Magazine article Clinical Psychiatry News

Group Therapy of Benefit to COPD Patients with Anxiety

Magazine article Clinical Psychiatry News

Group Therapy of Benefit to COPD Patients with Anxiety

Article excerpt

SALT LAKE CITY -- Anxiety in patients with chronic obstructive pulmonary disease is common, disruptive, and responds favorably to cognitive behavioral group therapy, Dr. Sandra G. Adams reported at the annual meeting of the American College of Chest Physicians.

Other investigators have shown that clinically significant anxiety occurs in up to half of COPD patients, and that it's associated with greater disability and impairment of quality of life. Moreover, in a prospective five-country Scandinavian study involving 416 COPD patients, anxiety conferred a 76% increase in risk for rehospitalization within 12 months (Eur. Respir. J. 2005;26:414-9).

This raises the possibility--as yet not examined in a clinical trial--that treating anxiety in patients with COPD might reduce rehospitalization, noted Dr. Adams of the University of Texas, San Antonio.

Experts agree COPD is under-diagnosed. And among patients with known COPD, anxiety is also greatly underdiagnosed, she said. For example, only 1 of the 22 patients with severe COPD and moderate to severe anxiety in her randomized trial of cognitive behavioral therapy (CBT) had been diagnosed with anxiety. …

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