Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 3/2014

01-04-2014

Demographic and clinical characteristics associated with quality of life in patients with chronic obstructive pulmonary disease

Auteurs: Signe Berit Bentsen, Christine Miaskowski, Tone Rustøen

Gepubliceerd in: Quality of Life Research | Uitgave 3/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Purpose

Despite an increasing interest in the relationships among multiple symptoms and quality of life (QOL), little known about the association between anxiety, depression, and pain and both disease-specific and generic QOL in patients with chronic obstructive pulmonary disease (COPD).

Methods

In a cross-sectional study of 100 COPD patients, disease-specific QOL was measured by St. George’s Respiratory Questionnaire and generic QOL by the QOL scale. Anxiety and depression were evaluated using the Hospital Anxiety and Depression Scale, and pain was assessed with a numeric rating scale.

Results

Of the 100 patients, 31 % reported clinically meaningful anxiety, 13 % depression, and 45 % reported the presence of pain. Younger patients (p = 0.02) and those with higher anxiety scores (p = 0.02) reported worse disease-specific QOL. Patients with lower physical function (p = 0.04) and those with higher depression scores (p < 0.001) reported worse generic QOL. Age, comorbidity, physical function, anxiety, depression, and pain explained 19.2 and 49.6 % of the variance in disease-specific and generic QOL scores, respectively.

