Sense of loneliness and meaning in life in chronic obstructive pulmonary disease patients. Preliminary studies.
Keywords:
COPD, loneliness, life style, Psychiatric status Rating ScalesAbstract
Background: Chronic obstructive pulmonary disease (COPD) interferes with everyday functioning but its impact on the loneliness and the meaning in life of the patients is unclear. Objectives: to determine whether the COPD severity levels correlate with the sense of loneliness and dimensions of the sense of meaning in life.
Methods: 144 patients with COPD during a period of absence of an infectious exacerbation were examined. The number of infectious exacerbations over the past year, the Modified Medical Research Council (mMRC) dyspnea score, the COPD Assessment Test (CAT) score were determined as well as the feelings of loneliness using the De Jong Gierveld Loneliness Scale (DJGLS) and the sense of meaning in life using the Life Attitude Profile-Revised (LAP-R) questionnaire.
Results: The age, the mMRC and CAT scores, the number of pack/years, as well as the number of infectious exacerbations during the year correlated positively with the feeling of loneliness. These variables (except for age) correlated negatively with the LAP-R scales apart from Existential Vacuum, which correlated positively. The subjects from the COPD severity group D (the most seriously ill people) had the highest level of loneliness, while it was the lowest in the subjects from group A (the least ill people). No statistical difference was observed between groups B and C.
Conclusions: With the increase in the values of the selected parameters determining the severity of COPD the sense of meaning in life decreases and loneliness intensifies.
References
1. Nowak M, Brożek GM, Zejda JE, Jankowski M, Pierzchała W. Impact of changing GOLD guidelines (2007-2011-2017) on assignment of a COPD patient to disease severity category. Postepy Dermatol Alergol 2020; 37: 221-8.
2. Nizankowska-Mogilnicka E, Mejza F, Buist AS, Vollmer WM, Skucha W, Harat R, et al. Prevalence of COPD and tobacco smoking in Malopolska region-results from the BOLD study in Poland. Pol Arch Med Wewn 2007; 117: 402-10.
3. Nowak M, Jankowski M, Brożek GM, Skoczyński S, Rzepka-Wrona P, Pierzchała E, et al. Profile of adults suffering from COPD in Poland. Wiad Lek 2017; 70: 9-15.
4. Pedrozo-Pupo JC, Campo-Arias A, Ceballos-Ospino GA. Quality of life and depression in COPD patients in the Colombian Caribbean. Clin Respir J 2021; 15: 944-8.
5. Fazekas-Pongor V, Fekete M, Balazs P, Árva D, Pénzes M, Tarantini S, et al. Health-related quality of life of COPD patients aged over 40 years. Physiol Int 2021; online ahead of print.
6. Anzueto A, Miravitlles M. Pathophysiology of dyspnea in COPD. Postgrad Med 2017; 129: 366-74.
7. Shukla SD, Walters EH, Simpson JL, Keely S, Wark PAB, O’Toole RF, et al. Hypoxia-inducible factor and bacterial infections in chronic obstructive pulmonary disease. Respirology 2020; 25: 53-63.
8. Nathan SD, Barbera JA, Gaine SP, Harari S, Martinez FJ, Olschewski H, et al. Pulmonary hypertension in chronic lung disease and hypoxia. Eur Respir J 2019; 53: 1801914.
9. Cassady SJ, Reed RM. Pulmonary Hypertension in COPD: A case study and review of the literature. Medicina (Kaunas) 2019; 55: 432.
10. Chaouat A, Naeije R, Weitzenblum E. Pulmonary hypertension in COPD. Eur Respir J 2008; 32: 1371-85.
11. Welch L, Orlando R, Lin SX, Vassilev I, Rogers A. Findings from a pilot randomised trial of a social network self-management intervention in COPD. BMC Pulm Med 2020; 20: 162.
12. Marty PK, Novotny P, Benzo RP. Loneliness and ED Visits in chronic obstructive pulmonary disease. Mayo Clin Proc Innov Qual Outcomes 2019; 3: 350-7.
13. Christiansen J, Lund R, Qualter P, Andersen CM, Pedersen SS, Lasgaard M. Loneliness, social isolation, and chronic disease outcomes. Ann Behav Med 2021; 55: 203-15.
14. Yohannes AM, Alexopoulos GS. Depression and anxiety in patients with COPD. Eur Respir Rev 2014; 23: 345-9.
15. Matte DL, Pizzichini MM, Hoepers AT, Diaz AP, Karloh M, Dias M, et al. Prevalence of depression in COPD: A systematic review and meta-analysis of controlled studies. Respir Med 2016; 117: 154-61.
16. Barton C, Effing TW, Cafarella P. Social Support and Social Networks in COPD: A scoping review. COPD 2015; 12: 690-702.
17. Burge AT, Cox NS, Abramson MJ, Holland AE. Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD). Cochrane -Database Syst Rev 2020; 4: Cd012626.
18. Xiang X, Huang L, Fang Y, Cai S, Zhang M. Physical activity and chronic obstructive pulmonary disease: a scoping review. BMC Pulm Med 2022; 22: 301.
19. Spithoven AWM, Cacioppo S, Goossens L, Cacioppo JT. Genetic contributions to loneliness and their relevance to the evolutionary theory of loneliness. Perspect Psychol Sci 2019; 14: 376-96.
