ArticleNPJ primary care respiratory medicine2016
Patient coping strategies in COPD across disease severity and quality of life: a qualitative study.
Article in NPJ primary care respiratory medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Pooled it
- Effectiveness of home-based pulmonary rehabilitation: systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022Pooled it
- Existential suffering in the day to day lives of those living with palliative care needs arising from chronic obstructive pulmonary disease (COPD): A systematic integrative literature review.Palliative medicine · 2022Pooled it
- Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review.The Cochrane database of systematic reviews · 2021Pooled it
- The efficacy of manual therapy for chronic obstructive pulmonary disease: A systematic review.PloS one · 2021Pooled it
- Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals.NPJ primary care respiratory medicine · 2018Pooled it
- Mind over lungs: the impact of coping strategies on pulmonary rehabilitation outcomes.European journal of physical and rehabilitation medicine · 2026Observational
- Health outcomes in older adults with COPD: the role of clinical and psychosocial factors in post-acute geriatric rehabilitation.NPJ primary care respiratory medicine · 2026Article
- Article
- Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review.Aging & mental health · 2025Article
- Fatigue Related COPD From Patient's Perspectives.Journal of evaluation in clinical practice · 2025Review
- Latent Profile Analysis and Influencing Factors Associated with the Coping Styles of Dyspnea-Related Fear Among Patients with Chronic Obstructive Pulmonary Disease: A Multicenter Cross-Sectional Study.International journal of chronic obstructive pulmonary disease · 2025Article
- A Multidimensional Perspective on COPD: How Coping Styles and Self-Esteem Relate to Psychological Distress and Functional Capacity.International journal of chronic obstructive pulmonary disease · 2025Article
- Using PAH-SYMPACT to assess quality of life in patients with pulmonary hypertension associated with chronic lung disease.Pulmonary circulation · 2024Article
- Project EPIC (Early Palliative Care In COPD): A Formative and Summative Evaluation of the EPIC Telehealth Intervention.Journal of pain and symptom management · 2023Article
- Nonpharmacological management of psychological distress in people with COPD.European respiratory review : an official journal of the European Respiratory Society · 2023Review
- Non-pharmacological Management in Palliative Care for Patients With Advanced COPD.Frontiers in cardiovascular medicine · 2022Review
- Characterization of Patients with Chronic Obstructive Pulmonary Disease Initiating Single-Inhaler Long-Acting Muscarinic Antagonist/Long-Acting βInternational journal of chronic obstructive pulmonary disease · 2022Article
- Protocol for a feasibility randomized trial of self-management support for people with chronic obstructive pulmonary disease using lay health coaches.Contemporary clinical trials · 2021Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Quality of life (QoL) has a weak relationship with lung function (LF) impairment in COPD; some cope well despite poor LF, whereas others suffer disproportionate QoL impairment despite well-preserved LF. Adjuvant non-pharmacological interventions such as rehabilitation and psychological/behavioural support may help if acceptable and targeted appropriately, but they are under-used and sometimes declined by patients. This study aimed to explore and understand variations in experiences and coping strategies in patients with different severities of disease and disease-specific QoL. Thirty-four participants were purposively sampled across a spectrum of LF and QoL impairment, to cover a grid of sub-groups ('very severe LF, good QoL', moderate LF, poor QoL' and so on). Semi-structured interviews, digitally recorded, were analysed by thematic analysis. Data saturation was achieved. Four themes emerged: symptom impact, coping strategies, coping challenges and support needs. Most of them described using multiple coping strategies, yet over half reported significant challenges coping with COPD, including psychological impact, non-acceptance of diagnosis and/or disease progression, effects of co-morbidities and inadequate self-management skills. Approximately half of the participants wanted further help, ideally non-pharmacological, across all LF impairment groups but mainly with lower QoL. Those with lower QoL additionally reported greater psychological distress and greater use of non-pharmacological support strategies where accessible. Patients who develop effective coping strategies have a better QoL independent of objective LF, whereas others cope poorly, are aware of this and report more use of non-pharmacological approaches. This study suggests that severely impaired QoL, irrelevant of lung function, is a powerful patient-centred indication to explore the positive benefits of psychological and behavioural support for distressed COPD patients.
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Registered trials
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