{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:18:36Z","timestamp":1788254316544,"version":"build-2803163510"},"reference-count":36,"publisher":"European Respiratory Society (ERS)","issue":"5","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"la Fondation du Souffle","award":["Call for proposals Sant\u00e9 Respiratoire et Soci\u00e9t"],"award-info":[{"award-number":["Call for proposals Sant\u00e9 Respiratoire et Soci\u00e9t"]}]},{"name":"RespiFIL, fili\u00e8re de sant\u00e9 des maladies respiratoires rares","award":["Call for proposals \u00ab Impulsion Recherche 2022 \u00bb"],"award-info":[{"award-number":["Call for proposals \u00ab Impulsion Recherche 2022 \u00bb"]}]}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2026,3,31]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To determine whether the strategies people implement to cope with idiopathic pulmonary fibrosis (IPF) help to explain individual differences with regard to comorbid anxiety\/depression, we investigated whether coping strategies moderate the associations between perceived stress and symptoms of anxiety\/depression. The perception of living with fibrosis and its associations with coping strategies were also explored to better understand the processes underlying the use of different strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Mixed-methods cross-sectional study design. Perceived stress, anxiety\/depression symptoms and coping strategies were assessed among 35 people with IPF using the Beck Depression Inventory-II, Spielberg's State-Trait Anxiety Inventory-Y, 10-item Perceived Stress Scale and Brief Coping Orientation to Problems Experienced questionnaire scales. We created experimental videos showing an actor playing the role of a person with IPF accompanied by two extras, and interviewed participants about the emotions, thoughts, expectations, and behaviours they projected onto the characters in order to assess their perception of life with IPF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\u201cSelf-blame\u201d was associated with perceived stress, anxiety and depression symptoms and moderated the relationship between perceived stress and anxiety symptoms: perceived stress predicted anxiety symptoms only when participants blamed themselves. Anxiety symptoms were also negatively associated with the \u201chumour\u201d and \u201cacceptance\u201d strategies. Depression symptoms were predicted by perceived stress, \u201cbehavioural disengagement\u201d and lower use of the \u201cventing\u201d strategy. Participants who described no positive aspects of living with IPF used \u201cinstrumental and social support\u201d, \u201cactive coping\u201d and \u201cdistractibility\u201d strategies the most.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The results highlight the relevance of assessing coping strategies in cases of anxiety\/depression and suggest that adaptive strategies such as commitment to actions in line with personal values and acceptance should be prioritised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1183\/23120541.01732-2025","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T15:45:19Z","timestamp":1776959119000},"page":"01732-2025","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anxiety and depression symptoms, coping strategies, and appraisal of living with idiopathic pulmonary fibrosis: implications for psychological support"],"prefix":"10.1183","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7658-1513","authenticated-orcid":false,"given":"St\u00e9phanie","family":"Vanwalleghem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuelle","family":"Raccah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Morlot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Fourrier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith","family":"Sales-Wuillemin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5591-0955","authenticated-orcid":false,"given":"Vincent","family":"Cottin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3670-5622","authenticated-orcid":false,"given":"Philippe","family":"Bonniaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2830-5642","authenticated-orcid":false,"given":"Guillaume","family":"Beltramo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"2026090101501949000_12.5.01732-2025.1","first-page":"49","article-title":"D\u00e9pendance et insuffisance respiratoire chronique [","volume":"25","author":"Bret","year":"2007","journal-title":"Sci Soc