Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study.
Identifieur interne : 000605 ( Main/Corpus ); précédent : 000604; suivant : 000606Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study.
Auteurs : Nicola J. Paine ; Simon L. Bacon ; Jean Bourbeau ; Wan C. Tan ; Kim L. Lavoie ; Shawn D. Aaron ; Kenneth R. Chapman ; J Mark Fitzgerald ; Paul Hernandez ; Darcy D. Marciniuk ; François Maltais ; Denis E. O'Donnell ; Don Sin ; Brandie L. WalkerSource :
- Respiratory medicine [ 1532-3064 ] ; 2019.
English descriptors
- KwdEn :
- Aged (MeSH), Anxiety (epidemiology), Anxiety (psychology), Canada (epidemiology), Cross-Sectional Studies (MeSH), Depression (epidemiology), Depression (psychology), Disease Progression (MeSH), Exercise (psychology), Female (MeSH), Health Risk Behaviors (MeSH), Humans (MeSH), Incidence (MeSH), Male (MeSH), Middle Aged (MeSH), Psychological Distress (MeSH), Pulmonary Disease, Chronic Obstructive (epidemiology), Pulmonary Disease, Chronic Obstructive (physiopathology), Pulmonary Disease, Chronic Obstructive (psychology), Respiratory Function Tests (methods), Risk Factors (MeSH), Self Report (MeSH), Smoking (adverse effects), Smoking (epidemiology).
- MESH :
- geographic , epidemiology : Canada.
- adverse effects : Smoking.
- epidemiology : Anxiety, Depression, Pulmonary Disease, Chronic Obstructive, Smoking.
- methods : Respiratory Function Tests.
- physiopathology : Pulmonary Disease, Chronic Obstructive.
- psychology : Anxiety, Depression, Exercise, Pulmonary Disease, Chronic Obstructive.
- Aged, Cross-Sectional Studies, Disease Progression, Female, Health Risk Behaviors, Humans, Incidence, Male, Middle Aged, Psychological Distress, Risk Factors, Self Report.
Abstract
BACKGROUND
Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA).
METHODS
717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported pack-years smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status.
RESULTS
Across the whole sample, we observed relationships between depression (β = 1.107 ± 0.197; 95%CI = 0.691-1.462; p < .001) and anxiety (β = 0.780 ± 0.170; 95%CI = 0.446-1.114; p < .001) and pack years. Higher depression (β = -0.220 ± 0.028; 95%CI = -0.275 to -0.165; p < .001) and anxiety (β = -0.091 ± 0.025; 95%CI = -0.139 to -0.043; p < .001) scores were related to lower PA. These associations were comparable across COPD and non-COPD patients.
CONCLUSIONS
Results showed that higher levels of anxiety and depression were related to higher cumulative smoking and lower levels of PA in patients with and without COPD, suggesting symptoms of psychological distress is similarly associated with poorer health behaviours in COPD and non-COPD individuals. Future studies need to determine if treating symptoms of psychological distress can improve health behaviours and outcomes in this population.
