Title:Depression and Anxiety in Patients with COPD: A Focus on Psychological Treatments in Ambulatory Care Settings
VOLUME: 8 ISSUE: 2
Author(s): Joseph Mignogna and Jeffrey A. Cully
Affiliation:VA HSR Houston Center of Excellence (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030, USA.
Keywords: Ambulatory care, anxiety, chronic obstructive pulmonary disease, depression, primary care, psychotherapy, REAIM
Abstract:Depression and anxiety are highly comorbid with chronic obstructive pulmonary disease (COPD) and are
associated with poor treatment adherence, increased rates of physical disability, functional disability, mortality, healthcare
costs, and a worsening quality of life. Despite its prevalence, there is a dearth of research on psychological treatments for
depressed and/or anxious patients with COPD. This review examines the current evidence for psychological treatments
for depression and anxiety in COPD, structured within the RE-AIM (Reach, Effectiveness, Adoption, Implementation and
Maintenance) framework, in an effort to highlight the current practice and research needs for this important and complex
patient population.