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Understanding the psychosocial burden of living with advanced COPD in context of palliative care

A mixed methods study

Bibliographic Data

ID4227079
AuthorsBernardo Gonçalves (0000-0002-3885-4859, University of the West of Scotland), Joanne Lusher (0000-0002-7035-0255, Regent's University London), Audrey Cund (0000-0002-7816-8239, University of the West of Scotland), Caroline Sime (0000-0002-6226-3012, Scottish Partnership for Palliative Care, UK), Eileen Harkess-Murphy (0000-0003-0410-4627, University of the West of Scotland)
Year2025
Volume30
Issue12
Pages3417-3432
Publication date2025-03-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053251316504
PMID40079249
OpenAlexW4408387437
LanguageEN
References cited62

People with advanced chronic obstructive pulmonary disease (COPD) face substantial physical and psychosocial challenges influencing their quality of life. This study explored the psychosocial aspects of people with COPD attending palliative care services. Concurrent embedded mixed methods study with 22 individuals was conducted. Data collection involved semi-structured interviews and McGill Quality of Life-Revised and Hospital Anxiety and Depression Scale questionnaires. Findings revealed a negative correlation between quality of life and psychological distress, emphasising that as disease severity increased, so did psychological distress. From interviews emerged three themes: adjustment to living with a debilitating disease, loss of identity and developing lifestyle coping strategies. To conclude, a biopsychosocial perspective to understanding the impact of COPD is essential in identifying mitigating factors which exacerbate disease burden and increase psychological distress of people living with COPD. Implementing a biopsychosocial framework can enhance care by furthering self-management, reducing psychological distress and promoting a person-centred approach

Anxiety · Biopsychosocial model · Context (archaeology · COPD · Coping (psychology · Distress · Palliative care · Psychiatry · Psychosocial · Qualitative research · Quality of life (healthcare · Cancer survivorship and care · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Clinical Psychology · Gerontology

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