Observational studyInternational journal of chronic obstructive pulmonary disease2025
Relationship Between Social Support, Symptom Burden, Dyspnea, Perceived Stress, Perceived Stigma, Coping Styles, and Psychological Distress in Patients with Stable COPD: A Structural Equation Model.
Observational study in International journal of chronic obstructive pulmonary disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Effect of Incentive Spirometry Exercise on Perceived Stress in Chronic Obstructive Pulmonary Disease Patients: A Quasi-Experimental Study.Health science reports · 2026Article
- Psychological-Symptom Mismatch Phenotypes and Their Clinical Implications in Patients with Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2026Article
- A longitudinal study on the correlation between symptom clusters and disease-specific health status in older adults with chronic obstructive pulmonary disease during pulmonary rehabilitation.Frontiers in public health · 2026Article
- The effect of clinical and psychosocial factors on quality of life in COPD: a cross-sectional assessment using a mediation analysis approach.Frontiers in psychiatry · 2026Article
- Breaking the invisible cage: social isolation and coping strategies among patients with idiopathic pulmonary fibrosis.BMC pulmonary medicine · 2025Article
- Exploring Health Literacy Needs in Different Stages of Older Patients with COPD: An in-Depth Qualitative Study.Patient preference and adherence · 2025Article
Corrections and comments
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Authors and funding
7 authors.
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Abstract
Background: Psychological distress is prevalent in patients with stable chronic obstructive pulmonary disease (COPD) and may contribute to disease progression. However, the interplay among its influencing factors remains unclear. This study aimed to explore how social support, symptom burden, dyspnea, perceived stress, perceived stigma, and coping styles impact psychological distress in stable COPD using a structural equation model (SEM). Methods: A convenience sample of 386 stable COPD patients was recruited from three tertiary hospitals in Chongqing, China. Data were collected using Distress Thermometer, Perceived Social Support Scale, COPD Assessment Test, the Modified Medical Research Council Dyspnea Score, the Perceived Stress Scale 10-item version, the Stigma Scale for Chronic Illness 8-item version, and the Simplified Coping Style Questionnaire were used for data collection. SEM was used for relationships among variables. Results: The mean psychological distress score was (3.770 ± 1.525). Positive coping style (β = -0.329, p < 0.001) and perceived social support (β = -0.750, p < 0.001) reduced psychological distress directly. In contrast, negative coping style (β = 0.360, p < 0.001), symptom burden (β = 0.317, p < 0.001), dyspnea (β = 0.396, p < 0.001), perceived stress (β = 0.268, p < 0.001), and stigma (β = 0.224, p < 0.001) increased it. Perceived social support exerted extensive indirect effects on psychological distress (total effect = -1.044) by reducing symptom burden (β = -0.681), dyspnea (β = -0.673), and negative coping style (β = -0.726), and by improving positive coping style (β = 0.781) and perceived stress (β = -0.688). Similarly, symptom burden indirectly influenced distress via coping styles (indirect effect = 0.290). Conclusion: Psychological distress in stable COPD patients is influenced by interrelated factors, with perceived social support playing a central role. Healthcare interventions should focus on improving coping strategies, managing symptoms, and strengthening social support to alleviate distress.
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