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Patterns of Psychology Responses in Acute and Chronic Respiratory Failure

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Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders

Abstract

Patterns of psychological response to diseases causing respiratory failure could include a broad range of conditions including behavioral manifestations, psychiatric alterations such as post-traumatic stress disorder, anxiety, and depression, and cognitive alterations up to delirium. Psychosocial and emotional (health-related quality of life, environmental factors, low social support, personality, negative feeling such as anger, loneliness, and stressful life events) and neuropsychiatric symptoms (anxiety, depression, neurological disorders, and cognitive impairment) are not rarely associated with chronic lung disease which can lead to respiratory failure. Physical and mental health are strongly interrelated in respiratory diseases. Patients with acute respiratory failure can experience the most distressing form of dyspnea known as “air hunger.” The mechanism of air hunger activates brain pathways involved in post-traumatic stress disorder (PTSD), anxiety, and depression. People with chronic pulmonary disease have lower levels of psychological and mental health which easily lead to functional impairment and disability. Anxiety and depressive symptoms are common chronic respiratory diseases.

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Abbreviations

ARDS:

Acute respiratory distress syndrome

BIPQ:

Brief illness perception questionnaire

CAT:

COPD assessment test

CBT:

Cognitive behavioral therapy

COPD:

Chronic obstructive pulmonary disease

CRD:

Chronic respiratory diseases

FSS:

Fatigue severity scale

HADS:

Hospital anxiety and depression scale

HRQoL:

Health-related quality of life

ICU:

Intensive care unit

ILD:

Interstitial lung disease

LOC:

Locus of control

PHQ:

Patient health questionnaire

PICS:

Post-intensive care syndrome

PR:

Pulmonary rehabilitation

PTSD:

Post-traumatic stress disorder

SF-12:

Short-form health survey

References

  1. Felker B, Katon W, Hedrick SC, Rasmussen J, McKnight K, McDonnell MB, Fihn SD. The association between depressive symptoms and health status in patients with chronic pulmonary disease. Gen Hosp Psychiatry. 2001;23(2):56–61.

    Article  CAS  PubMed  Google Scholar 

  2. McCathie HC, Spence SH, Tate RL. Adjustment to chronic obstructive pulmonary disease: the importance of psychological factors. Eur Respir J. 2002;19(1):47–53.

    Article  CAS  PubMed  Google Scholar 

  3. Yohannes AM, Willgoss TG, Baldwin RC, Connolly MJ. Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles. Int J Geriatr Psychiatry. 2010;25(12):1209–21.

    Article  CAS  PubMed  Google Scholar 

  4. Sasannejad C, Ely EW, Lahiri S. Long-term cognitive impairment after acute respiratory distress syndrome: a review of clinical impact and pathophysiological mechanisms. Crit Care. 2019;23:352.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Schneider C, Jick SS, Bothner U, Meier CR. COPD and the risk of depression. Chest. 2010;137(2):341–7.

    Article  PubMed  Google Scholar 

  6. Lee YJ, Choi SM, Lee YJ, Cho YJ, Yoon HI, Lee JH, Lee CT, Park JS. Clinical impact of depression and anxiety in patients with idiopathic pulmonary fibrosis. PLoS One. 2017;12(9):e0184300.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Lehman BJ, David DM, Gruber JA. Rethinking the biopsychosocial model of health: understanding health as a dynamic system. Soc Personal Psychol Compass. 2017;11:e12328. https://doi.org/10.1111/spc3.12328.

    Article  Google Scholar 

  8. von Leupoldt A, Sommer T, Kegat S, et al. Dyspnea and pain share emotion-related brain network. NeuroImage. 2009;48(1):200–6.

    Article  Google Scholar 

  9. Oort J, Tendolkar I, Hermans EJ, et al. How the brain connects in response to acute stress: a review at the human brain systems level. Neurosci Biobehav Rev. 2017;83:281–97.

    Article  PubMed  Google Scholar 

  10. Inoue S, Hatakeyama J, Kondo Y, Hifumi T, Sakuramoto H, Kawasaki T, Taito S, Nakamura K, Unoki T, Kawai Y, Kenmotsu Y, Saito M, Yamakawa K, Nishida O. Post-intensive care syndrome: its pathophysiology, prevention, and future directions. Acute Med Surg. 2019;6(3):233–46.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Bienvenu OJ, Friedman LA, Colantuoni E, et al. Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study. Intensive Care Med. 2018;44(1):38–47.

