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Counseling Patients with Chronic Lung Disease: Interdisciplinary Strategies for Reducing Distress

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Integrative Therapies in Lung Health and Sleep

Part of the book series: Respiratory Medicine ((RM,volume 4))

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Abstract

Patients with chronic lung disease (CLD) experience a progressively debilitating loss of lung function over time. The symptom of breathlessness is commonly cited as the most distressing aspect of living with CLD, whether due to emphysema, asthma, interstitial lung disease, or cystic fibrosis. Current therapies, both allopathic and alternative, target relief of symptoms, but do not reverse loss of lung function. As a result, anxiety and depression are prevalent among patients with CLD. Counseling patients on how to live with their disease and maximize functionality is a critical but often overlooked aspect of patient care. This chapter focuses on the approach to counseling patients with CLD, addressing five pillars of optimum functioning.

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References

  1. Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: global burden of disease study. Lancet. 1997;349:1269–76.

    Article  PubMed  CAS  Google Scholar 

  2. Kamble S, Bharma M. Incremental direct expenditure of treating asthma in the United States. J Asthma. 2004;46:73–80.

    Article  Google Scholar 

  3. Karajgi B, Rifkin A, Doddi S, et al. The prevalence of anxiety disorders in patients with chronic obstructive pulmonary disease. Am J Psychiatry. 1990;147:200–1.

    PubMed  CAS  Google Scholar 

  4. Kim HF, Kunik ME, Molinari VA, et al. Functional impairment in COPD patients: the impact of anxiety and depression. Psychosomatics. 2000;41:465–71.

    Article  PubMed  CAS  Google Scholar 

  5. Grady KL, Jalowiec A, White-Williams C, et al. Predictors of quality of life in patients with advanced heart failure awaiting transplantation. J Heart Lung Transplant. 1995;14:2–10.

    PubMed  CAS  Google Scholar 

  6. Woodman CL, Geist LJ, Vance S, et al. Psychiatric disorders and survival after lung transplantation. Psychosomatics. 1999;40:293–7.

    Article  PubMed  CAS  Google Scholar 

  7. Squier HC, Ries AL, Kaplan RM, et al. Quality of well-being predicts survival in lung transplantation candidates. Am J Respir Crit Care Med. 1995;152:2032–6.

    PubMed  CAS  Google Scholar 

  8. Berkman LF, Leo-Summers L, Horwitz RI. Emotional support and survival after myocardial infarction. A prospective, population based study of the elderly. Ann Intern Med. 1992;117:1003–9.

    PubMed  CAS  Google Scholar 

  9. Viramontes JL, O’Brien B. Relationship between symptoms and health-related quality of life in chronic lung disease. J Gen Intern Med. 1994;9:46–8.

    Article  PubMed  CAS  Google Scholar 

  10. Singer HK, Ruchinskas RA, Riley KC, et al. The psychological impact of end-stage lung disease. Chest. 2001;120:1246–52.

    Article  PubMed  CAS  Google Scholar 

  11. Anderson KL. The effect of chronic obstructive pulmonary disease on quality of life. Res Nurs Health. 1995;18:547–56.

    Article  PubMed  CAS  Google Scholar 

  12. Craven J. Psychiatric aspects of lung transplantation: The Toronto Lung Transplant Group. Can J Psychiatry. 1990;35:759–64.

    PubMed  CAS  Google Scholar 

  13. Brenes GA. Anxiety and chronic obstructive pulmonary disease: prevalence, impact, and treatment. Psychosom Med. 2003;65:963–70.

    Article  PubMed  Google Scholar 

  14. Argyropoulou P, Patakas D, Koukou A, et al. Buspirone effect on breathlessness and exercise performance in patients with chronic obstructive pulmonary disease. Respiration. 1993;60:216–20.

    Article  PubMed  CAS  Google Scholar 

  15. Papp LA, Weiss JR, Greenberg HE, et al. Sertraline for chronic obstructive pulmonary disease and comorbid anxiety and mood disorders. Am J Psychiatry. 1995;152:1531.

