*Result*: Climate Anxiety and COPD: Unveiling Its Impact on Patients' Quality of Life Through a Multivariate Lens.
Title:
Climate Anxiety and COPD: Unveiling Its Impact on Patients' Quality of Life Through a Multivariate Lens.
Authors:
Asal MGR; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt., Alsenany SA; Public Health Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia., Mohammed MS; Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt., Elzohairy NW; Psychiatric Nursing and Mental Health Department, Faculty of Nursing, Damanhour University, Damanhour, Egypt., El-Sayed AAI; Nursing Department, College of Pharmacy and Applied Medical Sciences, Dar Al Uloom University, Riyadh, Saudi Arabia.
Source:
Journal of clinical nursing [J Clin Nurs] 2026 Jan; Vol. 35 (1), pp. 109-120. Date of Electronic Publication: 2025 Apr 28.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9207302 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2702 (Electronic) Linking ISSN: 09621067 NLM ISO Abbreviation: J Clin Nurs Subsets: MEDLINE
Imprint Name(s):
Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1992-
MeSH Terms:
References:
Akasha, H., O. Ghaffarpasand, and F. D. Pope. 2023. “Climate Change, Air Pollution and the Associated Burden of Disease in the Arabian Peninsula and Neighbouring Regions: A Critical Review of the Literature.” Sustainability 15, no. 4: 3766. https://doi.org/10.3390/su15043766.
Akiki, Z., S. Hallit, N. Layoun, et al. 2018. “Validation of the St George's Respiratory Questionnaire and Risks Factors Affecting the Quality of Life of Lebanese COPD and Asthma Patients.” Journal of Asthma 56, no. 11: 1212–1221. https://doi.org/10.1080/02770903.2018.1531996.
Al Wachami, N., M. Guennouni, Y. Iderdar, et al. 2024. “Estimating the Global Prevalence of Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review and Meta‐Analysis.” BMC Public Health 24, no. 1: 297. https://doi.org/10.1186/s12889‐024‐17686‐9.
Al‐Ghamdi, M. A., N. Helmi, and S. S. Moselhy. 2024. “Cross‐Sectional Study of the Association of Respiratory Diseases Health Risk With Environmental Pollutants and Climate Change in Saudi Arabia.” Environmental Science and Pollution Research 31, no. 45: 56391–56398. https://doi.org/10.1007/s11356‐024‐34873‐8.
Amin, W., R. Ashmawy, S. Sharaf, et al. 2024. “Revealing the Significance of Early Detection of Chronic Obstructive Pulmonary Disease: Insights From Healthy Lung Initiative Data at COP27 Conference.” BMC Health Services Research 24, no. 1: 872. https://doi.org/10.4103/1687‐8426.153586.
Asal, M. G. R., A. A. I. El‐Sayed, S. A. Alsenany, Z. H. Ramzy, and R. F. A. Dawood. 2025. “Self‐Administered Active Versus Sham Acupressure for Diarrhea Predominant Irritable Bowel Syndrome: A Nurse‐Led Randomized Clinical Trial.” BMC Nursing 24, no. 1: 106. https://doi.org/10.1186/s12912‐024‐02594‐5.
Atta, M. H. R., A. A. I. El‐Sayed, F. Taleb, et al. 2025. “The Climate‐Asthma Connection: Examining the Influence of Climate Change Anxiety on Asthma Control and Quality of Life: A Multi‐National Study.” Journal of Advanced Nursing 81, no. 12: 8200–8217. https://doi.org/10.1111/jan.16513.
Badway, M. S., A. F. Hamed, and F. M. Yousef. 2016. “Prevalence of Chronic Obstructive Pulmonary Disease (COPD) in Qena Governorate.” Egyptian Journal of Chest Diseases and Tuberculosis 65, no. 1: 29–34. https://doi.org/10.1016/j.ejcdt.2015.10.001.
Blondeel, A., F. Hermans, S. Breuls, et al. 2023. “The Association of Weather Conditions With Day‐To‐Day Variability in Physical Activity in Patients With COPD.” ERJ Open Research 9, no. 6: e00314‐2023. https://doi.org/10.1183/23120541.00314‐2023.
Boehme, B. A., L. M. Kinsman, H. J. Norrie, E. D. Tessier, S. W. Fleming, and G. J. Asmundson. 2024. “Climate Anxiety: Current Evidence and Future Directions.” Current Psychiatry Reports 26, no. 11: 1–8. https://doi.org/10.1007/s11920‐024‐01538‐9.
