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- W2156876017 abstract "Anxiety in patients with chronic obstructive pulmonary disease (COPD) is associated with self-reported disability. The purpose of this study is to determine whether there is an association between anxiety and functional measures, quality of life and dyspnea. Data from 1828 patients with moderate to severe emphysema enrolled in the National Emphysema Treatment Trial (NETT), collected prior to rehabilitation and randomization, were used in linear regression models to test the association between anxiety symptoms, measured by the Spielberger State Trait Anxiety Inventory (STAI) and: (a) six-minute walk distance test (6 MWD), (b) cycle ergometry peak workload, (c) St. Georges Respiratory Questionnaire (SRGQ), and (d) UCSD Shortness of Breath Questionnaire (SOBQ), after controlling for potential confounders including age, gender, FEV1 (% predicted), DLCO (% predicted), and the Beck Depression Inventory (BDI). Anxiety was significantly associated with worse functional capacity [6 MWD (B = -0.944, p < .001), ergometry peak workload (B = -.087, p = .04)], quality of life (B = .172, p < .001) and shortness of breath (B = .180, p < .001). Regression coefficients show that a 10 point increase in anxiety score is associated with a mean decrease in 6 MWD of 9 meters, a 1 Watt decrease in peak exercise workload, and an increase of almost 2 points on both the SGRQ and SOBQ. In clinically stable patients with moderate to severe emphysema, anxiety is associated with worse exercise performance, quality of life and shortness of breath, after accounting for the influence of demographic and physiologic factors known to affect these outcomes. ClinicalTrials.gov NCT00000606" @default.
- W2156876017 created "2016-06-24" @default.
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- W2156876017 date "2010-03-09" @default.
- W2156876017 modified "2023-10-15" @default.
- W2156876017 title "Anxiety is associated with diminished exercise performance and quality of life in severe emphysema: a cross-sectional study" @default.
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- W2156876017 doi "https://doi.org/10.1186/1465-9921-11-29" @default.
- W2156876017 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/2848143" @default.
- W2156876017 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20214820" @default.
- W2156876017 hasPublicationYear "2010" @default.
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