Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta‐analysis
and purpose: Cognitive behavioural therapy (CBT) has gained increasing attention for the treatment of psychological disorders. This study aims to establish the effectiveness of CBT on psychological and physical outcomes in patients with chronic obstructive pulmonary disease (COPD). Two waves of elec...
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| Veröffentlicht in: | Complementary therapies in clinical practice 2020-02, Vol.38, p.101071-101071, Article 101071 |
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| container_title | Complementary therapies in clinical practice |
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| creator | Ma, Rui-Chen Yin, Ying-Ying Wang, Ya-Qing Liu, Xin Xie, Jiao |
| description | and purpose: Cognitive behavioural therapy (CBT) has gained increasing attention for the treatment of psychological disorders. This study aims to establish the effectiveness of CBT on psychological and physical outcomes in patients with chronic obstructive pulmonary disease (COPD).
Two waves of electronic searches of the PubMed, Cochrane library, EMBASE, Web of Science and China National Knowledge Infrastructure databases were conducted. Statistical analyses were performed using Revman Manager 5.3 and Stata 12.0 software.
Sixteen randomized controlled trials were eligible. There were significant improvements in anxiety (SMD = −0.23; 95% CI: −0.42 to −0.04; P = 0.02), depression (SMD = −0.29, 95% CI: −0.40 to −0.19, P |
| doi_str_mv | 10.1016/j.ctcp.2019.101071 |
| format | Article |
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Two waves of electronic searches of the PubMed, Cochrane library, EMBASE, Web of Science and China National Knowledge Infrastructure databases were conducted. Statistical analyses were performed using Revman Manager 5.3 and Stata 12.0 software.
Sixteen randomized controlled trials were eligible. There were significant improvements in anxiety (SMD = −0.23; 95% CI: −0.42 to −0.04; P = 0.02), depression (SMD = −0.29, 95% CI: −0.40 to −0.19, P < 0.01), quality of life (MD = −5.21; 95% CI: −10.25 to −0.17; P = 0.04), and mean visits to emergency departments in the CBT groups. No statistically significant differences were observed in fatigue (SMD = 0.88, 95% CI: −0.58 to 2.35, P = 0.24), exercise capacity (MD = 28.75, 95% CI: −28.30 to 85.80, P = 0.32), self-efficacy (SMD = 0.15, 95% CI: −0.05 to 0.34, P = 0.14), or sleep quality (MD = 1.21, 95% CI: −0.65 to 3.06, P = 0.20).
This meta-analysis suggests that CBT can serve as a complementary therapy to improve anxiety, depression, and quality of life in COPD patients and deserves more widespread application in clinical practice.
•Anxiety, depression, and quality of life were improved in COPD patients.•Fatigue, exercise capacity, self-efficacy, and sleep quality were not improved.•Cognitive behavioural therapy is a promising complementary therapeutic approach.</description><identifier>ISSN: 1744-3881</identifier><identifier>EISSN: 1873-6947</identifier><identifier>DOI: 10.1016/j.ctcp.2019.101071</identifier><identifier>PMID: 31743870</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Anxiety ; Behavior modification ; Chronic obstructive pulmonary disease ; Clinical medicine ; Clinical trials ; Cognitive behavioral therapy ; Cognitive therapy ; Cognitive-behavioral factors ; Depression ; Emergency services ; Fatigue ; Infrastructure ; Mental depression ; Mental disorders ; Meta-analysis ; Nursing ; Quality of life ; Self-efficacy ; Sleep ; Systematic review</subject><ispartof>Complementary therapies in clinical practice, 2020-02, Vol.38, p.101071-101071, Article 101071</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-974a69db0d55485ecfdaf7c28cfff59f8e2c48e677636a69c2beaab77de8d53e3</citedby><cites>FETCH-LOGICAL-c384t-974a69db0d55485ecfdaf7c28cfff59f8e2c48e677636a69c2beaab77de8d53e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ctcp.2019.101071$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,30998,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31743870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Rui-Chen</creatorcontrib><creatorcontrib>Yin, Ying-Ying</creatorcontrib><creatorcontrib>Wang, Ya-Qing</creatorcontrib><creatorcontrib>Liu, Xin</creatorcontrib><creatorcontrib>Xie, Jiao</creatorcontrib><title>Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta‐analysis</title><title>Complementary therapies in clinical practice</title><addtitle>Complement Ther Clin Pract</addtitle><description>and purpose: Cognitive behavioural therapy (CBT) has gained increasing attention for the treatment of psychological disorders. This study aims to establish the effectiveness of CBT on psychological and physical outcomes in patients with chronic obstructive pulmonary disease (COPD).