Conclusions

Findings from this study suggest that the relationships between patient characteristics and common symptoms and QOL differ when disease-specific and generic measures of QOL are evaluated. Additional research is warranted to confirm these findings in COPD patients. Clinicians need to evaluate these common symptoms when planning and implementing symptoms management interventions to improve COPD patients’ QOL.
vorige artikel Assessing the performance of the EQ-VAS in the NHS PROMs programme
volgende artikel Quality of life of glaucoma patients in China: sociodemographic, clinical, and psychological correlates—a cross-sectional study
Literatuur
1.
HajGhanbari, B., Holsti, L., Road, J. D., & Ried, D. W. (2012). Pain in people with chronic obstructive pulmonary disease (COPD). Respiratory Medicine, 106(7), 998–1005.PubMedCrossRef
2.
Borge, C. H., Wahl, A. K., & Moum, T. (2010). Association of breathlessness with multiple symptoms in chronic obstructive pulmonary disease. Journal of Advanced Nursing, 66(12), 2688–2700.PubMedCrossRef
3.
Elkington, H., White, P., Addington-Hall, J., Higgs, R., & Edmonds, P. (2005). The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life. Palliative Medicine, 19(6), 485–491.PubMedCrossRef
4.
Blindermann, C. D., Homel, P., Billings, A., Tennstedt, S., & Portenoy, R. K. (2009). Symptoms, distress and quality of life in patients with advanced chronic obstructive pulmonary disease. Journal of Pain and Symptom Management, 38(1), 115–123.CrossRef
5.
Cleland, J. A., Lee, A. J., & Hall, S. (2007). Associations of depression and anxiety with gender, age, health-related quality of life and symptoms in primary care COPD patients. Family Practice, 24(3), 217–223.PubMedCrossRef
6.
Janssen, D., Spruit, M., Uszko-Lencer, N., schols, J., & Wouters, E. (2011). Symptoms, comorbidities, and health care in advanced chronic obstructive pulmonary disease or chronic heart failure. Journal of Palliative Medicine, 14(6), 735–743.PubMedCrossRef
7.
Borge, C., Wahl, A., & Moum, T. (2011). Pain and quality of life with chronic obstructive pulmonary disease. Heart and Lung, 40(3), E90–E101.PubMedCrossRef
8.
Anderson, K. L. (1995). The effect of chronic obstructive pulmonary disease on quality of life. Research in Nursing & Health, 18(6), 547–556.CrossRef
9.
Hynninen, K. M. J., Pallesen, P., & Nordhus, I. H. (2007). Factors affecting health status in COPD patients with co-morbid anxiety and depression. International Journal of Chronic Obstructive Pulmonary Disease, 2(3), 323–328.PubMedCentralPubMed
10.
Stavem, K. (1999). Reliability, validity and responsiveness of two multiattribute utility measures in patients with chronic obstructive pulmonary disease. Quality of Life Research, 8, 45–54.PubMedCrossRef
11.
Stavem, K. J., Eriksen, J., & Boe, J. (1999). Health status, dyspnea, lung function and exercise capacity in patients with chronic obstructive pulmonary disease. The International Journal of Tuberculosis Lung Disease, 3(10), 921–926.
12.
Pickard, S., Wilke, S., Jung, E., Patel, S., Stavem, K., & Lee, T. A. (2008). Use of e preference-based measure of health (EQ-5D) in COPD and asthma. Respiratory Medicine, 102, 519–536.PubMedCrossRef
13.
Cazzola, M., McNee, W., Martinez, F. J., Rabe, K. F., Franciosi, L. G., Barnes, P. J., et al. (2008). Outcomes for COPD pharmacological trials: From lung function to biomarkers. European Respiratory Journal, 31, 416–468.PubMedCrossRef
14.
Wilke, S., Janssen, D. J. A., Wouters, E. F. M., Schols, J. M. G. A., Franssen, F. M. E., & Spruit, M. A. (2012). Correlations between disease-specific and generic health status questionnaires in patients with advanced COPD: A one-year observational study. Health Qual Life Outcomes, 10(98), 1–13.
15.
Pickard, S., Yang, Y., & Lee, T. (2011). Comparison of health-related quality of life measures in chronic obstructive pulmonary disease. Health Qual Life Outcomes, 9(26), 1–6.
16.
Plummer, M., & Molzahn, A. (2009). Quality of life in contemporary nursing theory. Nursing Science Quarterly, 22(2), 134–140.PubMedCrossRef
17.
Anderson, K. L., & Burckhardt, C. S. (1999). Conceptualization and measurement of quality of life as an outcome variable for health care intervention and research. Journal of Advanced Nursing, 29(2), 298–306.PubMedCrossRef
18.
Moons, P., Budts, W., & DeGeest, S. (2006). Critique on the conceptualization of quality of life: A review and evaluation of different conceptual approaches. International Journal of Nursing Studies, 43(7), 891–901.PubMedCrossRef
19.
Wood-Dauphniee, S. (1999). Assessing quality of life in clinical research: From where have we come and where are we going? Journal of Clinical Epidemiology, 52(4), 355–363.CrossRef
20.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. The Journal of the American Medical Association, 273(1), 59–65.CrossRef
