Abstract
Symptoms such as depression and anxiety are common psychiatric symptoms in patients with chronic obstructive pulmonary disease (COPD). Cognitive behavioral therapy (CBT) is still controversial in the treatment of anxiety and depression in patients with COPD. We conducted a meta-analysis and systematic review to evaluate the effect of CBT on anxiety and depression in patients with COPD, with a view to providing some guidance for clinical application. Computer search Web of Science, EMbase, PubMed, Cochrane Library, search time limit from the establishment of the library to August 2019. Collect the randomized controlled trial (RCT) for this topic. Two investigators independently screened the literature according to inclusion and exclusion criteria, extracted the data and assessed the risk of bias in the included studies. Meta-analysis using RevMan5.3 software. A total of 10 studies were included in a total of 1278 patients. Meta-analysis shows that CBT can improve depression and anxiety in patients with COPD. Subgroup analysis showed that intervention time≥8weeks had significant differences in improving anxiety, while intervention time<8weeks had significant differences in improving depression. Cognitive behavioral therapy may possibly relieve depression in COPD patients in a short period of time, and it takes longer to improve anxiety. Therefore, clinical practice can choose the appropriate intervention time according to the patient's psychological condition.
Highlights
Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease of the respiratory system, which can reduce lung function and labor endurance year by year
Subgroup analysis showed that intervention time ≥ 8 weeks had significant differences in improving anxiety, while intervention time
The data show that the prevalence of COPD combined with depression in the acute exacerbation period is as high as 86%, and anxiety is as high as 55% in hospitalized patients [6]。coped combined with mental illness is considered to be a "grey disease, blue mood
Summary
Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease of the respiratory system, which can reduce lung function and labor endurance year by year. Important part [7]。COPD patients with anxiety and depression often lack self-confidence or self-efficacy, leading to poor disease-related coping skills and poor self-care ability [8]. This indicates poor compliance with COPD medications with anxiety and depression, decreased exercise capacity and healthrelated quality of life, loss of labor, increased consumption of health resources, functional disability, and increased risk of acute exacerbations and deaths [9, 10]. Cognitive Behaviour Therapy (CBT) is a general term for cognitive treatment and behavioral techniques to change the cognitive and behavioral psychology of patients It is an effective treatment for anxiety, depressive symptoms and physical health. Taking into account the effects of these inconsistencies, we conducted a systematic review and meta-analysis of the subject's RCT to assess the effectiveness of CBT in the intervention of anxiety and depression in patients with coddle
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