    Article  PubMed  Google Scholar 

  12. Huang M, Parker AM, Bienvenu OJ, Dinglas VD, Colantuoni E, Hopkins RO, Needham DM, National Institutes of Health, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network. Psychiatric symptoms in acute respiratory distress syndrome survivors: a 1-year national multicenter study. Crit Care Med. 2016;44(5):954–65.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Rattray J. Life after critical illness: an overview. J Clin Nurs. 2014;23(5–6):623–33.

    Article  PubMed  Google Scholar 

  14. Adhikari NK, McAndrews MP, Tansey CM, Matté A, Pinto R, Cheung AM, et al. Self-reported symptoms of depression and memory dysfunction in survivors of ARDS. Chest. 2009;135(3):678–87.

    Article  PubMed  Google Scholar 

  15. Deja M, Denke C, Weber-Carstens S, Schröder J, Pille CE, Hokema F, et al. Social support during intensive care unit stay might improve mental impairment and consequently health-related quality of life in survivors of severe acute respiratory distress syndrome. Crit Care. 2006;10(5):R147.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kapfhammer HP, Rothenhäusler HB, Krauseneck T, Stoll C, Schelling G. Posttraumatic stress disorder and health-related quality of life in long-term survivors of acute respiratory distress syndrome. Am J Psychiatry. 2004;161(1):45–52.

    Article  PubMed  Google Scholar 

  17. Worsham CM, Banzett RB, Schwartzstein RM. Dyspnea, acute respiratory failure, psychological trauma, and post-ICU mental health: a caution and a call for research. Chest. 2021;159(2):749–56.

    Article  PubMed  Google Scholar 

  18. Biehl M, Kashyap R, Ahmed AH, Reriani MK, Ofoma UR, Wilson GA, et al. Six-month quality-of-life and functional status of acute respiratory distress syndrome survivors compared to patients at risk: a population-based study. Crit Care. 2015;19:356.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, Brummel NE, Hughes CG, Vasilevskis EE, Shintani AK, Moons KG, Geevarghese SK, Canonico A, Hopkins RO, Bernard GR, Dittus RS, Ely EW. BRAIN-ICU study investigators. Long-term cognitive impairment after critical illness. N Engl J Med. 2013;369(14):1306–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Wang ZY, Li T, Wang CT, Xu L, Gao XJ. Assessment of 1-year outcomes in survivors of severe acute respiratory distress syndrome receiving extracorporeal membrane oxygenation or mechanical ventilation: a prospective observational study. Chin Med J. 2017;130(10):1161–8.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Mewes R, Rief W, Kenn K, Ried J, Stenzel N. Psychological predictors for health-related quality of life and disability in persons with chronic obstructive pulmonary disease (COPD). Psychol Health. 2016;31(4):470–86.

    Article  PubMed  Google Scholar 

  22. Leventhal H, Brissette I, Leventhal E. The common-sense model of self-regulation of health and illness. In: Cameron LD, editor. The self-regulation of health and illness behaviour. London: Routledge; 2003. p. 42–65.

    Google Scholar 

  23. Birmelé B, Le Gall A, Sautenet B, Aguerre C, Camus V. Clinical, sociodemographic, and psychological correlates of health-related quality of life in chronic hemodialysis patients. Psychosomatics. 2012;53(1):30–7.

    Article  PubMed  Google Scholar 

  24. Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr Gen Appl. 1966;80(1966):1–28.

    Article  CAS  Google Scholar 

  25. Hill K, Geist R, Goldstein RS, Lacasse Y. Anxiety and depression in end-stage COPD. Eur Respir J. 2008;31(3):667–77.

    Article  CAS  PubMed  Google Scholar 

  26. Borgmann M, Ivanda M, Hadizamani Y, Mohaupt M, Bals R, Lucas R, et al. Short report: does the 6-minute walk test in hospitalized COPD patients exclusively correlate with lung function parameters or should psychological factors also be taken into account? PLoS One. 2020;15(5):e0232587. https://doi.org/10.1371/journal.pone.0232587.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Phillips D, Pagnini F. A mindful approach to chronic illness. In: Le IA, Ngnoumen CT, Langer E, editors. The Wiley Blackwell handbook of mindfulness. London: Wiley-Blackwell; 2014. p. 852–63.