Boluda‐Verdu, I., M. Senent‐Valero, M. Casas‐Escolano, A. Matijasevich, and M. Pastor‐Valero. 2022. “Fear for the Future: Eco‐Anxiety and Health Implications, a Systematic Review.” Journal of Environmental Psychology 84: 101904. https://doi.org/10.1016/j.jenvp.2022.101904.
Borge, C. R., M. H. Larsen, R. H. Osborne, et al. 2024. “Impacts of a Health Literacy‐Informed Intervention in People With Chronic Obstructive Pulmonary Disease (COPD) on Hospitalization, Health Literacy, Self‐Management, Quality of Life, and Health Costs–A Randomized Controlled Trial.” Patient Education and Counseling 123: 108220. https://doi.org/10.1016/j.pec.2024.108220.
Bouloukaki, I., A. Christodoulakis, K. Margetaki, and I. Tsiligianni. 2024. “Association of Lifestyle Behaviors With Quality of Life in Patients With COPD: A Cross‐Sectional Study in Primary Care.” Journal of Clinical Medicine 13, no. 16: 4793. https://doi.org/10.3390/jcm13164793.
Boutros, P., N. Kassem, V. Boudo, et al. 2024. “Understanding the Risk Factors, Burden, and Interventions for Chronic Respiratory Diseases in Low‐And Middle‐Income Countries: A Scoping Review.” Public Health Reviews 45: 1607339. https://doi.org/10.3389/phrs.2024.1607339.
Celli, B. R., C. G. Cote, J. M. Marin, et al. 2004. “The Body‐Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease.” New England Journal of Medicine 350, no. 10: 1005–1012. https://doi.org/10.1056/nejmoa021322.
Choudhary, A., and D. Bora. 2024. “Understanding Climate Anxiety and the Need for Inclusive Healthcare Policy.” International Journal for Multidimensional Research Perspectives 2, no. 5: 54–58. https://doi.org/10.61877/ijmrp.v2i5.147.
Clayton, S. 2020. “Climate Anxiety: Psychological Responses to Climate Change.” Journal of Anxiety Disorders 74: 102263. https://doi.org/10.1016/j.janxdis.2020.102263.
Clayton, S., and B. T. Karazsia. 2020. “Development and Validation of a Measure of Climate Change Anxiety.” Journal of Environmental Psychology 69: 101434. https://doi.org/10.1016/j.jenvp.2020.101434.
Cui, Y., and Y. Yan. 2024. “Effect of Water and Sanitation, PM Pollution and Climate Change of COPD and LRIs Under Different Sociodemographic Transitions.” Public Health 237: 150–159. https://doi.org/10.1016/j.puhe.2024.10.012.
Feizi, H., M. Alizadeh, S. A. Nejadghaderi, et al. 2022. “The Burden of Chronic Obstructive Pulmonary Disease and Its Attributable Risk Factors in the Middle East and North Africa Region, 1990–2019.” Respiratory Research 23, no. 1: 319. https://doi.org/10.1186/s12931‐022‐02242‐z.
Figueiredo, T., L. Midão, P. Rocha, et al. 2024. “The Interplay Between Climate Change and Ageing: A Systematic Review of Health Indicators.” PLoS One 19, no. 4: e0297116. https://doi.org/10.1371/journal.pone.0297116.
Fu, J., Y. Liu, Y. Zhao, et al. 2023. “Association Between the Temperature Difference and Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Time‐Series Analysis With 143,318 Hospital Admissions in Beijing, China.” Frontiers in Public Health 11: 1112926. https://doi.org/10.3389/fpubh.2023.1112926.
Gago, T., R. J. Sargisson, and T. L. Milfont. 2024. “A Meta‐Analysis on the Relationship Between Climate Anxiety and Wellbeing.” Journal of Environmental Psychology 94: 102230. https://doi.org/10.1016/j.jenvp.2024.102230.
Gregersen, T., R. Doran, C. A. Ogunbode, and G. Böhm. 2024. “How the Public Understands and Reacts to the Term ‘Climate Anxiety’.” Journal of Environmental Psychology 96: 102340. https://doi.org/10.1016/j.jenvp.2024.102340.
Guyatt, G. H., M. J. Sullivan, P. J. Thompson, et al. 1985. “The 6‐Minute Walk: A New Measure of Exercise Capacity in Patients With Chronic Heart Failure.” Canadian Medical Association Journal 132, no. 8: 919–923.