Sant\u00e9"},{"key":"2026090101501949000_12.5.01732-2025.2","doi-asserted-by":"crossref","first-page":"320","DOI":"10.9734\/AIR\/2014\/9740","article-title":"An observational study of anxiety and depression in idiopathic pulmonary fibrosis","volume":"2","author":"Pink","year":"2014","journal-title":"Adv Res"},{"key":"2026090101501949000_12.5.01732-2025.3","doi-asserted-by":"publisher","DOI":"10.1177\/1479972313493098"},{"key":"2026090101501949000_12.5.01732-2025.4","doi-asserted-by":"crossref","first-page":"e0184300","DOI":"10.1371\/journal.pone.0184300","article-title":"Clinical impact of depression and anxiety in patients with idiopathic pulmonary fibrosis","volume":"12","author":"Lee","year":"2017","journal-title":"PLoS One"},{"key":"2026090101501949000_12.5.01732-2025.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-0608"},{"key":"2026090101501949000_12.5.01732-2025.6","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12360"},{"key":"2026090101501949000_12.5.01732-2025.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.02122.x"},{"key":"2026090101501949000_12.5.01732-2025.8","unstructured":"Lazarus RS , Folkman S . Stress, Appraisal, and Coping. New York, Springer, 1984; p. 445."},{"key":"2026090101501949000_12.5.01732-2025.9","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-016-0581-9"},{"key":"2026090101501949000_12.5.01732-2025.10","doi-asserted-by":"publisher","DOI":"10.1111\/0022-4537.00202"},{"key":"2026090101501949000_12.5.01732-2025.11","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1080\/10615806.2020.1755820","article-title":"Not all disengagement coping strategies are created equal: positive distraction, but not avoidance, can be an adaptive coping strategy for chronic life stressors","volume":"33","author":"Waugh","year":"2020","journal-title":"Anxiety Stress Coping"},{"key":"2026090101501949000_12.5.01732-2025.12","doi-asserted-by":"crossref","first-page":"e0197660","DOI":"10.1371\/journal.pone.0197660","article-title":"Patients\u2019 experiences of coping with idiopathic pulmonary fibrosis and their recommendations for its clinical management","volume":"13","author":"Senanayake","year":"2018","journal-title":"PLoS One"},{"key":"2026090101501949000_12.5.01732-2025.13","first-page":"1091","article-title":"Chronic stress leads to anxiety and depression","volume":"5","author":"Khan","year":"2017","journal-title":"Ann Psychiatry Ment Health"},{"key":"2026090101501949000_12.5.01732-2025.14","doi-asserted-by":"crossref","first-page":"471","DOI":"10.3917\/bupsy.515.0471","article-title":"Strat\u00e9gies","volume":"515","author":"Delelis","year":"2011","journal-title":"Bull Psychol"},{"key":"2026090101501949000_12.5.01732-2025.15","doi-asserted-by":"crossref","unstructured":"Lang P . Fear reduction and fear behavior: problems in treating a construct. In: Shlien JM , ed. Research in Psychotherapy. Washington, American Psychological Association, 1968; pp. 90\u2013102. doi:10.1037\/10546-004","DOI":"10.1037\/10546-004"},{"key":"2026090101501949000_12.5.01732-2025.16","unstructured":"Cottraux J , Bouvard M , L\u00e9geron P . M\u00e9thodes et \u00c9chelles d\u2019\u00c9valuation des Comportements [Methods and Scales for Assessing Behaviors]. Issy-les-Moulineaux, E.A.P, 1985."},{"key":"2026090101501949000_12.5.01732-2025.17","unstructured":"Beck AT , Brown GK , Steer RA . Inventaire de D\u00e9pression de Beck-II: BDI-II [Beck Depression Inventory-II: BDI II]. London, Pearson, 1998."},{"key":"2026090101501949000_12.5.01732-2025.18","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"2026090101501949000_12.5.01732-2025.19","first-page":"362","article-title":"La mesure du stress en milieu professionnel avec l\u2019\u00e9chelle de stress per\u00e7u (Perceived Stress Scale): pertinence des versions en dix et quatre items. [","volume":"19","author":"Dupret","year":"2013","journal-title":"Psychol Trav Organ"},{"key":"2026090101501949000_12.5.01732-2025.20","unstructured":"Spielberger CD . STAI-Y \u2013 Inventaire d'Anxi\u00e9t\u00e9 \u00c9tat-Trait (Forme Y). [STAI-Y \u2013 State-Trait Anxiety Inventory (Form Y)]. Washington, Pearson, 1983. Date last accessed: 23 July 2025. www.pearsonclinical.fr\/stai-y"},{"key":"2026090101501949000_12.5.01732-2025.21","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0401_6"},{"key":"2026090101501949000_12.5.01732-2025.22","first-page":"507","article-title":"\u00c9valuation multidimensionnelle du coping: Validation du Brief COPE sur une population fran\u00e7aise. [Multidimensional assessment of coping: validation of the Brief COPE among French population]","volume":"29","author":"Muller","year":"2003","journal-title":"Encephale"},{"key":"2026090101501949000_12.5.01732-2025.23","unstructured":"Barratt W . Barratt Simplified Measure of Social Status (BSMSS). Terre Haute, Indiana State University, 2006."