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The effect of chronic obstructive pulmonary disease on quality of life
Author(s) -
Anderson Kathryn L.
Publication year - 1995
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.4770180610
Subject(s) - copd , optimism , quality of life (healthcare) , social support , anxiety , medicine , coping (psychology) , psychosocial , socioeconomic status , path analysis (statistics) , pulmonary disease , psychology , clinical psychology , gerontology , psychiatry , environmental health , population , social psychology , statistics , nursing , mathematics , psychotherapist
Lazarus and Folkman's (1984) theory of stress, coping, and adaptation served as the framework for a path model of quality of life in chronic obstructive pulmonary disease (COPD). It was hypothesized that psychosocial variables (depression, anxiety, self‐esteem, optimism, and social support) would mediate the effects of demographic (age, socioeconomic status) and disease (dyspnea, disease severity, and functional status) variables on life quality in COPD. Interview, pulmonary function, and 6‐minute walk test data obtained from 126 subjects with COPD resulted in support for the majority of the hypothesized relationships. Variables having direct effects on life quality were self‐esteem, depression, social support, and age. Anxiety and optimism did not have their hypothesized effects on quality of life, suggesting the need to reconsider their importance in influencing life quality in COPD. ©1995 John Wiley & Sons, Inc.