Jarab, A. S., W. A. AlQerem, S. R. Abu Heshmeh, Y. N. A. Hamarneh, S. Aburuz, and J. Eberhardt. 2024. “Factors Associated With Anxiety and Depression Among Patients With Chronic Obstructive Pulmonary Disease.” Expert Review of Respiratory Medicine 18, no. 1–2: 59–65. https://doi.org/10.1080/17476348.2024.2326512.
Javorac, J., M. Jevtić, M. Živanović, et al. 2021. “What Are the Effects of Meteorological Factors on Exacerbations of Chronic Obstructive Pulmonary Disease.” Atmosphere 12, no. 4: 442. https://doi.org/10.3390/atmos12040442.
Jones, P. W., F. H. Quirk, C. M. Baveystock, and P. Littlejohns. 1992. “A Self‐Complete Measure of Health Status for Chronic Airflow Limitation.” American Review of Respiratory Disease 145, no. 6: 1321–1327. https://doi.org/10.1164/ajrccm/145.6.1321.
Josa‐Culleré, A., X. Basagaña, S. Koch, et al. 2024. “Short‐Term Effects of Air Pollution and Weather on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease (COPD).” Environmental Research 247: 118195. https://doi.org/10.1016/j.envres.2024.118195.
Karl, J. A., and S. K. Stanley. 2024. “Is Mindfulness a Double‐Edged Sword? Associations With Climate Anxiety and pro‐Environmental Behavior.” Mindfulness 15, no. 9: 2207–2217. https://doi.org/10.1007/s12671‐024‐02427‐1.
Kubincová, A., P. Takáč, L. Demjanovič Kendrová, and P. Joppa. 2023. “Predictors of Quality‐Of‐Life Improvement at Different Minimum Clinically Important Difference Values in Patients With Chronic Obstructive Pulmonary Disease After Climatic Rehabilitation Treatment.” Life 13, no. 8: 1763. https://doi.org/10.3390/life13081763.
Lewy, J. R., A. N. Karim, C. L. Lokotola, et al. 2024. “The Impact of Climate Change on Respiratory Care: A Scoping Review.” Journal of Climate Change and Health 17: 100313. https://doi.org/10.1016/j.joclim.2024.100313.
Lin, T. F., D. Linville, R. N. Nese, J. Seeley, and S. E. Shune. 2024. “Managing Functional Biopsychosocial Outcomes Impacted by Chronic Obstructive Pulmonary Disease Using Telehealth.” Perspectives of the ASHA Special Interest Groups 9, no. 6: 1752–1767. https://doi.org/10.1044/2024_PERSP‐24‐00079.
Mahler, D. A., and C. K. Wells. 1988. “Evaluation of Clinical Methods for Rating Dyspnea.” Chest 93, no. 3: 580–586. https://doi.org/10.1378/chest.93.3.580.
Márovics, G., É. Pozsgai, B. Németh, et al. 2024. “Weather Variability and COPD: A Risk Estimation Identified a Vulnerable Sub‐Population in Hungary.” In Vivo 38, no. 4: 1690–1697. https://doi.org/10.21873/invivo.13619.
Miller, M. R., J. Hankinson, V. Brusasco, et al. 2005. “Standardisation of Spirometry.” European Respiratory Journal 26, no. 2: 319–338. https://doi.org/10.1183/09031936.05.00034805.
Parmentier, M. L., K. Weiss, A. Aroua, C. Betry, M. Rivière, and O. Navarro. 2024. “The Influence of Environmental Crisis Perception and Trait Anxiety on the Level of Eco‐Worry and Climate Anxiety.” Journal of Anxiety Disorders 101: 102799. https://doi.org/10.1016/j.janxdis.2023.102799.
Patel, N. 2024. “An Update on COPD Prevention, Diagnosis, and Management: The 2024 GOLD Report.” Nurse Practitioner 49, no. 6: 29–36. https://doi.org/10.1097/01.NPR.0000000000000180.
Scerri, K. M., and S. Cuschieri. 2024. “The Effects of Climate Change on Respiratory Diseases: A Literature Review.” International Journal of Global Warming 34, no. 3: 224–242. https://doi.org/10.1504/IJGW.2024.142600.
Shahid, S., Z. Tariq, O. Asghar, et al. 2024. “Confounders Effecting Quality of Life of Copd Patients in European Union: A Systematic Review.” Journal of Pharmaceutical Research International 36, no. 2: 55–75. https://doi.org/10.9734/jpri/2024/v36i27501.
