;140:1538–1543
  30. Kvaal K, Macijauskiene J, Engedal K, Laake K. High prevalence of anxiety symptoms in hospitalised geriatric patients. Int J Geriatr Psychiatry. 2001;16:690–693
  31. Light RW, Merrill EJ, Despars JA, Gordon GH, Mutalipassi LR. Prevalence of depression and anxiety in patients with COPD. Relationship to functional capacity. Chest. 1985;87:35–38
  32. Moore MC, Zebb BJ. Functional status in chronic obstructive pulmonary disease: the moderating effects of panic. Int J Rehabil Health. 1998;4:83–93
  33. Pollack MH, Kradin R, Otto MW, Worthington J, Gould R, Sabatino SA, et al. Prevalence of panic in patients referred for pulmonary function testing at a major medical center. Am J Psychiatry. 1996;153:110–113
  34. Porzelius J, Vest M, Nochomovitz M. Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients. Behav Res Ther. 1992;30:75–77
  35. Stage KB, Middelboe T, Pisinger C. Measurement of depression in patients with chronic obstructive pulmonary disease (COPD). Nord J Psychiatry. 2003;57:297–301
  36. Sutton K, Cooper M, Pimm J, Wallace L. Anxiety in chronic obstructive pulmonary disease: the role of illness specific catastrophic thoughts. Cogn Ther Res. 1999;23:573–585
  37. Yohannes AM, Baldwin RC, Connolly MJ. Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire. Int J Geriatr Psychiatry. 2000;15:1090–1096
  38. Isoaho R, Keistinen T, Laippala P, Kivelä S-L. Chronic obstructive pulmonary disease and symptoms related to depression in elderly persons. Psychol Rep. 1995;76:287–297
  39. Lacasse Y, Rousseau L, Maltais F. Prevalence of depressive symptoms and depression in patients with severe oxygen-dependent chronic obstructive pulmonary disease. J Cardiopulm Rehabil. 2001;21:80–86
  40. Van Manen JG, Bindels PJE, Dekker FW, Ijzermans CJ, van der Zee JS, Schadé E. Risk of depression in patients with chronic obstructive pulmonary disease and its determinants. Thorax. 2002;57:412–416
  41. McSweeney AJ, Grant I, Heaton RK, Adams KM, Timms RM. Life quality of patients with chronic obstructive pulmonary disease. Arch Intern Med. 1982;142:473–478
  42. Ambrosino N, Bruletti G, Scala V, Porta R, Vitacca M. Cognitive and perceived health status in patient with chronic obstructive pulmonary disease surviving acute on chronic respiratory failure: a controlled study. Intensive Care Med. 2002;28:170–177
  43. Crews WD, Jefferson AL, Bolduc T, Elliott JB, Ferro NM, Broshek DK, et al. Neuropsychological dysfunction in patients suffering from end-stage chronic obstructive pulmonary disease. Arch Clin Neuropsychol. 2001;16:643–652
  44. Fioravanti M, Nacca D, Amati S, Buckley AE, Bisetti A. Chronic obstructive pulmonary disease and associated patterns of memory decline. Dementia. 1995;6:39–48
  45. Fix AJ, Golden CJ, Daughton D, Kass I, Bell CW. Neuropsychological deficits among patients with chronic obstructive pulmonary disease. Int J Neurosci. 1982;16:99–105
  46. Grant I, Heaton RK, McSweeney AJ, Adams KM, Timms RM. Neuropsychologic findings in hypoxemic chronic obstructive pulmonary disease. Arch Intern Med. 1982;142:1470–1476
  47. Grant I, Prigatano GP, Heaton RK, McSweeney AJ, Wright EC, Adams KM. Progressive neuropsychologic impairment and hypoxemia. Relationship in chronic obstructive pulmonary disease. Arch Gen Psychiatry. 1987;44:999–1006
  48. Incalzi RA, Gemma A, Marra C, Muzzolon R, Capparella O, Carbonin P. Chronic obstructive pulmonary disease. An original model of cognitive decline. Am Rev Respir Dis. 1993;148:418–424
  49. Incalzi RA, Gemma A, Marra C, Capparella O, Fuso L, Carbonin P. Verbal memory impairment in COPD. Its mechanisms and clinical relevance. Chest. 1997;112:1506–1513
  50. Incalzi RA, Chiappini F, Fuso L, Torrice MP, Gemma A, Pistelli R. Predicting cognitive decline in patients with hypoxaemic COPD. Respir Med. 1998;92:527–533
  51. Incalzi RA, Bellia V, Maggi S, Imperiale C, Capparella O, Catalano F, et al. Mild to moderate chronic airways disease does not carry an excess risk of cognitive dysfunction. Aging Clin Exp Res. 2002;14:395–401
  52. Incalzi RA, Marra C, Giordano A, Calcagni ML, Cappa A, Basso S, et al. Cognitive impairment in chronic obstructive pulmonary disease—a neuropsychological and spect study. J Neurol. 2003;250:325–332
