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Psychosomatic Medicine 35:41-49 (1973)
© 1973 American Psychosomatic Society
1 Pulmonary Section, Medical Service, the Psychiatry Service and the Psychology Service, Veterans Administration Hospital and the Department of Medicine and Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio
Address for reprint requests: Ina Boyd, MD, Psychiatry and Neurology Service, VA Hospital, 2002 Holcombe Boulevard, Houston, Texas 77031.
The authors tested the assumption that a comprehensive rehabilitation program could produce significant beneficial changes in patients with chronic obstructive lung disease and determined whether such changes correlated with physiologic or psychologic factors. Twenty-one patients were studied by physiologic and psychologic methods before, immediately following, and 1 year after an intensive in-hospital rehabilitation program. Significant improvement in function was noted in some patients. This change correlated positively with psychologic factors but not with physiologic state. Patients who did well in rehabilitation began with fewer psychologic symptoms of depression, anxiety and body preoccupation and showed more improvement in these symptoms than patients who did poorly. Of particular importance were the desensitization of the fear of dyspnea and increased patient autonomy in the control of symptoms.
Submitted on January 27, 1972
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