    PubMed  CAS  Google Scholar 

  16. Smoller JW, Pollack MH, Systrom D, et al. Sertraline effects on dyspnea in patients with obstructive airways disease. Psychosomatics. 1998;39:24–9.

    Article  PubMed  CAS  Google Scholar 

  17. Borson S, McDonald GJ, Gayle T, et al. Improvement in mood, physical symptoms, and function with nortriptyline for depression in patients with chronic obstructive pulmonary disease. Psychosomatics. 1992;33:190–201.

    Article  PubMed  CAS  Google Scholar 

  18. Eiser N, West C, Evans S, et al. Effects of psychotherapy in moderately severe COPD: a pilot study. Eur Respir J. 1997;10:1581–4.

    Article  PubMed  CAS  Google Scholar 

  19. Kunik ME, Braun U, Stanley MA, et al. One session cognitive behavioural therapy for elderly patients with chronic obstructive pulmonary disease. Psychol Med. 2001;31:717–23.

    Article  PubMed  CAS  Google Scholar 

  20. Cain JC, Wicks MN. Caregivers attributes as correlates of burden in family caregivers coping with chronic obstructive pulmonary disease. J Fam Nurs. 2000;6:46–8.

    Article  Google Scholar 

  21. Taylor S, Eldridge S, Chang YM, et al. Evaluating hospital at home and early discharge schemes for patients with an acute exacerbation of COPD. Chron Respir Dis. 2007;4:33–43.

    Article  PubMed  CAS  Google Scholar 

  22. Murphy N, Byrne C, Costello R. An early supported discharge programme for patients with exacerbations of chronic obstructive pulmonary disease (COPD) in Ireland. All Ireland J Nurs Midwifery. 2002;22:815–20.

    Google Scholar 

  23. Davison AG, Monaghan M, Brown D, et al. Hospital at home for chronic obstructive pulmonary disease: an integrated hospital and community based generic intermediate care service for prevention and early discharge. Chron Respir Dis. 2006;3:181–5.

    Article  PubMed  CAS  Google Scholar 

  24. Cotton MM, Bucknall CE, Dagg KD, et al. Early discharge for patients with exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial. Thorax. 2000;55:902–6.

    Article  PubMed  CAS  Google Scholar 

  25. Davies L, Wilkinson M, Bonner S, et al. “Hospital at home” versus hospital care in patients with exacerbations of chronic obstructive pulmonary disease: prospective randomized controlled trial. BMJ. 2000;32:1265–8.

    Article  Google Scholar 

  26. Hernandez C, Casas A, Escarrabill J, et al. Home hospitalization of exacerbated chronic obstructive pulmonary disease patients. Eur Respir J. 2003;21:58–67.

    Article  PubMed  CAS  Google Scholar 

  27. Watson PB, Town GI, Holbrook N, et al. Evaluation of a self-management plan for chronic obstructive pulmonary disease. Eur Respir J. 1997;10:1267–71.

    Article  PubMed  CAS  Google Scholar 

  28. Poole PJ, Chase B, Frankel A, et al. Case management may reduce length of stay in patients with recurrent admissions for chronic obstructive pulmonary disease. Respirology. 2001;6:37–42.

    Article  PubMed  CAS  Google Scholar 

  29. Bourbeau J, Collet JP, Schwartzman K, et al. Economic benefits of self-management education COPD. Chest. 2006;130:1704–11.

    Article  PubMed  Google Scholar 

  30. Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital use in patients with chronic obstructive pulmonary disease. Arch Intern Med. 2003;163:585–91.

    Article  PubMed  Google Scholar 

  31. Smith BJ, Adams R, Appleton SL, et al. The effect of a respiratory home nurse intervention in patients with chronic obstructive pulmonary disease (COPD). Aust N Z J Med. 1999;29:718–25.

    Article  PubMed  CAS  Google Scholar 

  32. Hermiz O, Comino E, Marks G, et al. Randomized controlled trial of home based care of patients with chronic obstructive pulmonary disease. BMJ. 2002;325:938–40.