Stafoggia, M., A. Ranzi, C. Ancona, et al. 2023. “Long‐Term Exposure to Ambient Air Pollution and Mortality Among Four Million COVID‐19 Cases in Italy: The EpiCovAir Study.” Environmental Health Perspectives 131, no. 5: e057004. https://doi.org/10.1289/EHP11882.
Sturm, L. S., S. Y. S. Jeong, and M. Giles. 2025. “Nurse‐Led/Involved Home‐Based Interventions for Older Adults With Chronic Obstructive Pulmonary Disease (COPD): A Mixed‐Methods Systematic Review.” Journal of Clinical Nursing, ahead of print, Janaury 20. https://doi.org/10.1111/jocn.17661.
Tarekegn, T. B., D. Gebrie, A. T. Kassaw, A. Dagne Taye, F. Girmaw, and G. Ashagrie. 2024. “Evaluating Health‐Related Quality of Life in Ethiopia: Systematic Review and Meta‐Analysis of EQ‐5D‐Based Studies.” Frontiers in Epidemiology 4: 1455822. https://doi.org/10.3389/fepid.2024.1455822.
Tian, Z., Y. Jiang, N. Zhang, Z. Zhang, and L. Wang. 2024. “Analysis of the Current State of COPD Nursing Based on a Bibliometric Approach From the Web of Science.” International Journal of Chronic Obstructive Pulmonary Disease 19: 255–268. https://doi.org/10.2147/COPD.S440715.
Tsai, S. H., J. Y. Hung, P. F. Su, et al. 2024. “Chronic Obstructive Pulmonary Disease Trajectory: Severe Exacerbations and Dynamic Change in Health‐Related Quality of Life.” BMJ Open Respiratory Research 11, no. 1: e002037. https://doi.org/10.1136/bmjresp‐2023‐002037.
Uehlinger, L., D. Händler‐Schuster, C. Hübsch, C. F. Clarenbach, and G. Schmid‐Mohler. 2024. “Patients' Perspectives on a Nurse Led Self‐Management Intervention After Acute Exacerbation of COPD.” Central European Journal of Nursing and Midwifery 15, no. 3: 1166–1176. https://doi.org/10.15452/cejnm.2024.15.0016.
Venkatesan, P. 2024. “GOLD COPD Report: 2024 Update.” Lancet Respiratory Medicine 12, no. 1: 15–16. https://doi.org/10.1016/S2213‐2600(23)00461‐7.
Williams, M. O., J. Buekers, G. Castaño‐Vinyals, et al. 2024. “Climate Anxiety and Its Association With Health Behaviours and Generalized Anxiety: An Intensive Longitudinal Study.” British Journal of Health Psychology 29, no. 4: 1080–1095. https://doi.org/10.1111/bjhp.12746.
Wu, X., Z. Liu, C. Xu, T. Plönes, and H. Wang. 2024. “The Quality of Life of Patients With Chronic Obstructive Pulmonary Disease: A Bibliometric Analysis.” Journal of Thoracic Disease 16, no. 4: 2591. https://doi.org/10.21037/jtd‐24‐591.
Yang, Y., X. Li, S. Wang, et al. 2024. “Assessing the Impact of Temperature on Acute Exacerbation of Chronic Obstructive Pulmonary Disease Hospitalizations in Residents of Panzhihua City: A Multi‐Districts Study Using a Distributed Lag Non‐Linear Model.” BMC Public Health 24, no. 1: 2151. https://doi.org/10.1186/s12889‐024‐19677‐2.
Zhao, Y. P., W. H. Liu, and Q. C. Zhang. 2025. “Determinants of Generalized Anxiety and Construction of a Predictive Model in Patients With Chronic Obstructive Pulmonary Disease.” World Journal of Psychiatry 15, no. 2: 98447. https://doi.org/10.5498/wjp.v15.i2.98447.
Zhu, Z., T. Deng, and X. Pan. 2024. “Global Climate Change: The Dangers of Heatwaves for Chronic Obstructive Pulmonary Disease Patients Cannot Be Ignored.” Journal of Global Health 14: e03032. https://doi.org/10.7189/jogh.14.03032.
Akiki, Z., S. Hallit, N. Layoun, et al. 2018. “Validation of the St George's Respiratory Questionnaire and Risks Factors Affecting the Quality of Life of Lebanese COPD and Asthma Patients.” Journal of Asthma 56, no. 11: 1212–1221. https://doi.org/10.1080/02770903.2018.1531996.
Al Wachami, N., M. Guennouni, Y. Iderdar, et al. 2024. “Estimating the Global Prevalence of Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review and Meta‐Analysis.” BMC Public Health 24, no. 1: 297. https://doi.org/10.1186/s12889‐024‐17686‐9.
