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Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study
Background: Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD managem...
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| Format: | Default Article |
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2018
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| Online Access: | https://hdl.handle.net/2134/35977 |
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| _version_ | 1818169096563326976 |
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| author | Nicola Paine Simon L. Bacon Jean Bourbeau Wan C. Tan Kim L. Lavoie Shawn D. Aaron Kenneth R. Chapman J. Mark FitzGerald Paul Hernandez Darcy D. Marciniuk Francois Maltais Denis E. O'Donnell Don Sin Brandie L. Walker |
| author_facet | Nicola Paine Simon L. Bacon Jean Bourbeau Wan C. Tan Kim L. Lavoie Shawn D. Aaron Kenneth R. Chapman J. Mark FitzGerald Paul Hernandez Darcy D. Marciniuk Francois Maltais Denis E. O'Donnell Don Sin Brandie L. Walker |
| author_sort | Nicola Paine (4352665) |
| collection | Figshare |
| description | Background: Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA). Methods: 717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported pack-years smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status. Results: Across the whole sample, we observed relationships between depression (β=1.107 ± 0.197; 95%CI=0.691 – 1.462; p |
| format | Default Article |
| id | rr-article-9628031 |
| institution | Loughborough University |
| publishDate | 2018 |
| record_format | Figshare |
| spelling | rr-article-96280312018-11-15T00:00:00Z Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study Nicola Paine (4352665) Simon L. Bacon (7239827) Jean Bourbeau (390252) Wan C. Tan (7246934) Kim L. Lavoie (7239842) Shawn D. Aaron (7246937) Kenneth R. Chapman (7246940) J. Mark FitzGerald (7246943) Paul Hernandez (390253) Darcy D. Marciniuk (7246946) Francois Maltais (2342827) Denis E. O'Donnell (3900673) Don Sin (128552) Brandie L. Walker (7246949) Other health sciences not elsewhere classified COPD Depression Anxiety Smoking Physical activity CanCOLD Medical and Health Sciences not elsewhere classified Background: Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA). Methods: 717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported pack-years smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status. Results: Across the whole sample, we observed relationships between depression (β=1.107 ± 0.197; 95%CI=0.691 – 1.462; p<.001) and anxiety (β=0.780 ± 0.170; 95%CI=0.446 – 1.114; p<.001) and pack years. Higher depression (β=-0.220 ± 0.028; 95%CI=-0.275 – -0.165; p<.001) and anxiety (β=-0.091 ± 0.025; 95%CI= -0.139 – -0.043; p<.001) scores were related to lower PA. These associations were comparable across COPD and non-COPD patients. Conclusions: Results showed that higher levels of anxiety and depression were related to higher cumulative smoking and lower levels of PA in patients with and without COPD, suggesting symptoms of psychological distress is similarly associated with poorer health behaviours in COPD and non-COPD individuals. Future studies need to determine if treating symptoms of psychological distress can improve health behaviours and outcomes in this population. 2018-11-15T00:00:00Z Text Journal contribution 2134/35977 https://figshare.com/articles/journal_contribution/Psychological_distress_is_related_to_poor_health_behaviours_in_COPD_and_non-COPD_patients_evidence_from_the_CanCOLD_study/9628031 CC BY-NC-ND 4.0 |
| spellingShingle | Other health sciences not elsewhere classified COPD Depression Anxiety Smoking Physical activity CanCOLD Medical and Health Sciences not elsewhere classified Nicola Paine Simon L. Bacon Jean Bourbeau Wan C. Tan Kim L. Lavoie Shawn D. Aaron Kenneth R. Chapman J. Mark FitzGerald Paul Hernandez Darcy D. Marciniuk Francois Maltais Denis E. O'Donnell Don Sin Brandie L. Walker Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title | Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title_full | Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title_fullStr | Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title_full_unstemmed | Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title_short | Psychological distress is related to poor health behaviours in COPD and non-COPD patients: evidence from the CanCOLD study |
| title_sort | psychological distress is related to poor health behaviours in copd and non-copd patients: evidence from the cancold study |
| topic | Other health sciences not elsewhere classified COPD Depression Anxiety Smoking Physical activity CanCOLD Medical and Health Sciences not elsewhere classified |
| url | https://hdl.handle.net/2134/35977 |