},{"key":"2026090101501949000_12.5.01732-2025.24","unstructured":"Gallucci M . GAMLj: General analyses for Linear Models [jamovi]. 2019. Date last accessed: 23 July 2025. https:\/\/gamlj.github.io\/"},{"key":"2026090101501949000_12.5.01732-2025.25","doi-asserted-by":"crossref","unstructured":"Bruchon-Schweitzer M , Boujut E . Psychologie de la Sant\u00e9: Concepts, M\u00e9thodes et Mod\u00e8les [Health Psychology: Concepts, Methods and Models]. Paris, Dunod, 2021. doi:10.3917\/dunod.bruch.2021.01","DOI":"10.3917\/dunod.bruch.2021.01"},{"key":"2026090101501949000_12.5.01732-2025.26","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. 5th Edn. Washington, American Psychiatric Association Publishing, 2022; p. 1050.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"2026090101501949000_12.5.01732-2025.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2021.04.025"},{"key":"2026090101501949000_12.5.01732-2025.28","doi-asserted-by":"crossref","unstructured":"Graeff TR . Response bias. In: Encyclopedia of Social Measurement. Boston, Elsevier; 2005, pp. 411\u2013418. doi:10.1016\/B0-12-369398-5\/00037-2","DOI":"10.1016\/B0-12-369398-5\/00037-2"},{"key":"2026090101501949000_12.5.01732-2025.29","doi-asserted-by":"publisher","DOI":"10.1037\/1089-2680.5.4.323"},{"key":"2026090101501949000_12.5.01732-2025.30","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1177\/2167702616628523","article-title":"A unified model of depression: integrating clinical, cognitive, biological, and evolutionary perspectives","volume":"4","author":"Beck","year":"2016","journal-title":"Clin Psychol Sci"},{"key":"2026090101501949000_12.5.01732-2025.31","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.eurpsy.2018.06.011","article-title":"Adverse childhood experiences leads to perceived negative attitude of others and the effect of adverse childhood experiences on depression in adulthood is mediated via negative attitude of others","volume":"54","author":"Salokangas","year":"2018","journal-title":"Eur Psychiatry"},{"key":"2026090101501949000_12.5.01732-2025.32","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1186\/s40359-024-02293-5","article-title":"Association between personality and cognitive bias in adults with and without depression","volume":"12","author":"Liu","year":"2024","journal-title":"BMC Psychol"},{"key":"2026090101501949000_12.5.01732-2025.33","unstructured":"Harris R . Passez \u00e0 l'ACT: Pratique de la Th\u00e9rapie d'Acceptation et d'Engagement [Switch to ACT: Practice Acceptance and Commitment Therapy]. 2nd Edn. Louvain-la-Neuve, De Boeck Sup\u00e9rieur, 2017."},{"key":"2026090101501949000_12.5.01732-2025.34","doi-asserted-by":"crossref","unstructured":"Schoendorff B , Grand J , Bolduc MF . La Th\u00e9rapie d'Acceptation et d'Engagement: Guide Clinique. [Acceptance and Commitment Therapy: A Clinical Guide]. Bruxelles , De Boeck, 2011.","DOI":"10.3917\/dbu.boldu.2011.01"},{"key":"2026090101501949000_12.5.01732-2025.35","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1080\/02678373.2012.710369","article-title":"The effectiveness of a new, coping flexibility intervention as compared with a cognitive-behavioural intervention in managing work stress","volume":"26","author":"Cheng","year":"2012","journal-title":"Work Stress"},{"key":"2026090101501949000_12.5.01732-2025.36","doi-asserted-by":"crossref","unstructured":"Schwarzer R , Taubert S . Tenacious goal pursuits and striving toward personal growth: proactive coping. In: Frydenberg E , ed. Beyond Coping. Oxford, Oxford University Press, 2002, pp. 19\u201336. doi:10.1093\/med:psych\/9780198508144.003.0002","DOI":"10.1093\/med:psych\/9780198508144.003.0002"}],"container-title":["ERJ Open Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1183\/23120541.01732-2025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:50:33Z","timestamp":1788252633000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.ersnet.org\/lookup\/doi\/10.1183\/23120541.01732-2025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":36,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,9,1]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1183\/23120541.01732-2025"],"URL":"https:\/\/doi.org\/10.1183\/23120541.01732-2025","relation":{},"ISSN":["2312-0541"],"issn-type":[{"value":"2312-0541","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]}}}