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Additional evidence for the affective dimension of dyspnea in patients with COPD
Authors:Virginia Carrieri‐Kohlman  DorAnne Donesky‐Cuenco  Soo Kyung Park  Lynda Mackin  Huong Q. Nguyen  Steven M. Paul
Affiliation:1. Department of Physiological Nursing, University of California, San Francisco, Box 0610, 2 Koret Way, San Francisco, CA 94143‐0610;2. Professor.;3. Assistant Adjunct Professor.;4. Doctoral Student.;5. CNS Associate Clinical Professor.;6. Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA;7. Associate Professor.;8. Principal Statistician.
Abstract:The primary purpose of this secondary analysis was to determine whether 103 participants with chronic obstructive pulmonary disease rated the affective dimension of dyspnea (dyspnea‐related anxiety and dyspnea‐related distress) separately from the sensory dimension (intensity) during baseline exercise testing conducted as part of a randomized clinical trial. A secondary purpose was to determine if dyspnea‐related anxiety and distress were rated distinctly different from other measurements of anxiety. At the end of a 6‐minute walk and an incremental treadmill test, participant ratings of the magnitude of dyspnea‐related anxiety and distress on the Modified Borg Scale were significantly different from their ratings of the intensity of dyspnea. Dyspnea‐related anxiety and distress also appeared to be concepts independent from measures of state anxiety, negative affect, and anxiety before a treadmill test. © 2009 Wiley Periodicals, Inc. Res Nurs Health 33:4–19, 2010
Keywords:COPD  dyspnea  anxiety  affective dimension
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