Abstract:
:The objective of this study was to investigate the discriminant validity of commonly used depression and anxiety screening tools in order to determine the most suitable tool for patients with chronic obstructive pulmonary disease (COPD). COPD patients (n = 56) completed the Hospital Anxiety and Depression Scale (HADS), Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI). These scores were compared to confirmed clinical diagnoses of depression and anxiety using the Mini Neuropsychiatric Interview. HADS depression subscale (HADS-D) sensitivity/specificity was 78/81%; BDI-II 89/77%; HADS anxiety subscale (HADS-A) 71/81%; and BAI 89/62%. HADS-D sensitivity/specificity was improved (100/83%) with the removal of Q4 'I feel as if I am slowed down' and adjusted cut-off (≥5). Removal of BDI-II Q21 'Loss of interest in sex' with adjusted cut-off ≥12 resulted in similar improvement (100/79%). No problematic items were identified for HADS-A or BAI. Previously reported low sensitivity/specificity of the HADS for COPD patients was not replicated. Furthermore, simple modifications of the HADS-D markedly improved sensitivity/specificity for depression.BDI-II, HADS-A and BAI produced acceptable sensitivity/specificity unmodified. Pending further research for COPD patients we recommend continued use of the HADS-A with standard cut-off (≥8) and removal of Q4 of the HADS-D with lower cut-off ≥5.
journal_name
Chron Respir Disjournal_title
Chronic respiratory diseaseauthors
Phan T,Carter O,Adams C,Waterer G,Chung LP,Hawkins M,Rudd C,Ziman M,Strobel Ndoi
10.1177/1479972316634604subject
Has Abstractpub_date
2016-08-01 00:00:00pages
220-8issue
3eissn
1479-9723issn
1479-9731pii
1479972316634604journal_volume
13pub_type
杂志文章,多中心研究abstract::Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fatal lung disease of unknown origin. Despite recent advancements, the diagnosis and management of IPF remains a distinct clinical challenge; as a result, patients often experience considerable delays in receiving an accurate diagnosis and confusion re...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972311416382
更新日期:2011-01-01 00:00:00
abstract::The association between motor vehicle accidents (MVAs) and obstructive sleep apnea syndrome (OSAS) has always been quantified as risk of MVAs for individual drivers with OSAS. We evaluated the expected injured patients per year attributable to OSAS-dependent MVAs in a general population. By combining OSAS prevalence a...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315594624
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Overweight and obesity have been associated with better survival in patients with chronic obstructive pulmonary disease (COPD). On the other hand, excess body weight is associated with abnormal metabolic and inflammatory profiles that define the metabolic syndrome and predispose to cardiovascular diseases. T...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972307087205
更新日期:2008-01-01 00:00:00
abstract::Chronic obstructive pulmonary disease (COPD) imposes a costly burden on healthcare. Pulmonary rehabilitation (PR) is the best practice to better manage COPD to improve patient outcomes and reduce acute hospital care utilization. To evaluate the impact of a once-weekly, eight-week multidisciplinary PR program as an int...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972309104419
更新日期:2009-01-01 00:00:00
abstract::Home noninvasive ventilation (NIV) is widely used to correct nocturnal alveolar hypoventilation in patients with chronic respiratory failure of various etiologies. The most commonly used ventilation mode is pressure support with a backup respiratory rate. This mode requires six main settings, as well as some additiona...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479973119844090
更新日期:2019-01-01 00:00:00
abstract::To inform recommendations for the exercise component of a healthy lifestyle intervention for adults with obesity and treated obstructive sleep apnoea (OSA), we investigated the total energy expenditure (EE) and cardiorespiratory response to weight-supported (cycling) and unsupported (walking) exercise. Individuals wit...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972316643699
更新日期:2017-11-01 00:00:00
abstract::This pilot study investigated the benefits of adjunctive psychological intervention for smokers accessing standard smoking cessation interventions. Chronic obstructive pulmonary disease (COPD) smokers attending a smoking cessation service were offered up to 12 adjunctive clinical psychology sessions. Baseline data inc...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315586198
更新日期:2015-08-01 00:00:00
abstract::Sleep-disordered breathing (SDB) is a chronic condition characterized by repeated breathing pauses during sleep. The reported prevalence of SDB in the general population has increased over time. Furthermore, in the literature, a distinction is made between SDB, obstructive sleep apnea (OSA), and "OSA syndrome" (OSAS)....
