Association of Youth and Caregiver Anxiety and Asthma Care Among Urban Young Adolescents.
Association of Youth and Caregiver Anxiety and Asthma Care Among Urban Young Adolescents.
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DOI：
10.1016/j.acap.2016.03.009
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发表时间：
2016-11
影响因子：
3.1
通讯作者：
Klein, Rachel G.
中科院分区：
文献类型：
--
作者：
Bruzzese, Jean-Marie;Reigada, Laura C.;Lamm, Alexandra;Wang, Jing;Li, Meng;Zandieh, Stephanie O.;Klein, Rachel G.
探讨城市青少年哮喘相关焦虑、社交焦虑、分离焦虑和照顾者哮喘相关焦虑与哮喘护理的关系。参与者是386名患有持续性哮喘的少数民族青少年（平均年龄=12.8岁）及其照顾者。青少年报告了他们如何预防哮喘症状和控制急性症状，以及他们或他们的照顾者是否对他们的哮喘护理负责。青少年完成《青少年哮喘相关焦虑量表》和《惊吓量表》的社交焦虑和分离焦虑子量表；照顾者完成家长哮喘相关焦虑量表。通过广义加性模型（GAM）评估相关性的线性。在没有非线性证据的情况下，采用线性混合效应模型评价预测因子的效果。青少年哮喘相关焦虑与症状预防有较强的曲线关系（P<0.001）。随着焦虑的增加，青少年采取了更多的预防措施，在中度焦虑时达到平台期。青少年哮喘相关焦虑与症状管理（β=0.03， P= 0.021）、哮喘责任（β=0.11， P= 0.015）、照顾者哮喘相关焦虑与青少年症状预防（β=0.04， P= 0.001）存在线性关系。青少年的社交焦虑和分离焦虑与哮喘治疗的关系很弱甚至没有关系。在控制其他每一种焦虑的情况下，结果保持一致。哮喘相关焦虑在哮喘治疗中起着重要的独立作用。在低水平时，青少年可能受益于照顾者的更多支持和对不受控制的哮喘后果的认识。当哮喘升高时，卫生服务提供者应确保青少年不过早承担哮喘护理的责任。
To examine the association of adolescent asthma-related anxiety, social anxiety, separation anxiety, and caregiver asthma-related anxiety, with asthma care by urban adolescents. Participants were 386 ethnic minority adolescents (mean age=12.8) with persistent asthma and their caregivers. Adolescents reported what they do to prevent asthma symptoms and to manage acute symptoms, and if they or their caregiver is responsible for their asthma care. Adolescents completed the Youth Asthma-related Anxiety Scale and the social and separation anxiety subscales of the SCARED; caregivers completed the Parent Asthma-related Anxiety Scale. Linearity of the associations was assessed via Generalized Additive Models (GAM). When there was no evidence for non-linearity, linear mixed effects models were employed to evaluate the effects of the predictors. Adolescents asthma-related anxiety had a strong curvilinear relationship with symptom prevention (P<0.001). Adolescents took more prevention steps as their anxiety increased, with a plateau at moderate anxiety. There was a linear relationship of adolescent asthma-related anxiety to symptom management (β=0.03, P=.021) and to asthma responsibility (β=0.11, P=.015), and of caregiver asthma-related anxiety to adolescent symptom prevention (β=0.04, P=.001). Adolescent social and separation anxiety had weak-to-no relationship with asthma care. Results remained consistent when controlling for each of the other anxieties. Asthma-related anxiety plays an important, independent role in asthma care. When low, adolescents may benefit from increased support from caregivers and awareness of the consequences of uncontrolled asthma. When elevated, health providers should ensure the adolescents are not assuming responsibility for asthma care prematurely.
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影响因子：
2.4
作者：
Barnard K;Thomas S;Royle P;Noyes K;Waugh N
通讯作者：
Waugh N
DOI：
10.1111/j.1469-7610.2009.02138.x
发表时间：
2010-02-01
影响因子：
7.6
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
1.9
作者：
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通讯作者：
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影响因子：
8
作者：
Akinbami, Lara J.;Moorman, Jeanne E.;Sondik, Edward J.
通讯作者：
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