Aspectos psicológicos de la rehabilitación pulmonar en el paciente con enfermedad pulmonar obstructiva crónica

Abstract

We present a review of the literature available on the psychological issues of the rehabilitation of patients with chronic obstructive pulmonary disease (COPD). The review is organized around four main themes. First, we present the more commonly psychological manifestations described among patients with COPD, in particular depression and anxiety. Second, we discuss some psychosocial factors that may influence the treatment and course of the disease, including the following: social support, illness beliefs, self-efficacy and self- management (human agency). Third, we present treatments and interventions that are considered to be effective for the management of these psychological disorders in patients with COPD and discuss the evidence. The chapter ends with a discussion about the influence of the pulmonary rehabilitation on the psychological and psychiatric symptoms that these patients present.