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The impact of coping on self-esteem and mental status of patients with COPD

Published online by Cambridge University Press:  23 March 2020

I. Papava ,
A.C. Bredicean ,
L. Dehelean ,
R. Romosan ,
A.M. Romosan ,
E. Tudorache ,
B. Timar ,
C. Oancea  and
V.R. Enatescu
I. Papava
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania
A.C. Bredicean
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania
L. Dehelean
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania
R. Romosan
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania
A.M. Romosan
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania
E. Tudorache
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Pulmonology, Timisoara, Romania
B. Timar
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Biostatistics and Medical Informatics, Timisoara, Romania
C. Oancea
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Pulmonology, Timisoara, Romania
V.R. Enatescu
Affiliation:
“Victor Babes” University of Medicine and Pharmacy, Neuroscience, Timisoara, Romania

Abstract

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Introduction

COPD (chronic obstructive pulmonary disease) is a chronic illness associated with psychological distress. Self-esteem and the associated comorbidities, like depression and anxiety, can influence its evolution.

Objectives

To analyze how predominant coping styles associated with different levels of self-esteem and mental status in patients with COPD.

Aims

To demonstrate that different types of coping-styles have an impact on self-esteem, depression and anxiety.

Methods

To a lot consisting of 28 subjects with COPD, was applied the COPE scale to assess the style of coping, to rate anxiety and depression The Hospital Anxiety and Depression Scale (HADS) and for self-esteem the Rosenberg Self-Esteem Scale. According to their higher coping sub-scale score, they were classified to one dominant coping type as follows: patients with problem-focused coping type (n = 9), emotion-focused coping (n = 10), social support-focused coping (n = 6), respectively avoiding coping type (n = 3).

Results

Patients with dominant problem-focused coping had the most elevated self-esteem compared to patients with social-focused coping (22.0 vs. 16.2; P = 0.039), the depression score was the highest in patients with dominant avoidance-type coping and the lowest in patients with dominant problem-focused coping (11.0 vs. 5.6; P = 0.042) respectively anxiety, was the highest in patients with dominant social-focused coping and the lowest in patients with dominant emotion-focused coping (11.6 vs. 5.0; P = 0.006).

Conclusions

In patients with COPD, problem-focused and emotion-focused copings are adaptive, while avoidance and emotion-focused copings are maladaptive on self-esteem and mental status. Such as, the coping represents a psychological dimension with an impact on the evolution of the disease, and the patients with COPD should be assessed and addressed multidisciplinary.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Consultation liaison psychiatry and psychosomatics
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. s500
Copyright
Copyright © European Psychiatric Association 2017
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