  53. Isoaho R, Puolijoki H, Huhti E, Laippala P, Kivelä S-L. Chronic obstructive pulmonary disease and cognitive impairment in the elderly. Int Psychogeriatr. 1996;8:113–125
  54. Kass I, Dyksterhuis JE, Rubin H, Patil KD. Correlation of psychophysiologic variables with vocational rehabilitation outcome in patients with chronic obstructive pulmonary disease. Chest. 1975;67:433–440
  55. Kozora E, Filley CM, Julian LJ, Cullum CM. Cognitive functioning in patients with chronic obstructive pulmonary disease and mild hypoxemia compared with patients with mild Alzheimer disease and normal controls. Neuropsychiatry Neuropsychol Behav Neurol. 1999;12:178–183
  56. Kozora E, Tartar S, Make B. Brief cognitive screening measures in patients with chronic obstructive pulmonary disease. Arch Clin Neuropsychol. 1999;14:646
  57. Liesker JJW, Postma DS, Beukema RJ, ten Hacken NHT, van der Molen T, Riemersma RA, et al. Cognitive performance in patients with COPD. Respir Med. 2004;98:351–356
  58. Meek PM, Lareau SC, Anderson D. Memory for symptoms in COPD patients: how accurate are their reports?. Eur Respir J. 2001;18:474–481
  59. Prigatano GP, Parsons O, Wright E, Levin DC, Hawryluk G. Neuropsychological test performance in mildly hypoxemic patients with chronic obstructive pulmonary disease. J Consult Clin Psychol. 1983;51:108–116
  60. Prigatano GP, Wright EC, Levin D. Quality of life and its predictors in patients with mild hypoxemia and chronic obstructive pulmonary disease. Arch Intern Med. 1984;144:1613–1619
  61. Ranieri P, Rozzini R, Franzoni S, Trabucchi M, Clini E. One-year mortality in elderly stable patients with COPD. Monaldi Arch Chest Dis. 2001;56:481–485
  62. Reeves RR, Struve FA, Patrick G, Payne DK, Thirstrup LL. Auditory and visual P300 cognitive evoked responses in patients with COPD: relationship to degree of pulmonary impairment. Clin Electroencephalogr. 1999;30:122–125
  63. Stuss DT, Peterkin I, Guzman DA, Guzman C, Troyer AK. Chronic obstructive pulmonary disease: effects of hypoxia on neurological and neuropsychological measures. J Clin Exp Neuropsychol. 1997;19:515–524
  64. Vos PJE, Folgering HTM, van Herwaarden CLA. Visual attention in patients with chronic obstructive pulmonary disease. Biol Psychol. 1995;41:295–305
  65. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198
  66. Bertolotti G, Balestroni G, Maiani G, Zotti AM. Psychosocial responses to disease stimuli: preliminary findings. Eur Respir J. 1989;2(Suppl 7):660–662
  67. Clark TJH, Cochrane GM. Effects of personality on alveolar ventilation in patients with chronic airways obstruction. BMJ. 1970;1:273–275
  68. DeCencio DV, Leshner M, Leshner B. Personality characteristics of patients with chronic obstructive pulmonary emphysema. Arch Phys Med Rehabil. 1968;49:471–475
  69. Feiguine RJ, Johnson FA. Alexithymia in chronic bronchitis/emphysema patients. Psychother Psychosom. 1984;41:25–28
  70. Feiguine RJ, Jones NF. Alexithymia in chronic bronchitis/emphysema: personality chararacteristics and illness attitudes. Psychother Psychosom. 1987;47:95–100
  71. Fletcher EC, Martin RJ. Sexual dysfunction and erectile impotence in chronic obstructive pulmonary disease. Chest. 1982;81:413–421
  72. Gift AG, Cahiil CA. Psychophysiologic aspects of dyspnea in chronic obstructive pulmonary disease: a pilot study. Heart Lung. 1990;3:252–257
  73. Gift AG, Shepard CE. Fatigue and other symptoms in patients with chronic obstructive pulmonary disease: do women and men differ?. J Obstet Gynecol Neonatal Nurs. 1999;28:201–208
  74. Hütter B-O. Psychologic adjustment in patients after subarachnoid hemmorhage. Neuropsychiatry Neuropsychol Behav Neurol. 1998;11:22–30
  75. Lester DM. The psychological impact of chronic obstructive pulmonary disease. In:  Johnson RF editors. Pulmonary Care. New York: Grune and Stratton; 1973;p. 341–354
  76. McSweeney AJ, Heaton RK, Grant I, Cugell D, Solliday N, Timms R. Chronic obstructive pulmonary disease: socioemotional adjustment and life quality. Chest. 1980;77:309–311
