Integrative psychotherapy in complex treatment of COPD

T. Zhukava (Minsk, Belarus)

Source: Annual Congress 2009 - Pulmonary rehabilitation: extending the scope and benefit of rehabilitation for patients with chronic respiratory disease
Disease area: Airway diseases

Congress or journal article abstractE-poster

Abstract

Aim to study: psychological features of COPD patients and methods of their correction.
Materials and methods: 52 patients mild and moderate COPD were carried out psychological and clinical research (age 48,6±3,1). Level of anxiety, level of social frustrations, quality of a life were studied
Results: At COPD progressing intensity of anxiety increases. Correlation communication between level of personal anxiety and FEV1 (rs =-0,42, p <0,05) is revealed.
Decrease in bronchial passableness negatively influences level of the general satisfaction at COPD patients (rs = 0,38, p <0,05).
COPD essentially reduce a degree of quality of a life of patients, dominate restriction of physical and social activity,
Dependence of frequency of occurrence of emotional frustration on FEV1) at mild COPD patients (rs = - 0,71, p <0,01) is noted. The Most frequent forms of emotional frustration were the depressions revealed at 38,5 % of patients (χ2=7,7, p <0,05).
Complex treatment with integrative psychotherapy has led to a reduction of emotional semiology at 62,5 % of COPD patients (p <0,001). In 2 times indicators of high anxiety (p <0,01) have decreased; the indicator of high level social frustration in 3 times has decreased
The conclusion: Inclusion integrative psychotherapy in complex treatment of COPD improved socially-psychological adaptation of patients, resulted: to increase of their quality of a life, to reduction of quantity of references to the doctor of patients on the average, on 3 references) within a year (p <0,001).


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T. Zhukava (Minsk, Belarus). Integrative psychotherapy in complex treatment of COPD. Eur Respir J 2009; 34: Suppl. 53, 542

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