Evidence map›Paper›PMID 36948501›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2023

Nonpharmacological management of psychological distress in people with COPD.

Eleonora Volpato, Ingeborg Farver-Vestergaard, Lisa Jane Brighton, Jeannette Peters, Marieke Verkleij, Ann Hutchinson, Monique Heijmans, Andreas von Leupoldt

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Frailty in COPD: Clinical Impact, Diagnosis, Biomarkers, and Management Strategies.International journal of chronic obstructive pulmonary disease · 2025
    Pooled it
  2. COPD-Related Anxiety: A Systematic Review of Patient Perspectives.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 6 countries.

Eleonora VolpatoDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy Eleonora.Volpato@unicatt.it.ORCID https://orcid.org/0000-0003-0266-6386
Ingeborg Farver-VestergaardDepartment of Medicine, Lillebaelt Hospital, Vejle, Denmark.ORCID https://orcid.org/0000-0002-5738-4055
Lisa Jane BrightonCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID https://orcid.org/0000-0003-0516-0102
Jeannette PetersDepartment of Pulmonary Diseases, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-4592-7275
Marieke VerkleijDepartment of Paediatric Psychology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-2787-5440
Ann HutchinsonHull York Medical School, University of Hull, UK.ORCID https://orcid.org/0000-0001-9480-9764
Monique HeijmansNetherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Andreas von LeupoldtHealth Psychology, University of Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-8539-8131
Amsterdam University Medical Centers · NLKing's College London · GBKU Leuven · BELillebaelt Hospital · DKNetherlands Institute for Health Services Research · NLRadboud University Nijmegen · NLUniversità Cattolica del Sacro Cuore · ITUniversity of Hull · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychological distress is prevalent in people with COPD and relates to a worse course of disease. It often remains unrecognised and untreated, intensifying the burden on patients, carers and healthcare systems. Nonpharmacological management strategies have been suggested as important elements to manage psychological distress in COPD. Therefore, this review presents instruments for detecting psychological distress in COPD and provides an overview of available nonpharmacological management strategies together with available scientific evidence for their presumed benefits in COPD. Several instruments are available for detecting psychological distress in COPD, including simple questions, questionnaires and clinical diagnostic interviews, but their implementation in clinical practice is limited and heterogeneous. Moreover, various nonpharmacological management options are available for COPD, ranging from specific cognitive behavioural therapy (CBT) to multi-component pulmonary rehabilitation (PR) programmes. These interventions vary substantially in their specific content, intensity and duration across studies. Similarly, available evidence regarding their efficacy varies significantly, with the strongest evidence currently for CBT or PR. Further randomised controlled trials are needed with larger, culturally diverse samples and long-term follow-ups. Moreover, effective nonpharmacological interventions should be implemented more in the clinical routine. Respective barriers for patients, caregivers, clinicians, healthcare systems and research need to be overcome.

Indexed as

Cognitive Behavioral TherapyPulmonary Disease, Chronic ObstructiveHumansQuality of Life

Identifiers

PMID36948501
PMCPMC10032611
OpenAlexW4353076410

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.