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The objective of this systematic review was to examine the effect of interventions which combine exercise training and psychological interventions for a range of health outcomes in people with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>. Database searches identified randomized controlled trials of people with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> participating in interventions that combined exercise training with a psychological strategy compared with control (usual care, waiting list) or active comparators (education, exercise, psychological interventions alone). Health outcomes included dyspnoea, anxiety, depression, quality of life or functional exercise capacity. Standardized mean differences (<jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content>) were calculated for each intervention arm\/control comparison. Across the 12 included studies (738 participants), compared with control conditions, <jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> consistently favoured interventions which included both exercise\u2009+\u2009psychological components (<jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> range dyspnoea \u22121.63 to \u22120.25; anxiety \u22120.50 to \u22120.20; depression \u22120.46 to \u22120.18; quality of life 0.09 to 1.16; functional exercise capacity 0.22 to 1.23). When compared with active comparators, <jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> consistently favoured interventions that included exercise training\u2009+\u2009psychological component for dyspnoea (<jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> range \u22120.35 to \u22120.97), anxiety (<jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> range \u22120.13 to \u22121.00) and exercise capacity (<jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content> range 0.64 to 0.71) but were inconsistent for depression (\u22120.11 to 1.27) and quality of life (0.02 to \u22122.00). The magnitude of effect for most interventions was greater than the minimum required for clinical significance (i.e.\u2009&gt;\u20090.32) in behavioural medicine. While interventions, outcomes and effect sizes differed substantially between studies, combining exercise training with a psychological intervention may provide a means of optimizing rehabilitation in people with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/resp.12419","type":"journal-article","created":{"date-parts":[[2014,10,23]],"date-time":"2014-10-23T00:45:46Z","timestamp":1414025146000},"page":"46-55","source":"Crossref","is-referenced-by-count":17,"title":["Exercise training combined with psychological interventions for people with chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"20","author":[{"given":"Louise","family":"Wiles","sequence":"first","affiliation":[{"name":"School of Health Sciences Division of Health Sciences University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cafarella","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Repatriation General Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie T.","family":"Williams","sequence":"additional","affiliation":[{"name":"School of Population Health and Centre for Nutritional Physiology Sansom Institute for Health Research School of Health Sciences University of South Australia  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.3.809"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003793.pub2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07\u20102655"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200408-1109SO"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00239-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132005000600007"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2010.482142"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2010.02.020"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291701003890"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707001687"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000313690"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199207000-00011"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10071581"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.04.010"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0060532"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910707X203723"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00004-6"},{"key":"e_1_2_7_19_1","article-title":"Psychological interventions for adults with asthma (review)","volume":"1","author":"Yorke J","year":"2009","journal-title":"Cochrane Database Syst. 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