Al‐Ghamdi, M. A., N. Helmi, and S. S. Moselhy. 2024. “Cross‐Sectional Study of the Association of Respiratory Diseases Health Risk With Environmental Pollutants and Climate Change in Saudi Arabia.” Environmental Science and Pollution Research 31, no. 45: 56391–56398. https://doi.org/10.1007/s11356‐024‐34873‐8.
Amin, W., R. Ashmawy, S. Sharaf, et al. 2024. “Revealing the Significance of Early Detection of Chronic Obstructive Pulmonary Disease: Insights From Healthy Lung Initiative Data at COP27 Conference.” BMC Health Services Research 24, no. 1: 872. https://doi.org/10.4103/1687‐8426.153586.
Asal, M. G. R., A. A. I. El‐Sayed, S. A. Alsenany, Z. H. Ramzy, and R. F. A. Dawood. 2025. “Self‐Administered Active Versus Sham Acupressure for Diarrhea Predominant Irritable Bowel Syndrome: A Nurse‐Led Randomized Clinical Trial.” BMC Nursing 24, no. 1: 106. https://doi.org/10.1186/s12912‐024‐02594‐5.
Atta, M. H. R., A. A. I. El‐Sayed, F. Taleb, et al. 2025. “The Climate‐Asthma Connection: Examining the Influence of Climate Change Anxiety on Asthma Control and Quality of Life: A Multi‐National Study.” Journal of Advanced Nursing 81, no. 12: 8200–8217. https://doi.org/10.1111/jan.16513.
Badway, M. S., A. F. Hamed, and F. M. Yousef. 2016. “Prevalence of Chronic Obstructive Pulmonary Disease (COPD) in Qena Governorate.” Egyptian Journal of Chest Diseases and Tuberculosis 65, no. 1: 29–34. https://doi.org/10.1016/j.ejcdt.2015.10.001.
Blondeel, A., F. Hermans, S. Breuls, et al. 2023. “The Association of Weather Conditions With Day‐To‐Day Variability in Physical Activity in Patients With COPD.” ERJ Open Research 9, no. 6: e00314‐2023. https://doi.org/10.1183/23120541.00314‐2023.
Boehme, B. A., L. M. Kinsman, H. J. Norrie, E. D. Tessier, S. W. Fleming, and G. J. Asmundson. 2024. “Climate Anxiety: Current Evidence and Future Directions.” Current Psychiatry Reports 26, no. 11: 1–8. https://doi.org/10.1007/s11920‐024‐01538‐9.
Boluda‐Verdu, I., M. Senent‐Valero, M. Casas‐Escolano, A. Matijasevich, and M. Pastor‐Valero. 2022. “Fear for the Future: Eco‐Anxiety and Health Implications, a Systematic Review.” Journal of Environmental Psychology 84: 101904. https://doi.org/10.1016/j.jenvp.2022.101904.
Borge, C. R., M. H. Larsen, R. H. Osborne, et al. 2024. “Impacts of a Health Literacy‐Informed Intervention in People With Chronic Obstructive Pulmonary Disease (COPD) on Hospitalization, Health Literacy, Self‐Management, Quality of Life, and Health Costs–A Randomized Controlled Trial.” Patient Education and Counseling 123: 108220. https://doi.org/10.1016/j.pec.2024.108220.
Bouloukaki, I., A. Christodoulakis, K. Margetaki, and I. Tsiligianni. 2024. “Association of Lifestyle Behaviors With Quality of Life in Patients With COPD: A Cross‐Sectional Study in Primary Care.” Journal of Clinical Medicine 13, no. 16: 4793. https://doi.org/10.3390/jcm13164793.
Boutros, P., N. Kassem, V. Boudo, et al. 2024. “Understanding the Risk Factors, Burden, and Interventions for Chronic Respiratory Diseases in Low‐And Middle‐Income Countries: A Scoping Review.” Public Health Reviews 45: 1607339. https://doi.org/10.3389/phrs.2024.1607339.
Celli, B. R., C. G. Cote, J. M. Marin, et al. 2004. “The Body‐Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease.” New England Journal of Medicine 350, no. 10: 1005–1012. https://doi.org/10.1056/nejmoa021322.
Choudhary, A., and D. Bora. 2024. “Understanding Climate Anxiety and the Need for Inclusive Healthcare Policy.” International Journal for Multidimensional Research Perspectives 2, no. 5: 54–58. https://doi.org/10.61877/ijmrp.v2i5.147.
