Effect of group cognitive behavioral therapy on anxiety, depression and quality of life in patients with chronic obstructive pulmonary disease in community
10.3760/cma.j.cn371468-20220428-00211
- VernacularTitle:团体认知行为治疗对社区慢性阻塞性肺疾病患者焦虑抑郁及生存质量的干预效果
- Author:
Zongmei DONG
1
;
Xiaowei ZUO
;
Bi CHEN
;
Pan ZHANG
;
Peipei CHEN
;
Cheng QIAO
;
Zibin JIN
;
Yanan ZHU
;
Ting LI
;
De LIU
;
Peian LOU
Author Information
1. 徐州市疾病预防控制中心慢病科，徐州 221006
- Keywords:
Chronic obstructive pulmonary disease;
Cognitive behavioral therapy;
Anxiety;
Depression;
Quality of life;
Community
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2022;31(9):852-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of group cognitive behavior therapy (GCBT) on anxiety, depression and quality of life in patients with chronic obstructive pulmonary disease (COPD) in community.Methods:From August to November 2019, patients with moderate COPD in 18 communities in Xuzhou City were randomly divided into the intervention group ( n=240) and the control group ( n=223). The control group received routine management and the intervention group received group cognitive behavioral therapy intervention for 8 weeks on the basis of routine management.Before and after the intervention, FEV 1% predicted value and FEV 1/FVC were measured by pulmonary function tester.Hospital Anxiety and Depression Scale (HADS) was used to evaluate the anxiety and depression of patients.St.George's respiratory questionnaire (SGRQ), COPD assessment test (CAT) and modified medical research council dyspnea (mMRC) were used to evaluate the quality of life of patients.SPSS 20.0 software was used for analysis.The χ 2 test, independent sample t-test, paired sample t-test were used for statistical analysis. Results:After 8 weeks of intervention, the anxiety and depression scores of the intervention group were lower than those of the control group (anxiety: (8.23±4.02) vs (10.71±3.60); depression: (7.87±3.73) vs (10.20±3.72)( t=6.415, 6.185, both P<0.01). After the intervention, there was no significant difference in FEV 1%((51.7±12.3)% vs (52.0±12.6)%) predicted value and FEV 1/FVC((57.3±10.8)% vs (56.9±10.7)%) between the two groups( t=-0.259, 0.400, both P>0.05). The scores of CAT, mMRC and SGRQ in the intervention group were lower than those in the control group((17.35±5.78) vs (20.90±8.00), (1.55±0.82) vs (2.30±1.21), (41.78±21.56) vs (57.08±24.46))( t=-5.061, -7.227, -6.580, all P<0.01). Conclusion:Group cognitive behavioral therapy can relieve the anxiety and depression and improve the quality of life of patients with COPD.