21.
Katsura, H., Yamada, K., Wakabayashi, R., & Kida, K. (2007). Gender associated differences in dyspnoea and health-related quality of life in patients with chronic obstructive pulmonary disease. Respirology, 12(3), 427–432.PubMedCrossRef
22.
Snaith, R. P. (1987). The concepts of mild depression. The British Journal of Medicine Psychiatry, 150(Mars), 387–393.CrossRef
23.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.PubMedCrossRef
24.
Snaith, R. P., & Zigmond, A. S. (1994). The hospital anxiety and depression scale manual. London: NFRF-Nelson Publishing Company Ltd.
25.
Bjelland, I., Dahl, A. A., Haug, T. T., & Necklemann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.PubMedCrossRef
26.
Dowson, C., Laing, R., Barraclough, R., Mulder, R., & Norris, K. (2001). The use of Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study. New Zealand Medical Journal, 114(1141), 447–449.PubMed
27.
Olssøn, I., Mykletun, A., & Dahl, A. A. (2003). The Hospital Anxiety and Depression rating Scale: A cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry, 5, 46.CrossRef
28.
Trappenburg, J. C., Troosters, T., Spruit, M. A., Vandebrouck, N., Decramer, M., & Gosselink, R. (2005). Psychosocial conditions do not affect short-term outcome of multidisciplinary rehabilitation in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation, 86(9), 1788–1792.PubMedCrossRef
29.
Rustøen, T., Wahl, A., Hanestad, B. R., Lerdal, A., Paul, E. A., & Miaskowski, C. (2004). Prevalence and characteristics of chronic pain in the general Norwegian population. European Journal of Pain, 8(6), 555–565.PubMedCrossRef
30.
Breivik, E. K., Bjørnsson, G. A., & Skovlund, E. (2000). A comparison of pain rating scales by sampling from clinical trial data. Clinical Journal of Pain, 16(1), 22–28.PubMedCrossRef
31.
Lundber, T., Lund, I., Dahlin, L., Borg, E., Gustafsson, C., & Sandin, L. (2001). Reliability and responsiveness of three different pain assessments. Journal of Rehabilitation Medicine, 33(6), 279–283.CrossRef
32.
Jones, N. M., Quirk, F. H., & Baveystock, C. M. (1991). The St George`s Respiratory Questionnaire. Respiratory Medicine, 85(Suppl), 25–35.PubMedCrossRef
33.
Jones, P. W., Spencer, S., & Adie, S. (2003). The St. George`s Respiratory Questionnaire manual. London: Respiratory Medicine, St George’s Hospital Medical School.
34.
Barr, J. T., Schumacher, G. E., Freeman, S., LeMoine, M., Bakst, A. W., & Jones, P. W. (2000). American translation, and validation of the St. George’s Respiratory Questionnaire. Clinical Therapeutics, 22(9), 1121–1145.PubMedCrossRef
35.
Engström, C. P., Persson, L. O., Larsson, S., & Sullivan, M. (1998). Reliability and validity of the Swedish version of the St George’s Respiratory Questionnaire. European Respiratory Journal, 11(1), 61–66.PubMedCrossRef
36.
Ferrer, M., Alonso, J., Prieto, L., Plaza, V., Monsò, E., Marrades, R., et al. (1996). Validity and reliability of the St. George’s Respiratory Questionnaire after adaptation to a different language and culture: the Spanish example. European Respiratory Journal, 9(6), 1160–1166.PubMedCrossRef
37.
Burckhardt, C. S., Woods, S. L., Schultz, A. A., & Ziebarth, D. M. (1989). Quality of life of adults with chronic illness: A psychometric study. Research in Nursing & Health, 12(6), 347–354.CrossRef
38.
Burckhardt, C. S., Anderson, K. L., Archenholtz, B., & Hägg, O. (2003). The Flanagan Quality of Life Scale: Evidence of construct validity. Health and Quality of Life Outcomes, 1(1), 159–166.
39.
Archenholtz, B., Burckhardt, C. S., & Segesten, K. (1999). Quality of life of women with systemic lupus erythematosus or rheumatoid arthritis: Domains of importance and dissatisfaction. Quality of Life Research, 8(5), 411–416.PubMedCrossRef
40.
Burckhardt, C. S., & Anderson, K. L. (2003). The Quality of Life Scale (QOLS): Reliability, validity, and utilization. Health and Quality of Life Outcomes, 23(1), 60–67.CrossRef
41.
Liedberg, G. M., Burckhardt, C. S., & Henriksson, C. M. (2005). Validity and reliability testing of the Quality of Life Scale, Swedish version in women with fibromyalgia—Statistical analysis. Scandinavian Journal of Caring Sciences, 19(1), 64–70.PubMedCrossRef
42.
Wahl, A., Burckhardt, C., Wiklund, I., & Hanestad, B. R. (1998). The Norwegian version of the Quality of Life Scale (QOLS-N). Scandinavian Journal of Caring Sciences, 12(4), 215–222.PubMed
43.
Quanjer, P. H., Tammeling, J. E., Cotes, J. E., Pedersen, O. F., Peslin, R., & Yernault, J. C. (1993). Lung volumes and forced ventilatory flows. Report working party standardization of lung function tests European community for steel and coal. Official statement of the European respiratory society. European Respiratory Journal, 16(Suppl), 5–40.PubMedCrossRef
44.
