Evidence map›Paper›PMID 23977821›Full record

Trial reportInternational journal of psychiatry in medicine2013

Association of anxiety and depression with pulmonary-specific symptoms in chronic obstructive pulmonary disease.

Todd Doyle, Scott Palmer, Julie Johnson, Michael A Babyak, Patrick Smith, Stephanie Mabe, Karen Welty-Wolf, Tereza Martinu, James A Blumenthal

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of psychiatry in medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Todd DoyleDuke University Medical Center, Durham, North Carolina, USA. todddoyle1@lumc.edu
Scott Palmer
Julie Johnson
Michael A Babyak
Patrick Smith
Stephanie Mabe
Karen Welty-Wolf
Tereza Martinu
James A Blumenthal

Funding

TELEPHONE STRESS MANAGEMENT FOR LUNG TRANSPLANT PATIENTSR01HL065503 · NHLBI · DUKE UNIVERSITY · PI BLUMENTHAL, JAMES A · 2000 to 2012
$6.9M
NHLBI NIH HHS 5R01-HL065503NHLBI NIH HHS R01 HL065503
6 · The paper itself

Abstract

objectivesTo examine the association of anxiety and depression with pulmonary-specific symptoms of Chronic Obstructive Pulmonary Disease (COPD), and to determine the extent to which disease severity and functional capacity modify this association.

methodPatients (N = 162) enrolled in the INSPIRE-II study, an ongoing randomized, clinical trial of COPD patients and their caregivers who received either telephone-based coping skills training or education and symptom monitoring. Patients completed a psychosocial test battery including: Brief Fatigue Inventory, St. George's Respiratory Questionnaire, UCSD Shortness of Breath Questionnaire, State-Trait Anxiety Inventory, and Beck Depression Inventory. Measures of disease severity and functional capacity (i.e., FEV1 and six-minute walk test) were also obtained.

resultsAfter covariate adjustment, higher anxiety and depression levels were associated with greater fatigue levels (ps < .001, deltaR2 = 0.16 and 0.29, respectively), shortness of breath (ps < .001, deltaR2 = 0.12 and 0.10), and frequency of COPD symptoms (ps < .001, deltaR2 = 0.11 and 0.13). In addition, functional capacity was a moderator of anxiety and pulmonary-specific COPD symptoms. The association between anxiety and shortness of breath (p = 0.009) and frequency of COPD symptoms (p = 0.02) was greater among patients with lower functional capacity.

conclusionsAnxiety and depression were associated with higher levels of fatigue, shortness of breath, and frequency of COPD symptoms. It is important for clinicians to be aware of the presence of anxiety and depression in COPD patients, which appears to correlate with pulmonary-specific COPD symptoms, especially in patients with lower functional capacity. Prospective design studies are needed to elucidate the causal relationships between anxiety and depression and pulmonary-specific symptoms in COPD patients.

Indexed as

CounselingTelephoneActivities of Daily LivingAgedAnxiety DisordersCaregiversDepressive DisorderDisability EvaluationFemaleHumansMaleMiddle AgedPatient Education as TopicPersonality InventoryPsychometricsPulmonary Disease, Chronic Obstructive

Identifiers

PMID23977821
PMCPMC4005783

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.