Clayton, S. 2020. “Climate Anxiety: Psychological Responses to Climate Change.” Journal of Anxiety Disorders 74: 102263. https://doi.org/10.1016/j.janxdis.2020.102263.
Clayton, S., and B. T. Karazsia. 2020. “Development and Validation of a Measure of Climate Change Anxiety.” Journal of Environmental Psychology 69: 101434. https://doi.org/10.1016/j.jenvp.2020.101434.
Cui, Y., and Y. Yan. 2024. “Effect of Water and Sanitation, PM Pollution and Climate Change of COPD and LRIs Under Different Sociodemographic Transitions.” Public Health 237: 150–159. https://doi.org/10.1016/j.puhe.2024.10.012.
Feizi, H., M. Alizadeh, S. A. Nejadghaderi, et al. 2022. “The Burden of Chronic Obstructive Pulmonary Disease and Its Attributable Risk Factors in the Middle East and North Africa Region, 1990–2019.” Respiratory Research 23, no. 1: 319. https://doi.org/10.1186/s12931‐022‐02242‐z.
Figueiredo, T., L. Midão, P. Rocha, et al. 2024. “The Interplay Between Climate Change and Ageing: A Systematic Review of Health Indicators.” PLoS One 19, no. 4: e0297116. https://doi.org/10.1371/journal.pone.0297116.
Fu, J., Y. Liu, Y. Zhao, et al. 2023. “Association Between the Temperature Difference and Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Time‐Series Analysis With 143,318 Hospital Admissions in Beijing, China.” Frontiers in Public Health 11: 1112926. https://doi.org/10.3389/fpubh.2023.1112926.
Gago, T., R. J. Sargisson, and T. L. Milfont. 2024. “A Meta‐Analysis on the Relationship Between Climate Anxiety and Wellbeing.” Journal of Environmental Psychology 94: 102230. https://doi.org/10.1016/j.jenvp.2024.102230.
Gregersen, T., R. Doran, C. A. Ogunbode, and G. Böhm. 2024. “How the Public Understands and Reacts to the Term ‘Climate Anxiety’.” Journal of Environmental Psychology 96: 102340. https://doi.org/10.1016/j.jenvp.2024.102340.
Guyatt, G. H., M. J. Sullivan, P. J. Thompson, et al. 1985. “The 6‐Minute Walk: A New Measure of Exercise Capacity in Patients With Chronic Heart Failure.” Canadian Medical Association Journal 132, no. 8: 919–923.
Jarab, A. S., W. A. AlQerem, S. R. Abu Heshmeh, Y. N. A. Hamarneh, S. Aburuz, and J. Eberhardt. 2024. “Factors Associated With Anxiety and Depression Among Patients With Chronic Obstructive Pulmonary Disease.” Expert Review of Respiratory Medicine 18, no. 1–2: 59–65. https://doi.org/10.1080/17476348.2024.2326512.
Javorac, J., M. Jevtić, M. Živanović, et al. 2021. “What Are the Effects of Meteorological Factors on Exacerbations of Chronic Obstructive Pulmonary Disease.” Atmosphere 12, no. 4: 442. https://doi.org/10.3390/atmos12040442.
Jones, P. W., F. H. Quirk, C. M. Baveystock, and P. Littlejohns. 1992. “A Self‐Complete Measure of Health Status for Chronic Airflow Limitation.” American Review of Respiratory Disease 145, no. 6: 1321–1327. https://doi.org/10.1164/ajrccm/145.6.1321.
Josa‐Culleré, A., X. Basagaña, S. Koch, et al. 2024. “Short‐Term Effects of Air Pollution and Weather on Physical Activity in Patients With Chronic Obstructive Pulmonary Disease (COPD).” Environmental Research 247: 118195. https://doi.org/10.1016/j.envres.2024.118195.
Karl, J. A., and S. K. Stanley. 2024. “Is Mindfulness a Double‐Edged Sword? Associations With Climate Anxiety and pro‐Environmental Behavior.” Mindfulness 15, no. 9: 2207–2217. https://doi.org/10.1007/s12671‐024‐02427‐1.
Kubincová, A., P. Takáč, L. Demjanovič Kendrová, and P. Joppa. 2023. “Predictors of Quality‐Of‐Life Improvement at Different Minimum Clinically Important Difference Values in Patients With Chronic Obstructive Pulmonary Disease After Climatic Rehabilitation Treatment.” Life 13, no. 8: 1763. https://doi.org/10.3390/life13081763.
