Associations among anxiety, self-efficacy, and self-care in rural adolescents with poorly controlled asthma.
Associations among anxiety, self-efficacy, and self-care in rural adolescents with poorly controlled asthma.
复制标题
DOI：
10.1016/j.anai.2021.09.010
复制
发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Bruzzese JM
中科院分区：
文献类型：
--
作者：
Turi ER;Reigada LC;Liu J;Leonard SI;Bruzzese JM
农村青少年容易患哮喘；良好的自我护理可以减少发病率。焦虑的亚类型(例如，与哮喘相关的、全身性的)可能与哮喘自我护理有不同的关联。低自我效能感是行为的决定因素，与焦虑增加有关。人们对农村青少年的这种关系知之甚少。评估焦虑症状是否与农村青少年哮喘症状的预防和管理有关，以及自我效能感是否在这些关系中起中介作用。我们使用了197名农村青少年(男性年龄=16岁，女性占69%，黑人占62%)的基线数据，他们是测试以学校为基础的哮喘干预有效性的试验的一部分。青少年完成了青少年哮喘相关焦虑量表、儿童焦虑和情绪障碍筛查、哮喘管理自我效能指数和哮喘预防和管理指数。线性回归检验1)哮喘相关焦虑和广泛性焦虑与自我照顾之间是否存在曲线关系，2)社交焦虑和分离焦虑与自我照顾之间是否存在线性关系，3)自我效能感与自我照顾之间是否存在显著的中介关系。哮喘相关焦虑与预防呈显著的曲线关系，与管理呈线性关系。广泛性焦虑与管理之间存在显著的曲线关系；社交焦虑与预防之间存在显著的线性关系。自我效能感部分或完全调节了这些关系。焦虑症状与哮喘自我护理有关，在农村青少年中具有不同的预防和管理作用。自我效能感可能是提高农村焦虑青少年哮喘自我护理的机制之一。在缺乏自我效能感的情况下，与哮喘相关的、全面性的或社交焦虑可能会促使青少年采取措施照顾他们的哮喘。
Rural adolescents are vulnerable to asthma; good self-care can reduce morbidity. Sub-types of anxiety (e.g., asthma-related, generalized) may have differential associations with asthma self-care. Low self-efficacy, a determinant of behavior, is associated with increased anxiety. Little is known about these relationships in rural adolescents. To evaluate whether anxiety symptoms are associated with asthma symptom prevention and management among rural adolescents and whether selfefficacy mediates these relationships. We used baseline data from 197 rural adolescents (M age =16 years; 69% female; 62% Black) who were part of a trial testing the effectiveness of a school-based asthma intervention. Adolescents completed the Youth Asthma-related Anxiety Scale, Screen for Child Anxiety and Emotional Disorders, Asthma Management Self-efficacy Index, and Asthma Prevention and Management Indices. Linear regression tested whether 1) asthma-related and generalized anxiety had curvilinear relationships with self-care, 2) social and separation anxiety had linear relationships with self-care, and 3) self-efficacy mediated significant relationships. Asthma-related anxiety had a significant curvilinear relationship with prevention, and a linear association with management. Generalized anxiety had a significant curvilinear association with management; social anxiety had a significant linear relationship with prevention. Self-efficacy partially or fully mediated these relationships. Anxiety symptoms were associated with asthma self-care among this sample of rural adolescents, with differing roles for prevention and management. Selfefficacy may be a mechanism to improve asthma self-care among rural adolescents with anxiety. In the absence of self-efficacy, asthma-related, generalized, or social anxiety may motivate adolescents to take steps to care for their asthma.
登录
查看更多内容
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
1.9
作者：
Bruzzese, Jean-Marie;Stepney, Cesalie;Evans, David
通讯作者：
Evans, David
影响因子：
3.1
作者：
Bruzzese, Jean-Marie;Reigada, Laura C.;Lamm, Alexandra;Wang, Jing;Li, Meng;Zandieh, Stephanie O.;Klein, Rachel G.
通讯作者：
Klein, Rachel G.
影响因子：
0.9
作者：
Bruzzese, Jean-Marie;Unikel, Lynne H.;Klein, Rachel G.
通讯作者：
Klein, Rachel G.
影响因子：
5
作者：
Jiang, Zhichao;VanderWeele, Tyler J.
通讯作者：
VanderWeele, Tyler J.