20. Qualter P, Vanhalst J, Harris R, Van Roekel E, Lodder G, Bangee M, et al. Loneliness across the life span. Perspect Psychol Sci 2015; 10: 250-64.
21. Kusk KH, Storgaard LH, Weinreich UM, Grønkjaer M, Thorup CB. Social Distancing among COPD Patients during the COVID-19 Pandemic - A Qualitative Study. Copd 2021; 18: 549-56.
22. Helm PJ, Jimenez T, Galgali MS, Edwards ME, Vail KE, 3rd, Arndt J. Divergent effects of social media use on meaning in life via loneliness and existential isolation during the coronavirus pandemic. J Soc Pers Relat 2022; 39: 1768-93.
23. Frankl VE. Man’s search for meaning: Simon and -Schuster; 1985.
24. Maddi S, Richard. The Search for Meaning. In M. Page (Ed.), Nebraska symposium on motivation Lincoln, NB: University of Nebraska Press 1970: 134–83.
25. Crumbaugh JC, Maholick LT. An experimental study in existentialism: the psychometric approach to Frankl’s concept of noogenic neurosis. J Clin Psychol 1964; 20: 200-7.
26. Eriksson M, Lindström B. Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health 2006; 60: 376-81.
27. Moksnes UK. Sense of Coherence. In: Haugan G, Eriksson M, editors. Health promotion in health care – vital theories and research. Cham (CH): Springer -Copyright 2021: 35-46.
28. Reker GT. Meaning in life of young, middle-aged, and older adults: Factorial validity, age, and gender invariance of the Personal Meaning Index (PMI). Personality and -Individual Differences 2005; 38: 71-85.
29. Grygiel P, Humenny G, Rebisz S, Świtaj P, Sikorska J. Validating the Polish adaptation of the 11-item De Jong Gierveld Loneliness Scale. Eur J Psychological Assessment 2013; 29:129-39.
30. De Jong Gierveld J, Van Tilburg T. The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. Eur J Ageing 2010; 7:121-30.
31. Gierveld JDJ, Tilburg TV. A 6-Item scale for overall, emotional, and social loneliness: confirmatory tests on survey data. Research on Aging 2006; 28: 582-98.
32. Reker GT, Chamberlain K. Exploring existential -meaning: optimizing human development across the life span. Thousand Oaks, Calif.: Sage Publications 2000; xvi 221.
33. Klamut R. Kwestionariusz Postaw Życiowych KPŻ. Podręcznik do polskiej adaptacji kwestionariusza Life Attitude Profile-Revised (LAP-R) Gary’ego T. Rekera. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego 2010.
34. Bu F, Philip K, Fancourt D. Social isolation and loneliness as risk factors for hospital admissions for respiratory disease among older adults. Thorax 2020; 75: 597-9.
35. Kaplan RM, Ries AL. Quality of life: concept and definition. COPD 2007; 4: 263-71.
36. Vogelmeier C, Vestbo J. COPD assessment: I, II, III, IV and/or A, B, C, D. Eur Respir J 2014; 43: 949-50.
37. Ghaemi Kerahrodi J, Brähler E, Wiltink J, Michal M, Schulz A, Wild PS, et al. Association between medicated obstructive pulmonary disease, depression and subjective health: results from the population-based Gutenberg Health Study. Sci Rep 2019; 9: 20252.
38. Kupper N, Denollet J. Type D personality as a risk factor in coronary heart disease: a review of current evidence. Curr Cardiol Rep 2018; 20:104.
39. Witusik A, Mokros Ł, Kosmalski M, Panek M, Nowakowska-Domagała K, Sipowicz K, et al. Type D personality and the degree of control of bronchial asthma. Postepy Dermatol Alergol 2018; 35: 387-91.
40. Rogliani P, Ora J, Puxeddu E, Cazzola M. Airflow obstruction: is it asthma or is it COPD? Int J Chron Obstruct Pulmon Dis 2016; 11: 3007-13.
41. Barnes PJ. Cellular and molecular mechanisms of asthma and COPD. Clin Sci (Lond) 2017; 131: 1541-58.
42. Albertson TE, Chenoweth JA, Pearson SJ, Murin S. The pharmacological management of asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS). Expert Opin Pharmacother 2020; 21: 213-31.
43. Reijnders T, Schuler M, Jelusic D, Troosters T, Janssens W, Schultz K, et al. The impact of loneliness on outcomes of pulmonary rehabilitation in patients with COPD. COPD 2018; 15: 446-53.
44. Scarlata S, Cardaci V, Santangelo C, Matarese M, Cesari M, Antonelli Incalzi R. Distancing measures in COVID-19 pandemic: loneliness, more than physical isolation, affects health status and psycho-cognitive wellbeing in elderly patients with chronic obstructive pulmonary disease. COPD 2021; 18:443-8.
45. Yoeli H. The psychosocial implications of social distancing for people with COPD: some exploratory issues facing a uniquely marginalised group during the COVID-19 pandemic. Soc Theory Health 2021; 19: 298-307.
46. Miravitlles M, Ribera A. Understanding the impact of symptoms on the burden of COPD. Respir Res 2017; 18: 67.
47. Pierobon A, Sini Bottelli E, Ranzini L, Bruschi C, Maestri R, Bertolotti G, et al. COPD patients’ self--reported adherence, psychosocial factors and mild cognitive impairment in pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis 2017; 12: 2059-67.
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