{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T02:54:42Z","timestamp":1775703282308,"version":"3.50.1"},"reference-count":87,"publisher":"Oxford University Press (OUP)","issue":"8","funder":[{"name":"U.S. Department of Veterans Affairs (VA) Rehabilitation Research and Development Service Career Development Award-2"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Physical activity is recommended as part of guideline-based care for managing chronic obstructive pulmonary disease (COPD) at all stages of the disease. However, physical activity interventions are less effective in individuals with co-occurring emotional distress (i.e., depression and\/or anxiety symptoms). Interventions that dually promote improved physical and mental health in COPD are needed. The first step for intervention development is understanding individuals\u2019 experience of these factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>To understand the experience of emotional distress in U.S. Veterans diagnosed with COPD and to explore how emotional distress impacts physical activity engagement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Structured interviews informed by the cognitive and behavioral models of psychopathology were conducted with 29 United States Veterans with COPD (89.66% male, age 67.72 \u00b1 6.55 years, 93.10% White) at the VA Boston Healthcare System. Interviews were audio recorded, transcribed, and underwent thematic analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Three major themes encapsulating 17 codes emerged through thematic analysis: (i) the experience of emotional distress in Veterans with COPD; (ii) the complex relationship between emotional distress, physical activity engagement, and COPD; (iii) contextual and personal factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Veterans\u2019 interpretation of their COPD symptoms as unpredictable and uncontrollable and COPD-related physical limitations influenced their experience of emotional distress, while the experience of emotional distress both promoted and deterred physical activity engagement. Veterans were motivated to engage in physical activity despite experiencing emotional distress when they faced a responsibility in daily life. They identified motivational strategies and self-regulation techniques to manage emotional distress and to foster physical activity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/abm\/kaae030","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T12:50:32Z","timestamp":1717764632000},"page":"539-551","source":"Crossref","is-referenced-by-count":7,"title":["Emotional Distress and Physical Activity Engagement in U.S. Veterans With Chronic Obstructive Pulmonary Disease: A Qualitative Study"],"prefix":"10.1093","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3259-2130","authenticated-orcid":false,"given":"Patricia M","family":"Bamonti","sequence":"first","affiliation":[{"name":"Research & Development Service , VA Boston Healthcare System, Boston MA , USA"},{"name":"Department of Psychiatry, Havard Medical School , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace A","family":"Rose","sequence":"additional","affiliation":[{"name":"Research & Development Service , VA Boston Healthcare System, Boston MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stella","family":"Park","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education & Clinical Center , VA Boston Healthcare System, Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy K","family":"Silberbogen","sequence":"additional","affiliation":[{"name":"VA Boston Healthcare System , Boston, MA , USA"},{"name":"Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3434-347X","authenticated-orcid":false,"given":"Jennifer","family":"Moye","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Havard Medical School , Boston, MA , USA"},{"name":"New England Geriatric Research Education & Clinical Center , VA Boston Healthcare System, Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn L","family":"Moy","sequence":"additional","affiliation":[{"name":"Pulmonary and Critical Care Medicine Section, VA Boston Healthcare System , Boston, MA , USA"},{"name":"Department of Medicine, Harvard Medical School , Boston, MA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"2024071109303010600_CIT0001","volume-title":"Global Strategy for Prevention, Diagnosis and Management of COPD: 2024 Report","author":"GOLD","year":"2024"},{"issue":"2","key":"2024071109303010600_CIT0002","doi-asserted-by":"crossref","first-page":"020415","DOI":"10.7189\/jogh.05.020415","article-title":"Global and regional estimates of COPD prevalence: systematic review and 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