Lewy, J. R., A. N. Karim, C. L. Lokotola, et al. 2024. “The Impact of Climate Change on Respiratory Care: A Scoping Review.” Journal of Climate Change and Health 17: 100313. https://doi.org/10.1016/j.joclim.2024.100313.
Lin, T. F., D. Linville, R. N. Nese, J. Seeley, and S. E. Shune. 2024. “Managing Functional Biopsychosocial Outcomes Impacted by Chronic Obstructive Pulmonary Disease Using Telehealth.” Perspectives of the ASHA Special Interest Groups 9, no. 6: 1752–1767. https://doi.org/10.1044/2024_PERSP‐24‐00079.
Mahler, D. A., and C. K. Wells. 1988. “Evaluation of Clinical Methods for Rating Dyspnea.” Chest 93, no. 3: 580–586. https://doi.org/10.1378/chest.93.3.580.
Márovics, G., É. Pozsgai, B. Németh, et al. 2024. “Weather Variability and COPD: A Risk Estimation Identified a Vulnerable Sub‐Population in Hungary.” In Vivo 38, no. 4: 1690–1697. https://doi.org/10.21873/invivo.13619.
Miller, M. R., J. Hankinson, V. Brusasco, et al. 2005. “Standardisation of Spirometry.” European Respiratory Journal 26, no. 2: 319–338. https://doi.org/10.1183/09031936.05.00034805.
Parmentier, M. L., K. Weiss, A. Aroua, C. Betry, M. Rivière, and O. Navarro. 2024. “The Influence of Environmental Crisis Perception and Trait Anxiety on the Level of Eco‐Worry and Climate Anxiety.” Journal of Anxiety Disorders 101: 102799. https://doi.org/10.1016/j.janxdis.2023.102799.
Patel, N. 2024. “An Update on COPD Prevention, Diagnosis, and Management: The 2024 GOLD Report.” Nurse Practitioner 49, no. 6: 29–36. https://doi.org/10.1097/01.NPR.0000000000000180.
Scerri, K. M., and S. Cuschieri. 2024. “The Effects of Climate Change on Respiratory Diseases: A Literature Review.” International Journal of Global Warming 34, no. 3: 224–242. https://doi.org/10.1504/IJGW.2024.142600.
Shahid, S., Z. Tariq, O. Asghar, et al. 2024. “Confounders Effecting Quality of Life of Copd Patients in European Union: A Systematic Review.” Journal of Pharmaceutical Research International 36, no. 2: 55–75. https://doi.org/10.9734/jpri/2024/v36i27501.
Stafoggia, M., A. Ranzi, C. Ancona, et al. 2023. “Long‐Term Exposure to Ambient Air Pollution and Mortality Among Four Million COVID‐19 Cases in Italy: The EpiCovAir Study.” Environmental Health Perspectives 131, no. 5: e057004. https://doi.org/10.1289/EHP11882.
Sturm, L. S., S. Y. S. Jeong, and M. Giles. 2025. “Nurse‐Led/Involved Home‐Based Interventions for Older Adults With Chronic Obstructive Pulmonary Disease (COPD): A Mixed‐Methods Systematic Review.” Journal of Clinical Nursing, ahead of print, Janaury 20. https://doi.org/10.1111/jocn.17661.
Tarekegn, T. B., D. Gebrie, A. T. Kassaw, A. Dagne Taye, F. Girmaw, and G. Ashagrie. 2024. “Evaluating Health‐Related Quality of Life in Ethiopia: Systematic Review and Meta‐Analysis of EQ‐5D‐Based Studies.” Frontiers in Epidemiology 4: 1455822. https://doi.org/10.3389/fepid.2024.1455822.
Tian, Z., Y. Jiang, N. Zhang, Z. Zhang, and L. Wang. 2024. “Analysis of the Current State of COPD Nursing Based on a Bibliometric Approach From the Web of Science.” International Journal of Chronic Obstructive Pulmonary Disease 19: 255–268. https://doi.org/10.2147/COPD.S440715.
Tsai, S. H., J. Y. Hung, P. F. Su, et al. 2024. “Chronic Obstructive Pulmonary Disease Trajectory: Severe Exacerbations and Dynamic Change in Health‐Related Quality of Life.” BMJ Open Respiratory Research 11, no. 1: e002037. https://doi.org/10.1136/bmjresp‐2023‐002037.