Gulsvik, A., Tosteson, T., Bakke, P. S., Humerfelt, S., Weiss, S. T., & Speizer, F. E. (2001). Expiratory and inspiratory forced vital capacity and one-second forced volume in asymptomatic never-smokers in Norway. Clinical Physiology, 21(8), 648–660.PubMedCrossRef
45.
GOLD. (2013). Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease. GOLD Science Committee (pp. 1–76). Oregon: Global Initiative for Chronic Obstructive Lung Disease.
46.
Singh, S. J., Morgan, M. D. L., Scott, S., Walters, D., & Hardman, A. E. (1992). Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax, 47(12), 1019–1024.PubMedCentralPubMedCrossRef
47.
Singh, S. J., Morgan, M. D. L., & Hardam, A. E. (1996). The shuttle walking test manual. Leicester: Department of Respiratory Medicine, The Glenfield Hospital.
48.
Singh, S. J., Morgan, M. D. L., Hardam, A. E., Rowe, C., & Bardsley, P. A. (1994). Comparison of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limitation. European Respiratory Journal, 7(11), 2016–2020.PubMed
49.
Dowson, L. J., Newall, C., Guest, P. J., Hill, S. L., & Stockley, R. A. (2001). Exercise capacity predicts health status in alpha 1—Antitrypsin deficiency. American Journal of Respiratory and Critical Care Medicine, 163(4), 936–941.PubMedCrossRef
50.
Haave, E., Hyland, M. E., & Engvik, H. (2007). Improvements in exercise capacity during a 4-weeks pulmonary rehabilitation program for COPD patients do not correspond with improvements in self-reported health status or quality of life. International Journal of Chronic Obstructive Pulmonary Disease, 2(3), 355–359.PubMedCentralPubMed
51.
VonLeupoldt, A., & Dahme, B. (2005). Cortical substrates for perception of dyspnea. Chest, 128(1), 345–354.CrossRef
52.
Williams, M., Cafarella, P., Olds, T., Petkov, J., & Frith, P. (2008). The language of breathlessness. Differentiates between patients with COPD and age-matched adults. Chest, 134(3), 489–496.PubMedCrossRef
53.
DePeuter, S., VanDiest, I., Lemaigre, V., Verleden, G., Demedts, M., & VandenBergh, O. (2004). Dyspnea: The role of psychological processes. Clinical Psychology Review, 24(5), 557–581.CrossRef
54.
Lansing, R. W., Gracely, R. H., & Banzet, R. B. (2009). The multiple dimensions of dyspnea: Review and hypotheses. Respiratory Physiology & Neurobiology, 167(1), 53–60.CrossRef
55.
Rinder, S. H. (2004). Psychological distress: Concept analysis. Journal of Advanced Nursing, 45(5), 536–545.CrossRef
56.
Wahl, A., Rustøen, T., Rokne, B., Lerdal, A., Knudsen, Ø., Miaskowski, C., et al. (2009). The complexity of the relationship between chronic pain and quality of life: A study of the general Norwegian population. Quality of Life Research, 18(8), 971–980.PubMedCentralPubMedCrossRef
57.
Skilbeck, J., Mott, L., Page, H., & Smith, D. (1998). Palliative care in chronic obstructive airways disease: A needs assessment. Palliative Medicine, 12(4), 245–254.PubMedCrossRef
58.
Bandura, A. (1997). Self-efficacy. The exercise of control. New York: Freeman and Company.
59.
Fayers, P. M., & Machin, D. (2007). Quality of life. The assessment, analysis and interpretation of patient-reported outcomes. West Sussex: Wiley.
60.
Sprangers, M. A. G., DeRegt, E. B., Andries, F., & van Agt, H. M. E. (2000). bijl RV, DeBoer JB, Foets M, Hoeymans N, Jacobs AE, Kempen GIJM, Miedema HS, Tijhuis MAR, DeHaes HCJM: Which chronic conditions are associated with better or poorer quality of life? J Clin Epidemiol, 53(9), 895–907.PubMedCrossRef
61.
Altman, D. G. (1999). Practical statistics for medical research. London: Champmand & Hall/CRC.
62.
Lohne, V., Heer, H. C. D., Andersen, M., Miaskowski, C., Kongerud, J., & Rustøen, T. (2010). Qualitative study of pain of patients with chronic obstructive pulmonary disease. Heart and Lung, 39(3), 225–234.CrossRef
Metagegevens
Titel
Demographic and clinical characteristics associated with quality of life in patients with chronic obstructive pulmonary disease
Auteurs
Signe Berit Bentsen
Christine Miaskowski
Tone Rustøen
Publicatiedatum
01-04-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0515-5

Andere artikelen Uitgave 3/2014

Quality of Life Research 3/2014 Naar de uitgave

Commentary

Understanding social forces involved in diabetes outcomes: a systems science approach to quality-of-life research

Pediatric QOL Special Section

Patient-important activity and participation outcomes in clinical trials involving children with chronic conditions

Editorial

Measuring pediatric patient-reported outcomes: good progress but a long way to go

Pediatric QOL Special Section

The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances

OriginalPaper

Validity and reliability of the Chinese version of the Short Form of Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF)

OriginalPaper

Quality of life of glaucoma patients in China: sociodemographic, clinical, and psychological correlates—a cross-sectional study