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479973120928103
更新日期:2020-01-01 00:00:00
abstract::The objectives of our study were to (i) compare, in chronic obstructive pulmonary disease (COPD) patients, acute responses to continuous training at high intensity (CTHI), continuous training at ventilatory threshold (CTVT) and interval training (IT); (ii) examine associations between acute responses and 12-week adher...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,随机对照试验
doi:10.1177/1479972315598691
更新日期:2015-11-01 00:00:00
abstract::Bronchiectasis is a chronic inflammatory lung disease, which has similarities to chronic obstructive pulmonary disease (COPD). Comorbidities of COPD include increased risk of cardiovascular (CV) disease, loss of bone mineral density (BMD) and loss of skeletal muscle mass and function, all linked to systemic inflammati...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972312459973
更新日期:2012-01-01 00:00:00
abstract::The aim of this study is to conduct a systematic review of published studies that evaluate the impact of pulmonary rehabilitation (PR) on survival and fall (including balance) in patients with chronic obstructive pulmonary disease at stability. OVID, Medline, EMBASE, and Cochrane collaboration library were searched fo...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972316661925
更新日期:2017-02-01 00:00:00
abstract::Recent advances in information communication technology allow contact with patients at home through e-Health services (telemedicine, in particular). We provide insights on the state of the art of e-Health and telemedicine for possible wider future clinical use. Telemedicine opportunities are summarized as i) home tele...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479972309102805
更新日期:2009-01-01 00:00:00
abstract::Pulmonary rehabilitation (PR) is an effective treatment for people with chronic obstructive pulmonary disease (COPD). However, uptake and adherence to rehabilitation is poor and non-adherence is associated with poorer clinical outcomes. This study investigated the factors that might predict an individual completing hi...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972314527469
更新日期:2014-05-01 00:00:00
abstract::The objective of this study is to review available functional status measures (FSMs) validated for use in the chronic obstructive pulmonary disease (COPD) population and categorizing the measures by their commonalities to formulate a framework that supports clinicians in the selection and application of FSMs. A litera...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,评审
doi:10.1177/1479973118816464
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Effective asthma management requires a multidisciplinary approach that includes; the physician, the patient, and the patient's family. OBJECTIVES:The current study aimed to assess the roles played by community pharmacists toward asthma control together with the barriers hindering their practice and possible...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479973120952679
更新日期:2020-01-01 00:00:00
abstract::Nutritional status has been associated with clinical outcome in chronic airflow limitation (CAL), but epidemiological studies are scarce. We aimed to assess the relationship between body mass index (BMI) and CAL, taking into account confounding factors. 18,606 participants (49% male, 21% smokers, mean age: 55.8 ± 11.2...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972315626012
更新日期:2016-05-01 00:00:00
abstract::Sexual expression is an important part of our individual identity and yet, this area is rarely addressed by health professionals. This article will explore the possible reasons for this and will also demonstrate the importance of assessing sexuality in patients with chronic obstructive pulmonary disease (COPD). ...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972306076105
更新日期:2007-01-01 00:00:00
abstract::Recent randomized controlled studies have reported success for hospital at home for prevention and early discharge of chronic obstructive pulmonary disease (COPD) patients using hospital based respiratory nurse specialists. This observational study reports results using an integrated hospital and community based gener...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972306070074
更新日期:2006-01-01 00:00:00
abstract::It has been well defined that obesity is strongly linked with several respiratory symptoms and diseases, but no convincing evidence has been provided for chronic obstructive pulmonary disease (COPD). In the current study, we aim to assess the possible prevalence of obesity in patients with COPD in a cross-sectional ca...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972313504940
更新日期:2013-01-01 00:00:00
