Observational studyEuropean journal of physical and rehabilitation medicine2026
Mind over lungs: the impact of coping strategies on pulmonary rehabilitation outcomes.
Observational study in European journal of physical and rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLung disease has a significant impact on patients' functional capacity, Health-Related Quality of Life (HRQoL) and psychological well-being, often leading to psychological symptoms and conditions such as anxiety, depression and stress. Such psychological consequences can affect rehabilitation outcomes, although they are often underdiagnosed. In addition, positive psychological resources, such as coping strategies may play a crucial role in disease progression and rehabilitation success. This study aimed to assess the prevalence of these factors in this specific setting and to analyze correlations and potential influence of psychological factors and rehabilitation outcomes.
aimTo assess the prevalence of these factors in this specific setting and to analyze correlations and potential influence of psychological factors and rehabilitation outcomes.
designProspective observational study.
settingInpatient pulmonary rehabilitation unit. POPULATION: Overall, 101 patients affected by lung diseases.
methodsPatients with pulmonary disease undergoing inpatient rehabilitation completed self-report questionnaires assessing stress, anxiety, depressive symptoms, and coping strategies. Rehabilitation outcomes were also recorded as part of usual care.
resultsAmong the participants (mean age 73.5±8.4 years), psychological screening revealed a high prevalence of anxious (48.5%) and depressive (67.3%) symptoms. The female sample had significantly higher levels of anxiety (P=0.032) and stress (P=0.019) compared to males. Only coping strategies, but not psychological symptoms, were predictive of rehabilitation outcomes: problem solving was predictive of less improvement in perceived symptoms (P=0.012) and turning to religion was predictive of less improvement in fall risk (P=0.025).
conclusionsThis study highlights the importance of developing personalized interventions to promote coping strategies as an integral part of multidisciplinary pulmonary rehabilitation programs in order to improve rehabilitation outcomes. CLINICAL REHABILITATION IMPACT: Routine admission screening for anxiety, depression, stress, and coping in inpatient pulmonary rehabilitation is warranted. Coping styles, rather than symptom severity, predict rehabilitation gains; therefore, integrating a targeted coping training and sex-sensitive intervention into standard programs may enhance rehabilitation outcomes.
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