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The relationship between illness perceptions and panic in chronic obstructive pulmonary disease.
Claire Howard1, Claire N Hallas, Jo Wray
1Department of Rehabilitation & Therapies, Royal Brompton & Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex, UK. c.howard@rbht.nhs.uk
Illness perceptions, not disease severity, are key to understanding panic attacks in chronic obstructive pulmonary disease (COPD). Addressing patient beliefs can improve management strategies for panic in respiratory illness.
Area of Science:
- Psychology
- Respiratory Medicine
- Health Psychology
Background:
- Anxiety and panic are prevalent in respiratory diseases.
- The cognitive-behavioral model is currently used to manage panic in respiratory conditions.
- This study explores illness perceptions in chronic obstructive pulmonary disease (COPD) within a self-regulatory framework.
Purpose of the Study:
- To investigate the relationship between illness perceptions and panic in COPD patients.
- To examine panic within the self-regulatory model of adaptation to physical illness.
Main Methods:
- A cross-sectional study involving 59 COPD participants.
- Questionnaires assessed illness perceptions, anxiety, depression, panic attacks, and quality of life.
- Lung function was objectively measured using FEV(1)%.
Main Results:
- High rates of anxiety (35%) and depression (19%) were reported.
- 63% experienced panic attacks in the past year; 51% in the past month.
- Panic was not correlated with lung function (FEV(1)%); specific illness perceptions differentiated panickers from non-panickers.
Conclusions:
- Illness perceptions significantly influence panic experiences in COPD.
- The self-regulatory model offers a valuable framework for understanding panic in chronic respiratory disease.
- Assessing illness perceptions is crucial for effective panic management in COPD.
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