Behavioral Medicine Approaches to Chronic Obstructive Pulmonary Disease
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ORIGINAL ARTICLE
Behavioral Medicine Approaches to Chronic Obstructive Pulmonary Disease Andreas von Leupoldt, Ph.D. & Anja Fritzsche, Ph.D. & Ana F. Trueba, M.A. & Alicia E. Meuret, Ph.D. & Thomas Ritz, Ph.D.
Published online: 14 February 2012 # The Society of Behavioral Medicine 2012
Abstract Background Chronic obstructive pulmonary disease (COPD) is a prevalent respiratory disease and associated with considerable individual and socioeconomic burden. Recent research started examining the role of psychosocial factors for course and management of the disease. Purpose This review provides an overview on recent findings on psychosocial factors and behavioral medicine approaches in COPD. Results Research has identified several important psychosocial factors and effective behavioral medicine interventions in COPD. However, there is considerable need for future research in this field. Conclusions Although beneficial effects of some behavioral medicine interventions have been demonstrated in COPD, future research efforts are necessary to study the effects of distinct components of these interventions, to thoroughly examine promising but yet not sufficiently proven interventions, and to develop new creative interventions. Keywords Behavioral medicine . Chronic obstructive pulmonary disease . COPD . Psychosocial . Treatment A. von Leupoldt (*) : A. Fritzsche Department of Psychology, University of Hamburg, Von-Melle-Park 5, 20146 Hamburg, Germany e-mail: [email protected] A. von Leupoldt Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany A. F. Trueba : A. E. Meuret : T. Ritz Department of Psychology, Southern Methodist University, Dallas, TX, USA
Introduction Chronic obstructive pulmonary disease (COPD) is a progressive chronic respiratory disease and associated with considerable individual as well as social and economic burden [1]. Already a leading cause of morbidity and mortality worldwide, the prevalence of COPD is projected to dramatically increase in the upcoming decades implying significant consequences for public health care systems [1, 2]. In addition to the prominent physiological symptoms, psychosocial aspects play an important role in the course and management of the disease. However, compared to other chronic diseases such as asthma, behavioral medicine approaches in COPD have not received the same level of systematic research activity or public interest [3]. Therefore, the present review provides an introduction to the disease characteristics and current medical treatment approaches, followed by an overview on important psychosocial influences as well as behavioral medicine diagnostic and treatment approaches to COPD. Moreover, needs for future research in this area will be highlighted.
Definition, Epidemiology, and Pathophysiology of COPD COPD is a chronic respiratory disease with some significant extrapulmonary (systemic) effects that may contribute to the severity in individual patients [1]. It is characterized by progressive airflow limita
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