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A cross\u2010sectional, descriptive, correlational design was used with a sample of 67 <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>ordanian patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> related breathlessness and their spouses. The <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>yspnoea 12 <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale (<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u201012) and <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nxiety and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epression <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale (<jats:styled-content style=\"fixed-case\">HADS<\/jats:styled-content>) were administered to both patients and spouses. There was a significant positive correlation between total patients' <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u201012 scores and total <jats:styled-content style=\"fixed-case\">HADS<\/jats:styled-content> scores. Spouses who perceived the patients to have more severe breathlessness affect (<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u201012 affect subscale) were more likely to experience a higher level of psychological distress (<jats:styled-content style=\"fixed-case\">HADS<\/jats:styled-content> total). Both patients and spouses reported clinically significant levels of anxiety and depression. There was no statistical difference in total <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\u201012 and <jats:styled-content style=\"fixed-case\">HADS<\/jats:styled-content> scores between <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> patients and their spouses. The finding of this study indicates the importance of healthcare providers in supporting both patients with breathlessness and their spouses and the need to develop family\u2010centred services.<\/jats:p>","DOI":"10.1111\/nhs.12073","type":"journal-article","created":{"date-parts":[[2013,5,22]],"date-time":"2013-05-22T04:46:59Z","timestamp":1369198019000},"page":"103-111","source":"Crossref","is-referenced-by-count":21,"title":["Perceived breathlessness and psychological distress among patients with chronic obstructive pulmonary disease and their spouses"],"prefix":"10.1111","volume":"16","author":[{"given":"Ekhlas","family":"Al\u2010Gamal","sequence":"first","affiliation":[{"name":"Faculty of Nursing The University of Jordan  Amman Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janelle","family":"Yorke","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Social Work University of Manchester  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304265973"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.4.307"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.12.019"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1740774509102565"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951503030499"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000097339.75789.81"},{"key":"e_1_2_8_9_1","first-page":"389","volume-title":"Handbook of Cross\u2010Cultural Psychology","author":"Brislin R","year":"1980"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/107484070000600104"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S3890"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.5.1633"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002990.pub2"},{"key":"e_1_2_8_14_1","volume-title":"GPOWER: A Priori, Post\u2010Hoc, and Compromise Power Analyses for MS\u2010DOS (Computer Program)","author":"Faul F","year":"1992"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.032408.153621"},{"key":"e_1_2_8_16_1","unstructured":"Global Initiative for Chronic Obstructive Lung Disease.Global Strategy for the Diagnosis Management and Prevention of Chronic Obstructive Pulmonary Disease (GOLD). 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