
Contents
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Chronic Obstructive Pulmonary Disease Chronic Obstructive Pulmonary Disease
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Definition, Diagnosis, Symptoms, and Severity Definition, Diagnosis, Symptoms, and Severity
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Systemic Consequences Systemic Consequences
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Psychosocial Impact of Chronic Obstructive Pulmonary Disease Psychosocial Impact of Chronic Obstructive Pulmonary Disease
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Emotional Functioning Emotional Functioning
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Energy Levels Energy Levels
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Sleep Sleep
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Cognitive Function Cognitive Function
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Self-Efficacy Self-Efficacy
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Social and Role Functioning Social and Role Functioning
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Impact of Psychosocial Issues on Health-Related Behavior and Functioning Impact of Psychosocial Issues on Health-Related Behavior and Functioning
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Pulmonary Rehabilitation Pulmonary Rehabilitation
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Definition and Principles Definition and Principles
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Program Components Program Components
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Exercise Training Exercise Training
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Body Composition Abnormalities Body Composition Abnormalities
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Self-Management Education Self-Management Education
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Psychological and Social Interventions Psychological and Social Interventions
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Outcomes Assessment Outcomes Assessment
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Psychosocial Interventions in Pulmonary Rehabilitation Programs: A Closer Look Psychosocial Interventions in Pulmonary Rehabilitation Programs: A Closer Look
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Psychosocial Assessment in Pulmonary Rehabilitation Programs Psychosocial Assessment in Pulmonary Rehabilitation Programs
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Psychosocial Intervention Psychosocial Intervention
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Randomized Controlled Studies on the Effects of Psychosocial and Behavioral Interventions in Chronic Obstructive Pulmonary Disease Randomized Controlled Studies on the Effects of Psychosocial and Behavioral Interventions in Chronic Obstructive Pulmonary Disease
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Cognitive-Behavioral Interventions for Anxiety and Depression Cognitive-Behavioral Interventions for Anxiety and Depression
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Panic and Panic Disorder Panic and Panic Disorder
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Relaxation Therapy and Dyspnea Management Strategies Relaxation Therapy and Dyspnea Management Strategies
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Smoking Cessation Smoking Cessation
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Cognitive Training Cognitive Training
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Building Support Groups and Aftercare Building Support Groups and Aftercare
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Conclusion Conclusion
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Future Directions Future Directions
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References References
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18 Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease
Get accessMargreet Scharloo, Department of Medical Psychology, Leiden University Medical Center, Leiden, the Netherlands
Maarten J. Fischer, Department of Clinical Oncology, Department of Medical Psychology, Leiden University Medical Center, Leiden, the Netherlands
Esther Van Den Ende, Rijnlands Rehabilitation Center, Leiden, the Netherlands
Adrian A. Kaptein, Department of Medical Psychology, Leiden University Medical Center, Leiden, the Netherlands
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Published:21 November 2012
Cite
Abstract
This chapter starts with a description of the main disease characteristics and psychosocial consequences of chronic obstructive pulmonary disease (COPD), a multisystem disease with significant comorbidities. Comprehensive pulmonary rehabilitation programs (PRPs) aim at tackling these systemic consequences of COPD by combining self-management education, exercise training, nutritional intervention, and psychosocial and support interventions. Research on the effects of psychosocial interventions within programs is scarce. Studies on cognitive-behavioral interventions for anxiety and depression provide proof that a combination of strategies can add extra results to the positive effects that pulmonary rehabilitation in itself has on COPD symptoms. The results from studies on relaxation techniques for stress management and relieving breathlessness do not suggest much specific benefit for progressive muscle relaxation or other strategies. Currently, the evidence is largely absent that should guide “who does what and how“in the psychosocial components of pulmonary rehabilitation.
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