Psychological and cognitive outcomes of a randomized trial of exercise among patients with chronic obstructive pulmonary disease.


Journal Article

Exercise rehabilitation is recommended increasingly for patients with chronic obstructive pulmonary disease (COPD). This study examined the effect of exercise and education on 79 older adults (M age = 66.6 +/- 6.5 years; 53% female) with COPD, randomly assigned to 10 weeks of (a) exercise, education, and stress management (EXESM; n = 29); (b) education and stress management (ESM; n = 25); or (c) waiting list (WL; n = 25). EXESM included 37 sessions of exercise, 16 educational lectures, and 10 weekly stress management classes. ESM included only the 16 lectures and 10 stress management classes. Before and after the intervention, assessments were conducted of physiological functioning (pulmonary function, exercise endurance), psychological well-being (depression, anxiety, quality of life), and cognitive functioning (attention, motor speed, mental efficiency, verbal processing). Repeated measures multivariate analysis of variance indicated that EXESM participants experienced changes not observed among ESM and WL participants, including improved endurance, reduced anxiety, and improved cognitive performance (verbal fluency).

Full Text

Duke Authors

Cited Authors

  • Emery, CF; Schein, RL; Hauck, ER; MacIntyre, NR

Published Date

  • May 1998

Published In

Volume / Issue

  • 17 / 3

Start / End Page

  • 232 - 240

PubMed ID

  • 9619472

Pubmed Central ID

  • 9619472

International Standard Serial Number (ISSN)

  • 0278-6133


  • eng

Conference Location

  • United States