Benzo Roberto P, Kirsch Janae L, Dulohery Megan M, Abascal-Bolado Beatriz
1 Mindful Breathing Laboratory, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota; and.
2 Servicio de Neumología, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain.
Ann Am Thorac Soc. 2016 Jan;13(1):10-6. doi: 10.1513/AnnalsATS.201508-490OC.
Individuals with chronic obstructive pulmonary disease (COPD) often struggle with diminished autonomy and quality of life. Emotional factors play a crucial role in the well-being of patients with COPD; they are independently associated with critical outcomes such as dyspnea, quality of life, and health care use. Emotional intelligence is the capacity to understand and manage personal thoughts and feelings, as well as to positively influence interpersonal communication and social well-being. Emotional intelligence is a trainable skill that is extensively used in corporate business to improve well-being and performance, and it may also be significant in the self-management of emotions in patients with chronic disease. Importantly, research supports the proposition that emotional intelligence may be developed and learned at any time or any age, and training programs have been associated with increased well-being and better emotional regulation in patients with chronic disease. However, to date, no research has been done to investigate its value in patients with COPD.
We aimed to investigate the association between emotional intelligence and two meaningful outcomes in COPD: quality of life and self-management abilities.
Participants with moderate to severe COPD completed a disease-specific quality of life tool (Chronic Respiratory Questionnaire), the Trait Emotional Intelligence Questionnaire, the Self-Management Abilities Scale, the modified Medical Research Council Dyspnea Scale, and pulmonary function tests, and also provided information about living conditions and self-reported health care use.
A total of 310 patients with COPD (mean age, 69 ± 9 yr; 40% female; mean FEV1%, 42.4 ± 15.8) participated in the study. Emotional intelligence was significantly and independently associated with self-management abilities (P < 0.0001) and all domains of quality of life assessed (dyspnea, fatigue, emotions, and mastery; P < 0.0001) after adjusting for age, degree of bronchial obstruction, breathlessness, and other significant confounders.
Emotional intelligence may represent an important attribute in COPD, as it is associated with self-management abilities and all domains of quality of life, regardless of age or disease severity. Emotional intelligence can be learned and may complement existing rehabilitation efforts. Attention to it may address the current gap that exists in the treatment of emotional components of COPD responsible for decreased quality of life and increased health care use.
慢性阻塞性肺疾病（COPD）患者常常面临自主性降低和生活质量下降的问题。情绪因素在COPD患者的健康状况中起着至关重要的作用；它们与诸如呼吸困难、生活质量和医疗保健使用等关键结果独立相关。情商是理解和管理个人思想及情感的能力，以及积极影响人际沟通和社会幸福感的能力。情商是一种可训练的技能，在企业界被广泛用于改善幸福感和绩效，它在慢性病患者的情绪自我管理中可能也很重要。重要的是，研究支持这样一种观点，即情商可以在任何时间或任何年龄得到培养和学习，并且培训项目与慢性病患者幸福感的提高和更好的情绪调节相关。然而，迄今为止，尚未开展研究来调查其在COPD患者中的价值。
我们旨在研究情商与COPD两个有意义的结果之间的关联：生活质量和自我管理能力。
中重度COPD患者完成了一份特定疾病的生活质量工具（慢性呼吸问卷）、特质情商问卷、自我管理能力量表、改良的医学研究理事会呼吸困难量表和肺功能测试，并提供了有关生活条件和自我报告的医疗保健使用情况的信息。
共有310例COPD患者（平均年龄69±9岁；40%为女性；平均第一秒用力呼气容积百分比为42.4±15.8）参与了该研究。在调整年龄、支气管阻塞程度、呼吸急促和其他重要混杂因素后，情商与自我管理能力（P<0.0001）以及所评估的生活质量的所有领域（呼吸困难、疲劳、情绪和掌控感；P<0.0001）显著且独立相关。
情商可能是COPD的一个重要属性，因为它与自我管理能力和生活质量的所有领域相关，而与年龄或疾病严重程度无关。情商是可以学习的，并且可能补充现有的康复措施。关注情商可能填补目前在治疗导致生活质量下降和医疗保健使用增加的COPD情绪成分方面存在的空白。