abstract::The aim of this study was to evaluate the clinical effects of cognitive impairment in patients with chronic obstructive pulmonary disease (COPD). A total of 91 patients with stable moderate to very severe COPD were included in this study. Cognitive functions of the patients were evaluated using the mini-mental state e...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972317743757
更新日期:2018-08-01 00:00:00
abstract::Pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD) improves exercise tolerance and health status, however, these effects have been shown to decline after termination of the rehabilitation program. This study has examined the long-term effect of a 7-week supervised rehabilitation program combined ...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972307087366
更新日期:2008-01-01 00:00:00
abstract:AIMS:Benefits of long acting beta 2 agonists are unclear for severe chronic obstructive pulmonary disease (COPD) patients with poor response to short acting bronchodilators. We aimed to evaluate 1) effects of eformoterol in such patients using a 'n-of-1' double crossover study design, and 2) aggregate data as a double-...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,随机对照试验
doi:10.1191/1479972304cd028oa
更新日期:2004-01-01 00:00:00
abstract::Time until the subsequent exacerbation (PEx) in cystic fibrosis (CF) is a significant health outcome and one of the significant end points in clinical trials. Risk factors associated with shorter time until the next exacerbation (TUNE) have not been reported. This is a prospective study. TUNE was the number of days fr...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972311433575
更新日期:2012-02-01 00:00:00
abstract::Cough-suppression physiotherapy is a novel self-help therapy for chronic cough. We evaluated the effectiveness of cough physiotherapy in a pilot prospective observational study. We assessed cough-specific health-related quality of life (HRQOL) with the Leicester Cough Questionnaire (LCQ) and subjectively reported coug...
journal_title:Chronic respiratory disease
pub_type: 临床试验,杂志文章
doi:10.1177/1479972311422547
更新日期:2011-01-01 00:00:00
abstract::Airway clearance is integral to the management of bronchiectasis, yet there is no evidence as to the optimal modality. The aim of this randomized prospective study was to evaluate the acute efficacy, acceptability and tolerability of three airway clearance techniques in non-cystic fibrosis (non-CF) bronchiectasis. Flu...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,随机对照试验
doi:10.1177/1479972306074481
更新日期:2007-01-01 00:00:00
abstract::Dixon and coworkers (Dixon AE, Sugar EA, Zinreich SJ, et al. Criteria to screen for chronic sinonasal disease. Chest 2009; 136: 1324-1332.) recently developed a five-item questionnaire for diagnosing chronic sinonasal disease in patients with asthma. Our study was designed to determine how frequently patients attendin...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479972313485457
更新日期:2013-05-01 00:00:00
abstract::Recent studies have suggested that an increased peripheral monocyte count predicts a poor outcome in fibrosing interstitial lung disease (ILD). However, the association between an increased monocyte count and acute exacerbations (AEs) of fibrosing ILD remains to be elucidated. Our retrospective cohort study aimed to a...
journal_title:Chronic respiratory disease
pub_type: 杂志文章
doi:10.1177/1479973120909840
更新日期:2020-01-01 00:00:00
abstract::The objective of this study was to evaluate task performance and handling errors with soft mist inhalers (SMIs) or pressurized metered-dose inhalers (pMDIs) among patients with chronic obstructive pulmonary disease (COPD) experienced with, but not recently trained in, using these devices. This exploratory, noninterven...
journal_title:Chronic respiratory disease
pub_type: 杂志文章,多中心研究
doi:10.1177/1479972318787914
更新日期:2019-01-01 00:00:00
abstract::Emphysema on high-resolution computed tomography of the chest is the recent focus in the general practice in idiopathic pulmonary fibrosis (IPF). However, adequate attention has not been paid to obstructive disorder. Therefore, we retrospectively evaluated the association between the degree of airway obstruction and l...
journal_title:Chronic respiratory disease
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doi:10.1177/1479972315603714
更新日期:2016-02-01 00:00:00
abstract::The aim of the study was to determine if there was a difference in 6-minute walk distance (6MWD) when two 6-minute walk tests (6MWTs) were performed at the initial assessment prior to attendance at the pulmonary hypertension (PH) clinic and at the 6-month follow-up. Two 6MWTs were performed at both visits on a 32-m co...
journal_title:Chronic respiratory disease
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更新日期:2018-11-01 00:00:00