    Article  PubMed  Google Scholar 

  33. Monninkhof EM, van der Valk P, van der Palen J, et al. Effects of a comprehensive self-management programme in patients with chronic obstructive pulmonary disease. Eur Respir J. 2003;22:815–20.

    Article  PubMed  CAS  Google Scholar 

  34. Egan E, Clavarino A, Burridge L, et al. A randomized control trial of nursing-based case management for patients with chronic obstructive pulmonary disease. Lippincotts Case Manag. 2002;7:170–9.

    Article  PubMed  Google Scholar 

  35. Rabow MW, Dibble SL, Pantilat SZ, et al. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med. 2004;164:83–91.

    Article  PubMed  Google Scholar 

  36. Caress AL, Luker KA, Chalmers KI, et al. A review of the information and support needs of family carers of patients with chronic obstructive pulmonary disease. J Clin Nurs. 2009;18:479–91.

    Article  PubMed  Google Scholar 

  37. Jones JI, Kirby A, Ormiston P, et al. The needs of patients dying of chronic obstructive pulmonary disease in the community. Fam Pract. 2004;21:310–3.

    Article  PubMed  Google Scholar 

  38. Elkington H, White P, Addington-Hall J, et al. The health care needs of chronic obstructive pulmonary disease patients in their last year of life. Palliat Med. 2005;19:485–91.

    Article  PubMed  Google Scholar 

  39. von Gunten CF. Palliative care for pulmonary patients. Am J Respir Crit Care Med. 2010;182:725–31.

    Article  Google Scholar 

  40. Teno JM, Clarridge BR, Casey V, et al. Family perspectives oon end-of-life care at the last place of care. JAMA. 2004;291:88–93.

    Article  PubMed  CAS  Google Scholar 

  41. Aiken LS, Butner J, Lockhart CA, et al. Outcome evaluation of a randomized trial of Phoenix-Care Intervention: program of case management and coordinated care for the seriously chronically ill. J Palliat Med. 2006;9:111–25.

    Article  PubMed  Google Scholar 

  42. Gazelle G. Understanding hospice-an underutilized option for life’s final chapter. N Engl J Med. 2007;357:321–4.

    Article  PubMed  CAS  Google Scholar 

  43. Wewel AR, Gellermann I, Schwertfeger I, et al. Intervention by phone calls raises domiciliary activity and exercise capacity in patients with severe COPD. Respir Med. 2008;102:20–6.

    Article  PubMed  Google Scholar 

  44. Davis AH, Carrieri-Kohlman V, Janson SL, et al. Effects of treatment on two types of self-efficacy in people with chronic obstructive pulmonary disease. J Pain Symptom Manage. 2006;32:60–70.

    Article  PubMed  Google Scholar 

  45. Inal-Ince D, Savci S, Coplu L, et al. Factors determining self-efficacy in chronic obstructive pulmonary disease. Saudi Med J. 2005;26:542–7.

    PubMed  Google Scholar 

  46. LaCasse Y, Wong E, Guyatt GH, et al. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. Lancet. 1996;348:1115–9.

    Article  PubMed  CAS  Google Scholar 

  47. Stewart AL, Hays RD, Wells KB, et al. Long-term functioning and well-being outcomes associated with physical activity and exercise in patients with chronic conditions in the Medical Outcomes Study. J Clin Epidemiol. 1994;47:719–30.

    Article  PubMed  CAS  Google Scholar 

  48. Bourjeily G, Rochester CL. Exercise training in chronic obstructive pulmonary disease. Clin Chest Med. 2000;21:763–81.

    Article  PubMed  CAS  Google Scholar 

  49. Sevick MA, Dunn AL, Morrow MS, et al. Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults: results of project ACTIVE. Am J Prev Med. 2000;19:1–8.

    Article  PubMed  CAS  Google Scholar 

  50. Troosters T, Gosselink R, Decramer M. Short- and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Am J Med. 2007;109:207–12.