  77. Moody L, McCormick K, Williams AR. Psychophysiologic correlates of quality of life in chronic bronchitis and emphysema. West J Nurs Res. 1991;13:336–352
  78. Rutter BM. Some psychological concomitants of chronic bronchitis. Psychol Med. 1977;7:459–464
  79. Singer HK, Ruchinskas RA, Riley KC, Broshek DK, Barth JT. The psychological impact of end-stage lung disease. Chest. 2001;120:1246–1252
  80. Traver GA. Measures of symptoms and life quality to predict emergent use of institutional health care resources in chronic obstructive airways disease. Heart Lung. 1988;17:689–697
  81. Hathaway SR, McKinley JC. The Minnesota Multiphasic Personality Inventory. Minneapolis: University of Minnesota Press; 1943;
  82. Ashutosh K, Haldipur C, Boucher ML. Clinical and personality profiles and survival in patients with COPD. Chest. 1997;111:95–98
  83. Crockett AJ, Cranston JM, Moss JR, Alpers JH. The impact of anxiety, depression and living alone in chronic obstructive pulmonary disease. Qual Life Res. 2002;11:309–316
  84. Dowson C, Laing R, Barraclough R, Mulder R, Norris K, Drennan C. The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: a pilot study. N Z Med J. 2001;114:447–449
  85. Fix AJ, Daughton D, Kass I, Bell CW, Golden CJ. Cognitive functioning and survival among patients with chronic obstructive pulmonary disease. Int J Neurosci. 1985;27:13–17
  86. Hajiro T, Nishimura K, Tsukino M, Ikeda A, Oga T. Stages of disease severity and factors that affect the health status of patients with chronic obstructive pulmonary disease. Respir Med. 2000;94:841–846
  87. Heller AS, Dirks JF. The effects of patient personality on chronic obstructive pulmonary disease. J Am Soc Psychosom Dent Med. 1978;25:144–149
  88. Rutter BM. The prognostic significance of psychological factors in the management of chronic bronchitis. Psychol Med. 1979;9:63–70
  89. Beck JG, Scott SK, Teague RB, Perez FI, Brown GA. Correlates of daily impairment in COPD. Rehabil Psychol. 1988;33:77–84
  90. Cummings ST, Godfrey AE, Burrows B. Personality and social class factors associated with occupational disability in patients with chronic obstructive lung disease. Am Rev Respir Dis. 1969;99:872–878
  91. McSweeney AJ, Grant I, Heaton RK, Prigatano GP, Adams KM. Relationship of neuropsychological status to everyday functioning in healthy and chronically ill persons. J Clin Exp Neuropsychol. 1985;7:281–291
  92. Morgan AD, Peck DF, Buchanan D, McHardy GJR. Psychological factors contributing to disproportionate disability in chronic bronchitis. J Psychosom Res. 1983;27:259–263
  93. Engström C-P, Persson L-O, Larsson S, Sullivan M. Health-related quality of life in COPD: why both disease-specific and generic measures should be used. Eur Respir J. 2001;18:69–76
  94. Kohler CL, Fish L, Greene PG. The relationship of perceived self-efficacy to quality of life in chronic obstructive pulmonary disease. Health Psychol. 2002;21:610–614
  95. McCathie HCF, Spence SH, Tate RL. Adjustment to chronic obstructive pulmonary disease: the importance of psychological factors. Eur Respir J. 2002;19:47–53
  96. Büchi S, Villiger B, Sensky T, Schwarz F, Wolf C, Buddeberg C. Psychosocial predictors of long-term success of in-patient pulmonary rehabilitation of patients with COPD. Eur Respir J. 1997;10:1272–1277
  97. Fix AJ, Daughton D, Kass I, Patil KD, Kass M, Polenz D. Personality traits affecting vocational rehabilitation success in patients with chronic obstructive pulmonary disease. Psychol Rep. 1978;43:939–944
  98. Fix AJ, Golden CJ, Daughton D, Kass I, Bell CW. Emotional, intellectual and physiological predictors of vocational outcome of pulmonary rehabilitation patients. Psychol Rep. 1980;46:379–382
  99. Harthill ME. Psychosocial factors in pulmonary function and disease: a prospective investigation. Diss Abstr Int. 1998;59(2 B):0903
  100. Kubzansky LD, Wright RJ, Cohen S, Weiss S, Posner B, Sparrow D. Breathing easy: a prospective study of optimism and pulmonary function in the normative aging study. Ann Behav Med. 2002;24:345–353

PII: S0022-3999(05)00096-6

doi: 10.1016/j.jpsychores.2005.04.007

Journal of Psychosomatic Research
Volume 59, Issue 6 , Pages 429-443 , December 2005

Article Tools