DOI: 10.1016/j.rmed.2018.11.006
PubMed: 30665505
Links to Exploration step
pubmed:30665505Le document en format XML
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<author><name sortKey="Paine, Nicola J" sort="Paine, Nicola J" uniqKey="Paine N" first="Nicola J" last="Paine">Nicola J. Paine</name>
<affiliation><nlm:affiliation>School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom; Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada.</nlm:affiliation>
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<author><name sortKey="Lavoie, Kim L" sort="Lavoie, Kim L" uniqKey="Lavoie K" first="Kim L" last="Lavoie">Kim L. Lavoie</name>
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<author><name sortKey="Aaron, Shawn D" sort="Aaron, Shawn D" uniqKey="Aaron S" first="Shawn D" last="Aaron">Shawn D. Aaron</name>
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<author><name sortKey="Fitzgerald, J Mark" sort="Fitzgerald, J Mark" uniqKey="Fitzgerald J" first="J Mark" last="Fitzgerald">J Mark Fitzgerald</name>
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<author><name sortKey="Hernandez, Paul" sort="Hernandez, Paul" uniqKey="Hernandez P" first="Paul" last="Hernandez">Paul Hernandez</name>
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<author><name sortKey="Marciniuk, Darcy D" sort="Marciniuk, Darcy D" uniqKey="Marciniuk D" first="Darcy D" last="Marciniuk">Darcy D. Marciniuk</name>
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</affiliation>
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<author><name sortKey="Maltais, Francois" sort="Maltais, Francois" uniqKey="Maltais F" first="François" last="Maltais">François Maltais</name>
<affiliation><nlm:affiliation>Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Quebec, Canada.</nlm:affiliation>
</affiliation>
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<author><name sortKey="O Donnell, Denis E" sort="O Donnell, Denis E" uniqKey="O Donnell D" first="Denis E" last="O'Donnell">Denis E. O'Donnell</name>
<affiliation><nlm:affiliation>Queens University, Kingston, Ontario, Canada.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Sin, Don" sort="Sin, Don" uniqKey="Sin D" first="Don" last="Sin">Don Sin</name>
<affiliation><nlm:affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Walker, Brandie L" sort="Walker, Brandie L" uniqKey="Walker B" first="Brandie L" last="Walker">Brandie L. Walker</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study.</title>
<author><name sortKey="Paine, Nicola J" sort="Paine, Nicola J" uniqKey="Paine N" first="Nicola J" last="Paine">Nicola J. Paine</name>
<affiliation><nlm:affiliation>School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom; Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bacon, Simon L" sort="Bacon, Simon L" uniqKey="Bacon S" first="Simon L" last="Bacon">Simon L. Bacon</name>
<affiliation><nlm:affiliation>Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada; Department of Exercise Science, Concordia University, Montréal, Québec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bourbeau, Jean" sort="Bourbeau, Jean" uniqKey="Bourbeau J" first="Jean" last="Bourbeau">Jean Bourbeau</name>
<affiliation><nlm:affiliation>Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tan, Wan C" sort="Tan, Wan C" uniqKey="Tan W" first="Wan C" last="Tan">Wan C. Tan</name>
<affiliation><nlm:affiliation>Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lavoie, Kim L" sort="Lavoie, Kim L" uniqKey="Lavoie K" first="Kim L" last="Lavoie">Kim L. Lavoie</name>
<affiliation><nlm:affiliation>Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada; Department of Psychology, University of Québec at Montréal, Montréal, Québec, Canada. Electronic address: lavoie.kim@uqam.ca.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Aaron, Shawn D" sort="Aaron, Shawn D" uniqKey="Aaron S" first="Shawn D" last="Aaron">Shawn D. Aaron</name>
<affiliation><nlm:affiliation>Ottawa University, Ottawa, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chapman, Kenneth R" sort="Chapman, Kenneth R" uniqKey="Chapman K" first="Kenneth R" last="Chapman">Kenneth R. Chapman</name>
<affiliation><nlm:affiliation>University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fitzgerald, J Mark" sort="Fitzgerald, J Mark" uniqKey="Fitzgerald J" first="J Mark" last="Fitzgerald">J Mark Fitzgerald</name>
<affiliation><nlm:affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hernandez, Paul" sort="Hernandez, Paul" uniqKey="Hernandez P" first="Paul" last="Hernandez">Paul Hernandez</name>
<affiliation><nlm:affiliation>Dalhousie University, Halifax, Nova Scotia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Marciniuk, Darcy D" sort="Marciniuk, Darcy D" uniqKey="Marciniuk D" first="Darcy D" last="Marciniuk">Darcy D. Marciniuk</name>
<affiliation><nlm:affiliation>University of Saskatchewan, Saskatoon, Saskatchewan, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Maltais, Francois" sort="Maltais, Francois" uniqKey="Maltais F" first="François" last="Maltais">François Maltais</name>
<affiliation><nlm:affiliation>Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Quebec, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="O Donnell, Denis E" sort="O Donnell, Denis E" uniqKey="O Donnell D" first="Denis E" last="O'Donnell">Denis E. O'Donnell</name>
