Abstract
Chronic obstructive pulmonary disease (COPD) is predominantly caused by tobacco smoking, involving lung pathology accompanied by physical, social and mental damages. In this literature, we reffered to smoking, dyspnea, anxiety/depression, and QOL. Smoking has important influence on family relationships. Dyspnea calls for controversial psycological factors. Anxiety/depression has few distinct evidence for treatment. As to QOL, a new tool for evaluation is being developed. Future research will be needed for psychosomatic medicine in COPD.