Effects of Information-Motivation-Behavioural Skills Model-Based Exercise and Mindfulness-Based Stress Reduction on
Wenrong Liu1, Zhihuan Mi2, Fen Su3
1Surgical Outpatient Clinic, The Second Affiliated Hospital of Dalian Medical University, 116021 Dalian, Liaoning, China.
Background:
This study aims to evaluate the effects of an information motivation behavioral skills (IMB) model-based exercise combined with mindfulness-based stress reduction (MBSR) on patients with chronic obstructive pulmonary disease (COPD) and comorbid anxiety and depression.
Methods:
This retrospective study included 168 patients with COPD and comorbid anxiety and depression who visited the Department of Respiratory Medicine of The Second Affiliated Hospital of Dalian Medical University between January 2023 and December 2024. Patients were divided into a routine care group (n = 84) and a combined treatment group (n = 84, receiving 12-week IMB model-based exercise rehabilitation combined with MBSR) based on the care they received. Changes in the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), modified Medical Research Council (mMRC) dyspnea scale, 6-minute walk distance (6MWD) and pulmonary function indicators were compared between the two groups before and after the treatment.
Results:
After treatment, the combined treatment group showed significantly greater improvements than the routine care group in reducing HAMA, HAMD, increasing 6MWD and improving forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) (all p < 0.001). The distribution of mMRC grades also differed significantly between the two groups post intervention (χ2 = 10.630, df = 3, p = 0.013), favoring the combined treatment.
Conclusions:
The IMB model-based exercise rehabilitation and MBSR was associated with reduced the anxiety and depressive symptoms, improved dyspnea, enhanced exercise tolerance and better lung function in patients with COPD and comorbid anxiety and depression. These findings suggest that this integrated mind-body rehabilitation may provide a reference for comprehensive COPD management.
Related Concept Videos
Stress Prevention and Stress Management Techniques III
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the risk...
Stress Prevention and Stress Management Techniques VI
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Stress Prevention and Stress Management Techniques I
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Stress and Mental Health
Individuals with depression often experience challenges in both their personal and professional...
Chronic Obstructive Pulmonary Disease-V: Management
Smoking Cessation
Stress Prevention and Stress Management Techniques IV