Two waves of electronic searches of the PubMed, Cochrane library, EMBASE, Web of Science and China National Knowledge Infrastructure databases were conducted. Statistical analyses were performed using Revman Manager 5.3 and Stata 12.0 software.
Sixteen randomized controlled trials were eligible. There were significant improvements in anxiety (SMD = −0.23; 95% CI: −0.42 to −0.04; P = 0.02), depression (SMD = −0.29, 95% CI: −0.40 to −0.19, P < 0.01), quality of life (MD = −5.21; 95% CI: −10.25 to −0.17; P = 0.04), and mean visits to emergency departments in the CBT groups. No statistically significant differences were observed in fatigue (SMD = 0.88, 95% CI: −0.58 to 2.35, P = 0.24), exercise capacity (MD = 28.75, 95% CI: −28.30 to 85.80, P = 0.32), self-efficacy (SMD = 0.15, 95% CI: −0.05 to 0.34, P = 0.14), or sleep quality (MD = 1.21, 95% CI: −0.65 to 3.06, P = 0.20).
This meta-analysis suggests that CBT can serve as a complementary therapy to improve anxiety, depression, and quality of life in COPD patients and deserves more widespread application in clinical practice.
•Anxiety, depression, and quality of life were improved in COPD patients.•Fatigue, exercise capacity, self-efficacy, and sleep quality were not improved.•Cognitive behavioural therapy is a promising complementary therapeutic approach.</description><subject>Anxiety</subject><subject>Behavior modification</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical medicine</subject><subject>Clinical trials</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive-behavioral factors</subject><subject>Depression</subject><subject>Emergency services</subject><subject>Fatigue</subject><subject>Infrastructure</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Meta-analysis</subject><subject>Nursing</subject><subject>Quality of life</subject><subject>Self-efficacy</subject><subject>Sleep</subject><subject>Systematic review</subject><issn>1744-3881</issn><issn>1873-6947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kb9u1TAYxSMEoqXwAgzIEgtLLv6X2EEsVdUCUiWWdrYc-zPXV0kcbOeiuzEz8Yx9kjrc0oGBydbx7xxZ51TVa4I3BJP2_W5jspk3FJNuFbAgT6pTIgWr246Lp-UuOK-ZlOSkepHSDmMmcCOeVyesvDAp8Gn169I5MNnvYYKUUHDIhG-TXwXUw1bvfViiHlDeQtTzAbkQkdnGMHmDQp9yXP6Y0bwMY5h0PCDrE-hUFJ09TDl9QOcoHVKGsQgGRdh7-IH0ZNEIWd_9_K0nPRySTy-rZ04PCV49nGfV7dXlzcXn-vrrpy8X59e1YZLnuhNct53tsW0aLhswzmonDJXGOdd0TgI1XEIrRMvaQhrag9a9EBakbRiws-rdMXeO4fsCKavRJwPDoCcIS1KUkZbTrpW8oG__QXeljvLfQnFGMJWUikLRI2ViSCmCU3P0Y-lCEazWpdROrUupdSl1XKqY3jxEL_0I9tHyd5oCfDwCULoonUWVTCnUgPWxLKZs8P_Lvwcvn6mV</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Ma, Rui-Chen</creator><creator>Yin, Ying-Ying</creator><creator>Wang, Ya-Qing</creator><creator>Liu, Xin</creator><creator>Xie, Jiao</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202002</creationdate><title>Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta‐analysis</title><author>Ma, Rui-Chen ; Yin, Ying-Ying ; Wang, Ya-Qing ; Liu, Xin ; Xie, Jiao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-974a69db0d55485ecfdaf7c28cfff59f8e2c48e677636a69c2beaab77de8d53e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Behavior modification</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical medicine</topic><topic>Clinical trials</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Cognitive-behavioral factors</topic><topic>Depression</topic><topic>Emergency