Treatments for anxiety and depression in patients with chronic obstructive pulmonary disease: A literature review
Article first published online: 19 APR 2012
© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology
Volume 17, Issue 4, pages 627–638, May 2012
How to Cite
CAFARELLA, P. A., EFFING, T. W., USMANI, Z.-A. and FRITH, P. A. (2012), Treatments for anxiety and depression in patients with chronic obstructive pulmonary disease: A literature review. Respirology, 17: 627–638. doi: 10.1111/j.1440-1843.2012.02148.x
- Issue published online: 19 APR 2012
- Article first published online: 19 APR 2012
- Accepted manuscript online: 6 FEB 2012 10:29PM EST
- Received 18 May 2011; invited to revise 29 June 2011, 1 October 2011; revised 24 August 2011, 31 October 2011; accepted 23 January 2012 (Associate Editor: Shu Hashimoto).
- chronic obstructive pulmonary disease;
Chronic obstructive pulmonary disease (COPD) is a serious contemporary health issue. Psychological co-morbidities such as anxiety and depression are common in COPD. Current evidence for treatment options to reduce anxiety and depression in patients with COPD was examined. There is evidence available for the efficacy of pharmacological treatments, cognitive behavioural therapy, pulmonary rehabilitation, relaxation therapy and palliative care in COPD. Therapeutic modalities that have not been proven effective in decreasing anxiety and depression in COPD, but which have theoretical potential among patients, include interpersonal psychotherapy, self-management programmes, more extensive disease management programmes, supportive therapy and self-help groups. Besides pulmonary rehabilitation that is only available for a small percentage of patients, management guidelines make scant reference to other options for the treatment of mental health problems. The quantity and quality of research on mental health treatments in COPD have historically been insufficient to support their inclusion in COPD treatment guidelines. In this review, recommendations regarding assessment, treatment and future research in this important field were made.