    Article  Google Scholar 

  51. Dermon E, Marchand E, et al. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Ann Readapt Med Phys. 2000;50:602–26.

    Google Scholar 

  52. Steele BG, Belza B, Cain KC, et al. A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. Arch Phys Med Rehabil. 2008;89:404–12.

    Article  PubMed  Google Scholar 

  53. Berry MJ, Rejeski WJ, Miller ME, et al. A lifestyle activity intervention in patients with chronic obstructive pulmonary disease. Respir Med. 2010;104:829–39.

    Article  PubMed  Google Scholar 

  54. de Blok BM, de Greef MH, ten Hacken NH, et al. The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: a pilot study. Patient Educ Couns. 2006;61:48–55.

    Article  PubMed  Google Scholar 

  55. Hospes G, Bossenbroek L, ten Hacken NH, et al. Enhancement of daily physical activity increases physical fitness of outclinic COPD patients: results of an exercise counseling program. Patient Educ Couns. 2009;75:274–8.

    Article  PubMed  Google Scholar 

  56. Donesky-Cuenco D, Nguyen HQ, Paul S, et al. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med. 2009;15:225–34.

    Article  PubMed  Google Scholar 

  57. Pomidori L, Campigotto F, Amatya TM, et al. Efficacy and tolerability of yoga breathing in patients with chronic obstructive pulmonary disease: a pilot study. J Cardiopulm Rehabil Prev. 2009;29:133–7.

    PubMed  Google Scholar 

  58. Hochstetter JK, Lewis J, Soares-Smith L. An investigation into the immediate impact of breathlessness management on teh breathless patient: randomised controlled trial. Physiotherapy. 2005;91:178–85.

    Article  Google Scholar 

  59. Wu X, Hou L, Bai W. Effects of breathing training on quality of life and activities of daily living in elderly patients with stable severe chronic obstructive pulmonary disease. Chinese J Rehabil Med. 2006;21:307–10.

    Google Scholar 

  60. Garrod R, Dallimore K, Cook J, et al. An evaluation of the acute impact of pursed lips breathing on walking distance in nonspontaneous pursed lips breathing chronic obstructive pulmonary disease patients. Chron Respir Dis. 2005;2:67–72.

    Article  PubMed  CAS  Google Scholar 

  61. Lichstein KL. Secondary insomnia: a myth dismissed. Sleep Med Rev. 2006;10:3–5.

    Article  PubMed  Google Scholar 

  62. Klink M, Quan SF. Prevalence of reported sleep disturbances in a general adult population and their relationship to obstructive airways diseases. Chest. 1987;91:540–6.

    Article  PubMed  CAS  Google Scholar 

  63. Cormick W, Olson LG, Hensley MJ, et al. Nocturnal hypoxaemia and quality of sleep in patients with chronic obstructive lung disease. Thorax. 1986;41:846–54.

    Article  PubMed  CAS  Google Scholar 

  64. Gooneratne NS, Gehrman PR, Nkwuo JE, et al. Consequences of comorbid insomnia symptoms and sleep-related breathing disorder in elderly subjects. Arch Intern Med. 2006;166:1732–8.

    Article  PubMed  Google Scholar 

  65. Katz DA, McHorney CA. Clinical correlates of insomnia in patients with chronic illness. Arch Intern Med. 1998;158:1099–107.

    Article  PubMed  CAS  Google Scholar 

  66. Milross MA, Piper AJ, Norman M, et al. Subjective sleep quality in cystic fibrosis. Sleep Med. 2002;3:205–12.

    Article  PubMed  Google Scholar 

  67. Chang PP, Ford DE, Mead LA, et al. Insomnia in young men and subsequent depression. The Johns Hopkins Precursors Study. Am J Epidemiol. 1997;146:105–14.

    PubMed  CAS  Google Scholar 

  68. Jansson-Frojmark M, Lindblom K. A bidirectional relationship between anxiety and depression, and insomnia? A prospective study in the general population. J Psychosom Res. 2008;64:443–9.

