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Anxiety and self-management behaviour in chronic obstructive pulmonary disease: what has been learned?

Canterbury Respiratory Research Group, University of Otago, Otago, New Zealand

R G Kuijer

Department of Health Psychology, University of Canterbury, Canterbury, New Zealand

R T Mulder

Department of Psychological Medicine, University of Otago, Otago, New Zealand

A considerable amount of literature has described the prevalence of anxiety in patients with the lung condition chronic obstructive pulmonary disease (COPD). Few, if any, papers have reviewed the inter-relationship between anxiety symptoms and self-management interventions in this population. This is the aim of the current review. First, the review examines the evidence suggesting that anxiety is more common in COPD than other populations. Secondly, the focus shifts to evaluating the evidence for and against the efficacy of COPD self-management programmes. Finally this paper examines the relationship between anxiety and COPD self-management with particular reference to the benefits and possible harm of some COPD self-management goals and anxious patients.

Key Words: anxiety • COPD • self-management

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