Anxiety and post-traumatic stress disorders in patients with chronic respiratory diseases.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2023-08-10 DOI:10.1097/SPC.0000000000000670

Abebaw M Yohannes

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引用次数: 0

Abstract

Purpose of review: This brief critical review evaluates recent research on the impact of anxiety disorders and post-traumatic stress disorders (PTSD) on patients with chronic obstructive pulmonary disease (COPD) and asthma. In these patients, untreated anxiety and PTSD exacerbate acute symptoms, increase disability and impair quality of life. Therefore, effective interventions are also reviewed.

Recent findings: Anxiety disorders and PTSD are prevalent in COPD and asthma, worsen symptoms in acute exacerbations, and increase morbidity and healthcare utilization. Pulmonary rehabilitation (PR), cognitive behavioural therapy and pharmacological therapy are each effective in COPD patients with anxiety or PTSD. However, very little work examined therapy for combined anxiety and PTSD in patients with either COPD or asthma.

Summary: Despite the high prevalence of anxiety disorder or PTSD in patients with chronic respiratory diseases, a paucity of literature remains demonstrating the efficacy of pharmacological therapies for these conditions. This review highlights the promising benefits of PR on anxiety, but prospective trials are needed to demonstrate the efficacy of interventions with PTSD alone, or with concomitant anxiety.

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慢性呼吸系统疾病患者的焦虑和创伤后应激障碍

综述目的：这篇简短的批判性综述评估了最近关于焦虑症和创伤后应激障碍（PTSD）对慢性阻塞性肺病（COPD）和哮喘患者影响的研究。在这些患者中，未经治疗的焦虑和创伤后应激障碍会加剧急性症状，增加残疾并损害生活质量。因此，还审查了有效的干预措施。最近的研究结果：焦虑症和创伤后应激障碍在COPD和哮喘中普遍存在，在急性加重时症状恶化，发病率和医疗利用率增加。肺康复（PR）、认知行为治疗和药物治疗对患有焦虑或PTSD的COPD患者都有效。然而，很少有研究对COPD或哮喘患者的合并焦虑和创伤后应激障碍进行治疗。摘要：尽管慢性呼吸系统疾病患者中焦虑症或创伤后应激障碍的患病率很高，但仍缺乏文献证明药物治疗对这些疾病的疗效。这篇综述强调了PR对焦虑的潜在益处，但需要进行前瞻性试验来证明单独治疗PTSD或伴随焦虑的干预措施的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.