Ego defense mechanisms in COPD: impact on health-related quality of life and dyspnoea severity

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dc.contributor.authorAlbuquerque, S. C.en
dc.contributor.authorCarvalho, E. R.en
dc.contributor.authorLopes, R. S.en
dc.contributor.authorMarques, H. S.en
dc.contributor.authorMacedo, D. S.en
dc.contributor.authorPereira, E. D.en
dc.contributor.authorHyphantis, T. N.en
dc.contributor.authorCarvalho, A. F.en
dc.date.accessioned2015-11-24T19:20:18Z
dc.date.available2015-11-24T19:20:18Z
dc.identifier.issn1573-2649-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22026
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectBrazilen
dc.subjectCase-Control Studiesen
dc.subjectCross-Sectional Studiesen
dc.subject*Defense Mechanismsen
dc.subjectDyspnea/*physiopathologyen
dc.subject*Egoen
dc.subjectFemaleen
dc.subject*Health Statusen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPulmonary Disease, Chronic Obstructive/physiopathology/*psychologyen
dc.subject*Quality of Lifeen
dc.subjectQuestionnairesen
dc.titleEgo defense mechanisms in COPD: impact on health-related quality of life and dyspnoea severityen
heal.abstractPURPOSE: To assess chronic obstructive pulmonary disorder (COPD) patients' defensive profile compared with healthy participants and to test whether specific ego defense mechanisms are associated with health-related quality of life (HRQoL) and self-reported dyspnoea severity. METHODS: In a cross-sectional study, we assessed, in 80 patients with COPD and 80 age- and gender-matched healthy participants, psychological distress (Hospital Anxiety and Depression Scale) and defense mechanisms/styles (Defense Style Questionnaire). Patients had their HRQoL evaluated with the St. George's Respiratory Questionnaire and underwent a comprehensive clinical evaluation with determination of functional parameters and dyspnoea severity. RESULTS: COPD patients presented higher scores in undoing, acting out, autistic fantasy, denial, and splitting defenses compared with healthy controls. Overall, patients showed a more immature (P = 0.001) and/or neurotic (P = 0.006) defensive profile. Higher scores of denial (P = 0.044), somatization (P = 0.009), and undoing (P = 0.032) defenses were associated with poorer HRQoL, independently of the anticipated significant associations of clinical and psychological distress variables with impaired HRQoL. Somatization was strongly independently associated with more severe self-reported dyspnoea. CONCLUSIONS: COPD patients exhibit a relatively immature and neurotic defensive profile. Clinicians and consultation-liaison psychiatrists should consider the patients' underlying personality structure, especially somatization tendencies, since it is independently associated with HRQoL and dyspnoea severity.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1007/s11136-011-9884-9-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21404123-
heal.identifier.secondaryhttp://www.springerlink.com/content/1738501n22p513um/fulltext.pdf-
heal.journalNameQual Life Resen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2011-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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