SynthesisInternational journal of chronic obstructive pulmonary disease2026
Non-Pharmacological Interventions for Emotional Symptoms in COPD Centered on Anxiety and Depression: An Evidence Synthesis Study.
Synthesis in International journal of chronic obstructive pulmonary disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Beyond Spirometry: Dyspnea, Functional Limitation, and Psychological Distress Across GOLD Stages in COPD-A Multicenter Observational Study.Medicina (Kaunas, Lithuania) · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emotional symptoms, particularly anxiety and depression, are common in COPD patients but are often under-managed. This study aimed to synthesize evidence on non-pharmacological interventions for these symptoms in COPD. An umbrella review of guidelines, systematic reviews, and expert consensus was conducted. Literature searches were performed in databases including PubMed, Embase, Cochrane Library, CINAHL, Web of Science, CNKI, Wan Fang Data, and VIP, as well as guideline repositories (eg, GIN, NICE, GOLD) from January 1, 2000, to August 3, 2025. Inclusion criteria focused on moderate-to-severe COPD patients with anxiety/depression, non-pharmacological interventions, and evidence-based literature types (guidelines, systematic reviews, expert consensus). Literature quality was assessed using AGREE II for guidelines, AMSTAR 2 for systematic reviews, and JBI tools for expert consensus. Evidence was summarized and graded using the JBI evidence pre-grading system (2014). From 1812 identified records, 13 articles (4 guidelines, 2 expert consensuses, 7 systematic reviews) were included. Physical exercise training was the most strongly recommended intervention (Level 1a evidence, strong recommendation). Pulmonary rehabilitation, cognitive-behavioral therapy (including group, individual, and telephone-based formats), and psycho-educational interventions also showed consistent benefits (Level 1a-5b, strong recommendations). Evidence for mindfulness and relaxation techniques was less consistent. A total of 26 evidence statements were synthesized across six domains: psychological assessment, psychological interventions, exercise/nutrition, management models, special interventions, and other methods. A range of non-pharmacological interventions, particularly exercise and structured psychological therapies, can be effective for anxiety and depression in COPD and should be considered for integration into comprehensive care. Future research should address long-term effectiveness and cost-effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.