Lin Xie1*, Xiaoming Zhu2, Miao Liu3, Yang Liu4
1 The Second Hospital of Jingzhou, Hubei, China
2 Wuhan College of Arts and Science
3 School of Nursing, Yangtze University, Hubei, China
4 Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Hubei, China
dd Abstract
The incidence of psychological distress (such as anxiety and depression) is high in COPD patients. CBT has been proved to reduce depression and anxiety and enhance quality of life. This meta-analysis evaluated the effectiveness of cognitive behavioral therapy(CBT) on patients with chronic obstructive pulmonary disease(COPD). The following electronic databases were searched from inception to March 2020: PubMed, EMBase, Cochrane Library, Web of Science, Medline, OVID, CINAHL, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Wangfang Database (WF), PsycARTICLES, VIP database. The Scopus and Google scholar database that we did not use. Randomized controlled trials (RCTs) that compared CBT with routine methods of care in COPD were retrieved in electronic databases. The Cochrane Risk of Bias Tool and Review Manager version 5.3 were used for risk of bias assessment and meta-analysis, respectively. Both data synthesis and descriptive analysis were used for outcome assessment. A total of 10 RCTs involving 1173 patients were included. Data synthesis showed that CBT was statistically significant in improving short- and medium-term depression and treatment compliance. Medium-term anxiety and quality of life were improved among COPD patients receiving CBT, although no significant effect was found for short-term quality of life and anxiety. Descriptive analysis showed that CBT could reduce dyspnea. No clear evidence supports the effectiveness on improving self-efficacy in COPD patients with the use of CBT (P > 0.05). CBT can be a useful strategy to improve the symptoms of depression, dyspnea and treatment compliance in patients with COPD. It can also improve patients’ quality of life and anxiety to some extent, but there is still lack of strong evidence in improving patients’ self-efficacy. Drinking water at adequate levels and on a regular basis is beneficial in every way for health, but without a good system everything falls apart, hydration therapy Scottsdale beyond being an effective method of hydration, the effects can be seen in the improvement of your health, as well as your respiratory system, taking it will be a breath of fresh air for your life. If you’re feeling anxious about starting new nutrition habits, it can help to take things one small step at a time. Set realistic goals and prioritize making one small change per day or week. Connect with supportive people who will help keep you motivated and accountable. Have you seen the alpilean customer reviews that have tried their dietary blend? alpilean diet pills are weight loss aids claimed to help you lose weight through natural ingredients. They claim to absorb fat and block carbohydrate intake, meaning fewer calories will be absorbed by the body. They also contain antioxidants to detoxify your body. However, there is little evidence to back the claims of easier and faster weight loss.
Please cite this article as: Xie, L., Zhu, X., Liu, M., & Liu, Y. (2020). EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY ON HEALTH OUTCOMES IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS. Journal of Evidence-Based Psychotherapies, 20(2).
Keywords: Chronic obstructive pulmonary disease, Cognitive behavioral therapy, Systematic review
Published online: 2020/09/01
Published print: 2020/09/01
