{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:59:46Z","timestamp":1771037986304,"version":"3.50.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to test the feasibility of telepsychology support for patients with severe cardiorespiratory disease and their caregivers. A secondary objective was to explore pre-post relationships between patients' and caregivers' clinical measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A telehealth program incorporating telepsychology support, i.e., an \u201con-demand\u201d phone service with a psychologist, was provided to consecutive cardiorespiratory patients at discharge from inpatient rehabilitation and to their caregivers. At the start and end of the 1-year program, participants were interviewed \u201cface-to-face,\u201d and their anxiety\/depression level, patients' quality of life (MRF-28, SF-36, and MQOL), and caregivers' (<jats:italic>n<\/jats:italic> = 18) family strain (FSQ) and needs (CNA) were assessed: we analyzed the correlations and evaluated customer satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 80 eligible individuals, 40 took part in this study: 22 patients (FVC = 39 \u00b1 14%; EF = 39 \u00b1 13%) and 18 caregivers. Eleven (28%, 6 patients and 5 caregivers) requested tele-psychological support, resulting in 51 consultations focused on anxiety, difficulty in patient management, worry about the patient's emotional state, and need for emotional support; 3 participants underwent a tailored psychotherapy program. All participants expressed high satisfaction with the service. At enrolment, anxiety was less evident in patients (73% men) than in caregivers, while depressive symptoms were more evident (6.5 \u00b1 3.1), and correlated with MRF-28 and MQOL. Caregivers' (94% women) FSQ showed a \u201cstrongly recommended\u201d need for support; at enrolment, high levels of anxiety\/depression were correlated with high FSQ (for both, <jats:italic>p<\/jats:italic> &amp;lt; 0.05); depressive symptoms correlated negatively with age (<jats:italic>p<\/jats:italic> = 0.025) and positively with emotional needs (<jats:italic>p<\/jats:italic> = 0.025); anxiety was positively correlated with education level (<jats:italic>p<\/jats:italic> = 0.048). At follow-up, patients' perception of support (<jats:italic>n<\/jats:italic> = 13\/22) tended to increase (<jats:italic>p<\/jats:italic> = 0.089), while caregivers' strain (<jats:italic>n<\/jats:italic> = 10\/18) tended to decline (to within the \u201crange of attention\u201d). At enrolment, caregivers' anxiety\/depression and strain correlated with patients' quality of life (for both; <jats:italic>p<\/jats:italic> &amp;lt; 0.05). At follow-up, caregivers' strain correlated with patients' quality of life (<jats:italic>p<\/jats:italic> = 0.028) and cognitive performance (<jats:italic>p<\/jats:italic> = 0.048).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Telepsychology support associated with a telehealth service is feasible and satisfying for both participants and psychological management. A suitable support program can benefit both patients and caregivers, particularly those at higher risk of depressive symptoms (younger caregivers) and anxiety (all caregivers).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2022.909417","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T13:06:47Z","timestamp":1660223207000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Feasibility of telepsychology support for patients with advanced cardiorespiratory diseases and their caregivers"],"prefix":"10.3389","volume":"13","author":[{"given":"Lidia","family":"Gazzi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Comini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simonetta","family":"Scalvini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Taccolini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Vitacca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1590\/S0104-11692013000400005","article-title":"Quality of life and burden in carers for persons with chronic obstructive pulmonary disease receiving oxygen therapy","volume":"21","author":"Cedano","year":"2013","journal-title":"Rev. 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