<affiliation><nlm:affiliation>Queens University, Kingston, Ontario, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sin, Don" sort="Sin, Don" uniqKey="Sin D" first="Don" last="Sin">Don Sin</name>
<affiliation><nlm:affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Walker, Brandie L" sort="Walker, Brandie L" uniqKey="Walker B" first="Brandie L" last="Walker">Brandie L. Walker</name>
<affiliation><nlm:affiliation>University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series><title level="j">Respiratory medicine</title>
<idno type="eISSN">1532-3064</idno>
<imprint><date when="2019" type="published">2019</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Anxiety (epidemiology)</term>
<term>Anxiety (psychology)</term>
<term>Canada (epidemiology)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Depression (epidemiology)</term>
<term>Depression (psychology)</term>
<term>Disease Progression (MeSH)</term>
<term>Exercise (psychology)</term>
<term>Female (MeSH)</term>
<term>Health Risk Behaviors (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Psychological Distress (MeSH)</term>
<term>Pulmonary Disease, Chronic Obstructive (epidemiology)</term>
<term>Pulmonary Disease, Chronic Obstructive (physiopathology)</term>
<term>Pulmonary Disease, Chronic Obstructive (psychology)</term>
<term>Respiratory Function Tests (methods)</term>
<term>Risk Factors (MeSH)</term>
<term>Self Report (MeSH)</term>
<term>Smoking (adverse effects)</term>
<term>Smoking (epidemiology)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anxiety</term>
<term>Depression</term>
<term>Pulmonary Disease, Chronic Obstructive</term>
<term>Smoking</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiratory Function Tests</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term>
<term>Depression</term>
<term>Exercise</term>
<term>Pulmonary Disease, Chronic Obstructive</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Health Risk Behaviors</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Psychological Distress</term>
<term>Risk Factors</term>
<term>Self Report</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported pack-years smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Across the whole sample, we observed relationships between depression (β = 1.107 ± 0.197; 95%CI = 0.691-1.462; p < .001) and anxiety (β = 0.780 ± 0.170; 95%CI = 0.446-1.114; p < .001) and pack years. Higher depression (β = -0.220 ± 0.028; 95%CI = -0.275 to -0.165; p < .001) and anxiety (β = -0.091 ± 0.025; 95%CI = -0.139 to -0.043; p < .001) scores were related to lower PA. These associations were comparable across COPD and non-COPD patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Results showed that higher levels of anxiety and depression were related to higher cumulative smoking and lower levels of PA in patients with and without COPD, suggesting symptoms of psychological distress is similarly associated with poorer health behaviours in COPD and non-COPD individuals. Future studies need to determine if treating symptoms of psychological distress can improve health behaviours and outcomes in this population.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30665505</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3064</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>146</Volume>
<PubDate><Year>2019</Year>
<Month>01</Month>
</PubDate>
</JournalIssue>
<Title>Respiratory medicine</Title>
<ISOAbbreviation>Respir Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Psychological distress is related to poor health behaviours in COPD and non-COPD patients: Evidence from the CanCOLD study.</ArticleTitle>
<Pagination><MedlinePgn>1-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0954-6111(18)30365-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rmed.2018.11.006</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">Patients with psychiatric disorders (depression, anxiety) are more likely to have poor health behaviours, including higher smoking and lower physical activity (PA) levels. Smoking is a major risk factor for Chronic Obstructive Pulmonary Disease (COPD), and PA is critical for COPD management. However, no studies have assessed associations between psychological distress and these behaviours among patients with vs without COPD. This is a sub-analysis of the CanCOLD study that assessed the relationships between psychological disorders (depression, anxiety) and poor health behaviours (smoking, PA).</AbstractText>
<AbstractText Label="METHODS">717 COPD and 797 matched non-COPD individuals from the CanCOLD study, completed the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression. Smoking behaviour was self-reported pack-years smoking. The CHAMPS PA questionnaire determined calorific expenditure as a PA measure. Regressions determined relationships between anxiety/depression and health behaviours, adjusting for age, sex, BMI, GOLD stage and COPD status.</AbstractText>
<AbstractText Label="RESULTS">Across the whole sample, we observed relationships between depression (β = 1.107 ± 0.197; 95%CI = 0.691-1.462; p < .001) and anxiety (β = 0.780 ± 0.170; 95%CI = 0.446-1.114; p < .001) and pack years. Higher depression (β = -0.220 ± 0.028; 95%CI = -0.275 to -0.165; p < .001) and anxiety (β = -0.091 ± 0.025; 95%CI = -0.139 to -0.043; p < .001) scores were related to lower PA. These associations were comparable across COPD and non-COPD patients.</AbstractText>
