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March 21, 2017Cochrane libraryOpen Access

Psychological therapies for the treatment of anxiety disorders in chronic obstructive pulmonary disease

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Key result

Psychological therapies for anxiety in COPD are supported by only low-quality evidence from a small number of trials, limiting the ability to draw reliable conclusions.

Why the study?

Do psychological therapies improve anxiety disorders in people over 40 years of age with chronic obstructive pulmonary disease?

Population

People with chronic obstructive pulmonary disease and coexisting anxiety disorders

Comparison

Psychological therapies vs No intervention, education only, or the…

Design

Systematic_review

Authors

ZUZafar A UsmaniKCKristin Carson‐ChahhoudKHKaren Heslop

Discussion

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Overview

Current evidence does not support routine use of psychological therapies for anxiety in COPD; leaves open efficacy pending larger, high-quality RCTs.

Study Design

Type

Systematic Review

Structured PICO

Do psychological therapies improve anxiety disorders in people over 40 years of age with chronic obstructive pulmonary disease?

P
Population
People aged over 40 years with COPD and coexisting anxiety disorders.
I
Intervention
Psychological therapies (delivered alone or in combination with another co-intervention)
C
Comparator
No intervention, education only, or the co-intervention alone
O
Outcome
Effects of psychological therapies for the treatment of anxiety disorderspatient reported

There is currently insufficient, low-quality evidence to draw reliable conclusions about the efficacy of psychological therapies for anxiety in patients with COPD, highlighting the need for larger randomized controlled trials.

Limitations

  • All three included studies recruited participants with both anxiety and depression, not just anxiety, which may confound the results.
  • Small sample size of included trials.
  • All three included studies recruited participants with both anxiety and depression, not just anxiety, which may confound the results
  • Small sample size of included trials
  • Low quality of the evidence

Cite This Study

Usmani et al. (2017) conducted a systematic review in Chronic obstructive pulmonary disease (COPD) with coexisting anxiety disorders. Psychological therapies vs. No intervention or education only was evaluated. Psychological therapies for anxiety in COPD are supported by only low-quality evidence from a small number of trials, limiting the ability to draw reliable conclusions.

synapsesocial.com/papers/6a9fe7662b20d2a10cd4bd54https://doi.org/10.1002/14651858.cd010673.pub2
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: prevalence, and validation of the BASDEC screening questionnaire2000 · 307 citations
  2. 2Anxiety and depression in patients with chronic obstructive pulmonary disease (COPD). A review2004 · 351 citations
  3. 3Panic disorder: from respiration to the homeostatic brain2004 · 64 citations
  4. 4Statistics Notes: Units of analysis1997 · 276 citations