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document
Breathlessness and psychiatric morbidity in chronic bronchitis and emphysema : a study of psychotherapeutic management . This paper describes a study of the outcome of psychotherapy with patients disabled by chronic obstructive airways disease giving rise to dyspnoea . Forty-three men and 22 women with severe COAD were randomly allocated for 8 weeks to one of three types of psychotherapy or to an untreated control group , and were followed up six months later . The group treated by a medical nurse without training in psychotherapy experienced sustained relief of dyspnoea but tended to undergo less psychodynamic change ; psychiatric symptoms were reduced in those receiving supportive , but not analytical , psychotherapy . The psychosomatic mechanisms involved and the implications for medical and nursing practice and for liaison psychotherapy are discussed .
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Intervention_Educational
psychotherapeutic management
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Intervention_Psychological
psychotherapy
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Intervention_Educational
psychotherapy
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Intervention_Control
untreated control
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Intervention_Psychological
psychotherapy
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Intervention_Psychological
psychotherapy
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Outcome_Physical
dyspnoea
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Outcome_Mental
psychodynamic change ; psychiatric symptoms
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Participant_Sample-size
Forty-three
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Participant_Sex
men
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Participant_Sample-size
and 22
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Participant_Sex
women
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Participant_Condition
severe COAD