    Article  PubMed  Google Scholar 

  69. Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. J Psychiatr Res. 2006;40:700–8.

    Article  PubMed  Google Scholar 

  70. Rybarczyk B, Lopez M, Benson R, et al. Efficacy of two behavioral treatment programs for comorbid geriatric insomnia. Psychol Aging. 2002;17:288–98.

    Article  PubMed  Google Scholar 

  71. Rybarczyk B, Lopez M, Schelble K, et al. Home-based video CBT for comorbid geriatric insomnia: a pilot study using secondary data analyses. Behav Sleep Med. 2005;3:158–75.

    Article  PubMed  Google Scholar 

  72. Krakow B, Ulibarri V, Melendrez D, et al. A daytime, abbreviated cardio-respiratory sleep study (CPT 95807–52) to acclimate insomnia patients with sleep disordered breathing to positive airway pressure (PAP-NAP). J Clin Sleep Med. 2008;4:212–22.

    PubMed  Google Scholar 

  73. Perlis ML, Jungquist C, Smith MT, Posner D, editors. Cognitive behavioral treatment of insomnia: a session-by-session guide. 1st ed. New York: Springer; 2005.

    Google Scholar 

  74. Rose C, Wallace L, Dickson R, et al. The most effective psychologically-based treatments to reduce anxiety and panic in patients with chronic obstructive pulmonary disease (COPD): a systematic review. Patient Educ Couns. 2002;47:311–8.

    Article  PubMed  Google Scholar 

  75. Livermore N, Sharpe L, McKenzie D. Panic attacks and panic disorder in chronic obstructive pulmonary disease: a cognitive behavioral perspective. Respir Med. 2010;104:1246–53.

    Article  PubMed  Google Scholar 

  76. Surtees PG, Wainwright NW, Luben R, et al. Mastery, sense of coherence, and mortality: evidence of independent associations from the EPIC-Norfolk Prospective Cohort Study. Health Psychol. 2006;25:102–10.

    Article  PubMed  Google Scholar 

  77. Nguyen HQ, Donesky-Cuenco D, Carrieri-kohlman V. Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: a cross-sectional study. Int J Nurs Stud. 2008;45:1355–65.

    Article  PubMed  Google Scholar 

  78. Devine EC, Pearcy J. Meta-analysis of the effects of psychoeducational care in adults with chronic obstructive pulmonary disease. Patient Educ Couns. 1996;29:167–78.

    Article  PubMed  CAS  Google Scholar 

  79. Porzelius J, Vest M, Nochomovitz M. Respiratory function, cognitions, and panic in chronic obstructive pulmonary patients. Behav Res Ther. 1992;30:75–7.

    Article  PubMed  CAS  Google Scholar 

  80. Antoni MH, Baggett L, Ironson G, et al. Cognitive-behavioral stress management intervention buffers distress responses and immunologic changes following notification of HIV-1 seropositivity. J Consult Clin Psychol. 1991;59:906–15.

    Article  PubMed  CAS  Google Scholar 

  81. Lutgendorf SK, Antoni MH, Ironson G, et al. Changes in cognitive coping skills and social support during cognitive behavioral stress management intervention and distress outcomes in symptomatic human immunodeficiency virus (HIV)-seropositive gay men. Psychosom Med. 1998;60:204–14.

    PubMed  CAS  Google Scholar 

  82. Spiegel D, Bloom JR, Yalom I. Group support for patients with metastatic cancer. Arch Gen Psychiatry. 1981;38:527–33.

    Article  PubMed  CAS  Google Scholar 

  83. Blumenthal JA, Jiang W, Babyak MA, et al. Stress management and exercise treatment in cardiac patients with myocardial ischemia: effects on prognosis and mechanisms. Arch Intern Med. 1997;157:2213–23.

    Article  PubMed  CAS  Google Scholar 

  84. Frasure-Smith N, Prince R. The ischemic heart disease life stress monitoring program: impact on mortality. Psychosom Med. 1985;47:431–45.

