RT Journal Article SR Electronic T1 Nonpharmacological management of psychological distress in people with COPD JF European Respiratory Review JO EUROPEAN RESPIRATORY REVIEW FD European Respiratory Society SP 220170 DO 10.1183/16000617.0170-2022 VO 32 IS 167 A1 Volpato, Eleonora A1 Farver-Vestergaard, Ingeborg A1 Brighton, Lisa Jane A1 Peters, Jeannette A1 Verkleij, Marieke A1 Hutchinson, Ann A1 Heijmans, Monique A1 von Leupoldt, Andreas YR 2023 UL https://publications.ersnet.org//content/32/167/220170.abstract AB Psychological distress is prevalent in people with COPD and relates to a worse course of disease. It often remains unrecognised and untreated, intensifying the burden on patients, carers and healthcare systems. Nonpharmacological management strategies have been suggested as important elements to manage psychological distress in COPD. Therefore, this review presents instruments for detecting psychological distress in COPD and provides an overview of available nonpharmacological management strategies together with available scientific evidence for their presumed benefits in COPD. Several instruments are available for detecting psychological distress in COPD, including simple questions, questionnaires and clinical diagnostic interviews, but their implementation in clinical practice is limited and heterogeneous. Moreover, various nonpharmacological management options are available for COPD, ranging from specific cognitive behavioural therapy (CBT) to multi-component pulmonary rehabilitation (PR) programmes. These interventions vary substantially in their specific content, intensity and duration across studies. Similarly, available evidence regarding their efficacy varies significantly, with the strongest evidence currently for CBT or PR. Further randomised controlled trials are needed with larger, culturally diverse samples and long-term follow-ups. Moreover, effective nonpharmacological interventions should be implemented more in the clinical routine. Respective barriers for patients, caregivers, clinicians, healthcare systems and research need to be overcome.Psychological distress is common in COPD but remains mostly undetected and untreated despite several available management options. Increased research and clinical efforts are needed to further improve diagnostic and clinical treatment routines. https://bit.ly/3XjTyos