    Chapter  Google Scholar 

  28. Coventry PA, Gellatly JL. Improving outcomes for COPD patients with mild to moderate anxiety and depression: a systematic review of cognitive behaviour therapy. Br J Health Psych. 2008;13:381–400.

    Article  Google Scholar 

  29. Lunn S, Restrick L, Stern M. Managing respiratory disease. Chron Respir Dis. 2017;14(1):45–53.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Wagg K. Unravelling self-management for COPD: what next? Chron Respir Dis. 2012;9(1):5–7.

    Article  PubMed  Google Scholar 

  31. Tselebis A, Bratis D, Pachi A, Moussas G, Ilias I, Harikiopoulou M, Theodorakopoulou E, Dumitru S, Kosmas E, Vgontzas A, et al. A pulmonary rehabilitation program reduces levels of anxiety and depression in COPD patients. Multidiscip Respir Med. 2013;8:41.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Farver-Vestergaard I, Jacobsen D, Zachariae R. Efficacy of psychosocial interventions on psychological and physical health outcomes in chronic obstructive pulmonary disease: a systematic review and metaanalysis. Psychother Psychosom. 2015;84:37–50.

    Article  PubMed  Google Scholar 

  33. Kahlmann V, Moor CC, Wijsenbeek MS. Managing fatigue in patients with interstitial lung disease. Chest. 2020;158(5):2026–33.

    Article  PubMed  PubMed Central  Google Scholar 

  34. DeLuca J, Genova HM, Capili EJ, Wylie GR. Functional neuroimaging of fatigue. Phys Med Rehabil Clin N Am. 2009;20(2):325–37.

    Article  PubMed  Google Scholar 

  35. Pi IG, Sein-Echaluce MLG, Aubach LR, Puig-Gros JT, Sola JF. Stressful events in the onset of chronic fatigue syndrome. Rev Esp Salud Publica. 2016;90:E1–7.

    Google Scholar 

  36. Whitehead L. The measurement of fatigue in chronic illness: a systematic review of unidimensional and multidimensional fatigue measures. J Pain Symptom Manag. 2009;37(1):107–28.

    Article  Google Scholar 

  37. Schwartz JE, Jandorf L, Krupp LB. The measurement of fatigue: a new instrument. J Psychosom Res. 1993;37:753–62.

    Article  CAS  PubMed  Google Scholar 

  38. Lerdal A, Kottorp A. Psychometric properties of the fatigue severity scale-rasch analyses of individual responses in a Norwegian stroke cohort. Int J Nurs Stud. 2011;48(10):1258–65. https://doi.org/10.1016/j.ijnurstu.2011.02.019. Epub 2011 Mar 16.

    Article  PubMed  Google Scholar 

  39. Dubé BP, Vermeulen F, Laveneziana P. Exertional dyspnoea in chronic respiratory diseases: from physiology to clinical application. Arch Bronconeumol. 2017;53(2):62–70.

    Article  PubMed  Google Scholar 

  40. Eisner MD, Blanc PD, Yelin EH, Katz PP, Sanchez G, Iribarren C, Omachi TA. Influence of anxiety on health outcomes in COPD. Thorax. 2010;65(3):229–34.

    Article  PubMed  Google Scholar 

  41. Cullen K, Talbot D, Gillmor J, et al. Effect of baseline anxiety and depression symptoms on selected outcomes following pulmonary rehabilitation. J Cardiopulm Rehabil Prev. 2017;37:279–82.

    Article  PubMed  Google Scholar 

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De Guglielmo, M., Fabbo, G. (2023). Patterns of Psychology Responses in Acute and Chronic Respiratory Failure. In: Esquinas, A.M., Fabbo, A., Koc, F., Prymus, A., Farnik, M. (eds) Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders . Springer, Cham. https://doi.org/10.1007/978-3-031-27968-3_2

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  • DOI: https://doi.org/10.1007/978-3-031-27968-3_2

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