services</topic><topic>Fatigue</topic><topic>Infrastructure</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Meta-analysis</topic><topic>Nursing</topic><topic>Quality of life</topic><topic>Self-efficacy</topic><topic>Sleep</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Rui-Chen</creatorcontrib><creatorcontrib>Yin, Ying-Ying</creatorcontrib><creatorcontrib>Wang, Ya-Qing</creatorcontrib><creatorcontrib>Liu, Xin</creatorcontrib><creatorcontrib>Xie, Jiao</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Complementary therapies in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Rui-Chen</au><au>Yin, Ying-Ying</au><au>Wang, Ya-Qing</au><au>Liu, Xin</au><au>Xie, Jiao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta‐analysis</atitle><jtitle>Complementary therapies in clinical practice</jtitle><addtitle>Complement Ther Clin Pract</addtitle><date>2020-02</date><risdate>2020</risdate><volume>38</volume><spage>101071</spage><epage>101071</epage><pages>101071-101071</pages><artnum>101071</artnum><issn>1744-3881</issn><eissn>1873-6947</eissn><abstract>and purpose: Cognitive behavioural therapy (CBT) has gained increasing attention for the treatment of psychological disorders. This study aims to establish the effectiveness of CBT on psychological and physical outcomes in patients with chronic obstructive pulmonary disease (COPD).
Two waves of electronic searches of the PubMed, Cochrane library, EMBASE, Web of Science and China National Knowledge Infrastructure databases were conducted. Statistical analyses were performed using Revman Manager 5.3 and Stata 12.0 software.
Sixteen randomized controlled trials were eligible. There were significant improvements in anxiety (SMD = −0.23; 95% CI: −0.42 to −0.04; P = 0.02), depression (SMD = −0.29, 95% CI: −0.40 to −0.19, P < 0.01), quality of life (MD = −5.21; 95% CI: −10.25 to −0.17; P = 0.04), and mean visits to emergency departments in the CBT groups. No statistically significant differences were observed in fatigue (SMD = 0.88, 95% CI: −0.58 to 2.35, P = 0.24), exercise capacity (MD = 28.75, 95% CI: −28.30 to 85.80, P = 0.32), self-efficacy (SMD = 0.15, 95% CI: −0.05 to 0.34, P = 0.14), or sleep quality (MD = 1.21, 95% CI: −0.65 to 3.06, P = 0.20).
This meta-analysis suggests that CBT can serve as a complementary therapy to improve anxiety, depression, and quality of life in COPD patients and deserves more widespread application in clinical practice.
•Anxiety, depression, and quality of life were improved in COPD patients.•Fatigue, exercise capacity, self-efficacy, and sleep quality were not improved.•Cognitive behavioural therapy is a promising complementary therapeutic approach.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31743870</pmid><doi>10.1016/j.ctcp.2019.101071</doi><tpages>1</tpages></addata></record> |
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| subjects | Anxiety Behavior modification Chronic obstructive pulmonary disease Clinical medicine Clinical trials Cognitive behavioral therapy Cognitive therapy Cognitive-behavioral factors Depression Emergency services Fatigue Infrastructure Mental depression Mental disorders Meta-analysis Nursing Quality of life Self-efficacy Sleep Systematic review |
| title | Effectiveness of cognitive behavioural therapy for chronic obstructive pulmonary disease patients: A systematic review and meta‐analysis |
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