Key result
Coping strategies predicted rehabilitation outcomes; problem solving predicted less improvement in perceived symptoms (P=0.012) and turning to religion predicted less improvement in fall risk (P=0.025).
Why the study?
Psychological symptoms can affect pulmonary rehabilitation outcomes but are often underdiagnosed, and coping strategies may influence disease progression and rehabilitation success.
Do coping strategies and psychological symptoms predict rehabilitation outcomes in patients with lung disease undergoing inpatient pulmonary rehabilitation?
Observational (n=101)
Do coping strategies and psychological symptoms predict rehabilitation outcomes in patients with lung disease undergoing inpatient pulmonary rehabilitation?
p-value: p=0.012
Coping styles, rather than psychological symptom severity, predict rehabilitation gains in patients with lung disease undergoing inpatient pulmonary rehabilitation.
Coping strategies may influence pulmonary rehabilitation outcomes in lung disease; leaves open whether targeted interventions improve success.
BACKGROUND: Lung disease has a significant impact on patients' functional capacity, Health-Related Quality of Life (HRQoL) and psychological well-being, often leading to psychological symptoms and conditions such as anxiety, depression and stress. Such psychological consequences can affect rehabilitation outcomes, although they are often underdiagnosed. In addition, positive psychological resources, such as coping strategies may play a crucial role in disease progression and rehabilitation success. This study aimed to assess the prevalence of these factors in this specific setting and to analyze correlations and potential influence of psychological factors and rehabilitation outcomes. AIM: To assess the prevalence of these factors in this specific setting and to analyze correlations and potential influence of psychological factors and rehabilitation outcomes. DESIGN: Prospective observational study. SETTING: Inpatient pulmonary rehabilitation unit. POPULATION: Overall, 101 patients affected by lung diseases. METHODS: Patients with pulmonary disease undergoing inpatient rehabilitation completed self-report questionnaires assessing stress, anxiety, depressive symptoms, and coping strategies. Rehabilitation outcomes were also recorded as part of usual care. RESULTS: Among the participants (mean age 73.5±8.4 years), psychological screening revealed a high prevalence of anxious (48.5%) and depressive (67.3%) symptoms. The female sample had significantly higher levels of anxiety (P=0.032) and stress (P=0.019) compared to males. Only coping strategies, but not psychological symptoms, were predictive of rehabilitation outcomes: problem solving was predictive of less improvement in perceived symptoms (P=0.012) and turning to religion was predictive of less improvement in fall risk (P=0.025). CONCLUSIONS: This study highlights the importance of developing personalized interventions to promote coping strategies as an integral part of multidisciplinary pulmonary rehabilitation programs in order to improve rehabilitation outcomes. CLINICAL REHABILITATION IMPACT: Routine admission screening for anxiety, depression, stress, and coping in inpatient pulmonary rehabilitation is warranted. Coping styles, rather than symptom severity, predict rehabilitation gains; therefore, integrating a targeted coping training and sex-sensitive intervention into standard programs may enhance rehabilitation outcomes.
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Gorini et al. (2026) conducted an observational in Lung diseases (n=101). Coping strategies was evaluated on Rehabilitation outcomes (perceived symptoms and fall risk) (p=0.012). Coping strategies predicted rehabilitation outcomes; problem solving predicted less improvement in perceived symptoms (P=0.012) and turning to religion predicted less improvement in fall risk (P=0.025).
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