<AbstractText Label="CONCLUSIONS">Results showed that higher levels of anxiety and depression were related to higher cumulative smoking and lower levels of PA in patients with and without COPD, suggesting symptoms of psychological distress is similarly associated with poorer health behaviours in COPD and non-COPD individuals. Future studies need to determine if treating symptoms of psychological distress can improve health behaviours and outcomes in this population.</AbstractText>
<CopyrightInformation>Copyright © 2018. Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paine</LastName>
<ForeName>Nicola J</ForeName>
<Initials>NJ</Initials>
<AffiliationInfo><Affiliation>School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom; Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bacon</LastName>
<ForeName>Simon L</ForeName>
<Initials>SL</Initials>
<AffiliationInfo><Affiliation>Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada; Department of Exercise Science, Concordia University, Montréal, Québec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bourbeau</LastName>
<ForeName>Jean</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tan</LastName>
<ForeName>Wan C</ForeName>
<Initials>WC</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lavoie</LastName>
<ForeName>Kim L</ForeName>
<Initials>KL</Initials>
<AffiliationInfo><Affiliation>Montréal Behavioural Medicine Centre, Centre intégrée universitaire de services de santé et de services sociaux du Nord-de-l'Île-de-Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 Boulevard Gouin Ouest, Montréal, Québec, Canada; Department of Psychology, University of Québec at Montréal, Montréal, Québec, Canada. Electronic address: lavoie.kim@uqam.ca.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>CanCOLD Study Investigators</CollectiveName>
</Author>
<Author ValidYN="Y"><LastName>Aaron</LastName>
<ForeName>Shawn D</ForeName>
<Initials>SD</Initials>
<AffiliationInfo><Affiliation>Ottawa University, Ottawa, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chapman</LastName>
<ForeName>Kenneth R</ForeName>
<Initials>KR</Initials>
<AffiliationInfo><Affiliation>University of Toronto, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>FitzGerald</LastName>
<ForeName>J Mark</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hernandez</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Dalhousie University, Halifax, Nova Scotia, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Marciniuk</LastName>
<ForeName>Darcy D</ForeName>
<Initials>DD</Initials>
<AffiliationInfo><Affiliation>University of Saskatchewan, Saskatoon, Saskatchewan, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maltais</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>O'Donnell</LastName>
<ForeName>Denis E</ForeName>
<Initials>DE</Initials>
<AffiliationInfo><Affiliation>Queens University, Kingston, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sin</LastName>
<ForeName>Don</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>University of British Columbia, Vancouver, British Columbia, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Walker</LastName>
<ForeName>Brandie L</ForeName>
<Initials>BL</Initials>
<AffiliationInfo><Affiliation>University of Calgary, Calgary, Alberta, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>Canadian Respiratory Research Network and teh CanCOLD Collaborative Research Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>93326</GrantID>
<Agency>CIHR</Agency>
<Country>Canada</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>11</Month>
<Day>15</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Respir Med</MedlineTA>
<NlmUniqueID>8908438</NlmUniqueID>
<ISSNLinking>0954-6111</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073599" MajorTopicYN="N">Health Risk Behaviors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000079225" MajorTopicYN="N">Psychological Distress</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D029424" MajorTopicYN="N">Pulmonary Disease, Chronic Obstructive</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012129" MajorTopicYN="N">Respiratory Function Tests</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012907" MajorTopicYN="N">Smoking</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Anxiety</Keyword>
<Keyword MajorTopicYN="Y">COPD</Keyword>
<Keyword MajorTopicYN="Y">CanCOLD</Keyword>
<Keyword MajorTopicYN="Y">Depression</Keyword>
<Keyword MajorTopicYN="Y">Physical activity</Keyword>
<Keyword MajorTopicYN="Y">Smoking</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>08</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2018</Year>
<Month>11</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2018</Year>
<Month>11</Month>
<Day>09</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>1</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>1</Month>
<Day>23</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30665505</ArticleId>
<ArticleId IdType="pii">S0954-6111(18)30365-2</ArticleId>
<ArticleId IdType="doi">10.1016/j.rmed.2018.11.006</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
</record>
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