Uehlinger, L., D. Händler‐Schuster, C. Hübsch, C. F. Clarenbach, and G. Schmid‐Mohler. 2024. “Patients' Perspectives on a Nurse Led Self‐Management Intervention After Acute Exacerbation of COPD.” Central European Journal of Nursing and Midwifery 15, no. 3: 1166–1176. https://doi.org/10.15452/cejnm.2024.15.0016.
Venkatesan, P. 2024. “GOLD COPD Report: 2024 Update.” Lancet Respiratory Medicine 12, no. 1: 15–16. https://doi.org/10.1016/S2213‐2600(23)00461‐7.
Williams, M. O., J. Buekers, G. Castaño‐Vinyals, et al. 2024. “Climate Anxiety and Its Association With Health Behaviours and Generalized Anxiety: An Intensive Longitudinal Study.” British Journal of Health Psychology 29, no. 4: 1080–1095. https://doi.org/10.1111/bjhp.12746.
Wu, X., Z. Liu, C. Xu, T. Plönes, and H. Wang. 2024. “The Quality of Life of Patients With Chronic Obstructive Pulmonary Disease: A Bibliometric Analysis.” Journal of Thoracic Disease 16, no. 4: 2591. https://doi.org/10.21037/jtd‐24‐591.
Yang, Y., X. Li, S. Wang, et al. 2024. “Assessing the Impact of Temperature on Acute Exacerbation of Chronic Obstructive Pulmonary Disease Hospitalizations in Residents of Panzhihua City: A Multi‐Districts Study Using a Distributed Lag Non‐Linear Model.” BMC Public Health 24, no. 1: 2151. https://doi.org/10.1186/s12889‐024‐19677‐2.
Zhao, Y. P., W. H. Liu, and Q. C. Zhang. 2025. “Determinants of Generalized Anxiety and Construction of a Predictive Model in Patients With Chronic Obstructive Pulmonary Disease.” World Journal of Psychiatry 15, no. 2: 98447. https://doi.org/10.5498/wjp.v15.i2.98447.
Zhu, Z., T. Deng, and X. Pan. 2024. “Global Climate Change: The Dangers of Heatwaves for Chronic Obstructive Pulmonary Disease Patients Cannot Be Ignored.” Journal of Global Health 14: e03032. https://doi.org/10.7189/jogh.14.03032.
Contributed Indexing:
Keywords: COPD; anxiety; climate; climate change; multivariate analysis; nursing; quality of life
Entry Date(s):
Date Created: 20250429 Date Completed: 20251201 Latest Revision: 20251201
Update Code:
20260130
DOI:
10.1111/jocn.17805
PMID:
40296478
Database:
MEDLINE
*Further Information*
*Objective: To examine the impact of climate anxiety on the quality of life (QoL) of patients with COPD. It also explores how climate anxiety interacts with clinical factors, such as disease severity and comorbidities, to influence QoL.
Design: Cross-sectional.
Methods: A total of 270 COPD patients were recruited using a convenience sampling method. Data were collected through structured interviews and clinical assessments, incorporating the Climate Anxiety Scale, the St. George's Respiratory Questionnaire and the BODE Index. Hierarchical multiple regression analysis was performed to determine the predictors of QoL.
Results: The study found a statistically significant association between climate anxiety and both QoL (r = 0.81, p < 0.01) and COPD severity (r = 0.76, p < 0.01). COPD severity (B = 4.68, p < 0.01) and climate anxiety (B = 0.28, p < 0.01) were predictors of QoL. Among the covariates, former smokers, older patients and multiple comorbidities reported significantly worse QoL (B = 4.80, p = 0.03; B = 0.43, p < 0.01; B = 0.85, p = 0.02, respectively). Collectively all predictors explained 86% of the variance in QoL.
Conclusion: Climate anxiety significantly contributes to reduced QoL in COPD patients, beyond disease severity and demographic factors. Addressing psychological distress in COPD management is essential to improving patient outcomes.
Implications for Practice: Nurses should recognise climate anxiety as a key variable influencing COPD management. Incorporating climate anxiety screening into nursing assessments and providing targeted interventions can enhance patient support and improve overall COPD care.
Impact: Climate anxiety is an emerging concern in COPD. While previous research has focused on physical and clinical determinants of COPD-related QoL, climate anxiety remains underexplored. This study provides new evidence that climate anxiety is a predictor of poorer QoL, highlighting the need for holistic nursing interventions that address both physical and psychological health.
Reporting Method: This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).
Patient or Public Contribution: Patients with COPD were involved in this study.
(© 2025 John Wiley & Sons Ltd.)*