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Toward Holistic COPD Management: The Case for Mental Health Integration.

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  • 1School of Allied and Community Health London South Bank University London UK.

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Chronic obstructive pulmonary disease (COPD) significantly impacts mental health, causing anxiety and depression. Integrating non-pharmacological interventions like pulmonary rehabilitation and cognitive behavioral therapy is crucial for holistic patient care and improved well-being.

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anxietybiopsychosocial modelchronic obstructive pulmonary diseasedepressionholistic healthmental health

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Area of Science:

  • Pulmonary Medicine
  • Psychiatry
  • Public Health

Background:

  • Chronic obstructive pulmonary disease (COPD) is a growing global health concern with significant psychological distress, including anxiety and depression.
  • Mental health issues in COPD patients often go undiagnosed and untreated due to limited awareness and resources.

Purpose of the Study:

  • To synthesize current literature on psychological distress in COPD.
  • To review evidence for non-pharmacological interventions in managing COPD-related mental health issues.
  • To identify gaps and opportunities for integrated care models.

Main Methods:

  • Literature synthesis of psychological distress in COPD.
  • Review of evidence for non-pharmacological approaches: pulmonary rehabilitation, cognitive behavioral therapy, self-management, telerehabilitation, education, and peer support.
  • Analysis of recent literature and guidelines.

Main Results:

  • COPD patients have higher rates of anxiety and depression, negatively affecting quality of life and disease progression.
  • Non-pharmacological interventions show promise in reducing distress and improving well-being.
  • Pulmonary rehabilitation with psychological support is beneficial but underutilized; telerehabilitation offers increased access; education and peer support enhance coping and social connection.

Conclusions:

  • Integrated COPD management prioritizing mental health literacy and collaborative care is advocated.
  • Addressing both physical and psychological aspects of COPD is essential for holistic care.
  • Further research and policy efforts are needed to close gaps in comprehensive support for COPD patients.