    PubMed  CAS  Google Scholar 

  85. Napolitano MA. Development of a pulmonary-specific quality of life scale (PQLS). Ann Behav Med. 1999;21:S168.

    Google Scholar 

  86. Wigal JK, Creer TL, Kotses H. The COPD self-efficacy scale. Chest. 1991;99:1193–6.

    Article  PubMed  CAS  Google Scholar 

  87. Armitage R. Sleep and circadian rhythms in mood disorders. Acta Psychiatr Scand Suppl. 2007;433:104–15.

    Article  PubMed  Google Scholar 

  88. Mellinger GD, Blater MB, Uhlenhuth EH. Insomnia and its treatment: prevalence and correlates. Arch Gen Psychiatry. 1985;42:225–32.

    Article  PubMed  CAS  Google Scholar 

  89. Overland S, Glozier N, Sivertsen B, et al. A comparison of insomnia and depression as predictors of disability pension: the HUNT Study. Sleep. 2008;31:875–80.

    PubMed  Google Scholar 

  90. Millman RP, Fogel BS, McNamara ME, et al. Depression as a manifestation of obstructive sleep apnea: reversal with nasal continuous positive airway pressure. J Clin Psychiatry. 1989;50:348–51.

    PubMed  CAS  Google Scholar 

  91. Perlis ML, Smith LJ, Lyness JM, et al. Insomnia as a risk factor for onset of depression in the elderly. Behav Sleep Med. 2006;4:104–13.

    Article  PubMed  Google Scholar 

  92. Morawetz D. Depression and insomnia. Aust Fam Physician. 2000;29:1016.

    PubMed  CAS  Google Scholar 

  93. Baraniak A, Sheffield D. The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: a systematic review and meta-analysis. Patient Educ Couns. 2010;doi: 10.1016/j.pec.2010.04.010

  94. Carver CS, Scheier MF, Segerstrom SC. Optimism. Clin Psychol Rev. 2010; doi: 10.1016/j.cpr.2010.01.006

  95. The Carrot, the Egg, and the Coffee Bean. http://www.bored.com/parablesite/index.html

  96. Cooper CB. Airflow obstruction and exercise. Respir Med. 2009;103:325–34.

    Article  PubMed  Google Scholar 

  97. Nguyen HQ, Carrieri-Kohlman V, Rankin S, et al. Is internet-based support for dyspnea self-management in patients with chronic obstructive pulmonary disease possible? Results of a pilot study. Heart Lung. 2005;34:51–62.

    Article  PubMed  Google Scholar 

  98. KSERA Project. http://ksera.ieis.tue.nl/

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Authors and Affiliations

  1. Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, 685 West Baltimore St., MSTF 800, Baltimore, MD, 21201, USA

    Kathleen F. Sarmiento MD, MPH

  2. Department of Psychology, Howard University, 525 Bryant St, NW, Washington, DC, 20059, USA

    Linda Berg-Cross PhD, ABPP, CBSM

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  1. Kathleen F. Sarmiento MD, MPH
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  2. Linda Berg-Cross PhD, ABPP, CBSM
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Correspondence to Kathleen F. Sarmiento MD, MPH .

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Editors and Affiliations

  1. , School of Nursing, University of Minnesota, 308 Harvard St. SE, Minneapolis, 55455, Minnesota, USA

    Linda Chlan

  2. , Department of Pulmonary, Allergy, and Cr, University of Minnesota, 401 East River Road, Minneapolis, 55455, Minnesota, USA

    Marshall I. Hertz

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Sarmiento, K.F., Berg-Cross, L. (2012). Counseling Patients with Chronic Lung Disease: Interdisciplinary Strategies for Reducing Distress. In: Chlan, L., Hertz, M. (eds) Integrative Therapies in Lung Health and Sleep. Respiratory Medicine, vol 4. Humana Press. https://doi.org/10.1007/978-1-61779-579-4_16

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  • DOI: https://doi.org/10.1007/978-1-61779-579-4_16

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