Effect of breathlessness beliefs on quality of life in chronic obstructive pulmonary disease
Chain-mediating role of self-efficacy and self-management behaviors
Bibliographic Data
| ID | 4868066 |
|---|---|
| Authors | Lin Wang (0000-0003-3048-1776, Department of Pharmacy, The First Hospital of China Medical University, People’s Republic of China), Wang Lin (0009-0004-3409-847X), Qiuli Li (0000-0002-7280-5508, Department of Pain Medicine, The First Hospital of China Medical University, People’s Republic of China), Naiwen Jiang (0009-0009-5104-199X, Department of Pharmacy, The First Hospital of China Medical University, People’s Republic of China) |
| Year | 2025 |
| Volume | 30 |
| Issue | 12 |
| Pages | 3397-3416 |
| Publication date | 2025-04-17 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Health Psychology (JOURNAL) |
| Journal identifiers | ISSN: 1359-1053 • E-ISSN: 1461-7277 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/13591053251331940 |
| PMID | 40243094 |
| OpenAlex | W4409547654 |
| Language | EN |
| References cited | 52 |
This study aimed to investigate the impact of beliefs about breathlessness on health-related quality of life (HRQoL) among chronic obstructive pulmonary disease (COPD) patients and to explore whether self-efficacy and self-management behaviors mediate this relationship. A cross-sectional study was conducted with 287 Chinese COPD patients. Mediation analysis was performed using structural equation modeling with Amos 24.0. The findings indicated that self-efficacy and self-management behaviors independently mediated the relationship between breathlessness beliefs and HRQoL, accounting for 28.91% and 33.01% of the overall effect, respectively. Additionally, a serial mediating effect of self-efficacy and self-management behaviors was found in the link between breathlessness beliefs and HRQoL, accounting for 6.33% of the total effect. This finding demonstrated that self-efficacy and self-management behaviors served as sequential mediators in the relationship between breathlessness beliefs and HRQoL. Targeted interventions should be developed to address breathlessness beliefs, enhance self-efficacy, and promote self-management behaviors, ultimately improving HRQoL
COPD · Disease · Mediation · Psychiatry · Psychological intervention · Psychotherapist · Pulmonary disease · Quality of life (healthcare · Self-efficacy · Self-management · Structural equation modeling · Chronic Obstructive Pulmonary Disease (COPD) Research · Health and Wellbeing Research · Medicine · Nursing · Optimism, Hope, and Well-being · Psychology · Clinical Psychology · Internal Medicine
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| Citation velocity | historical |
|---|---|
| Highly cited | No |