Associations of asthma self-management and mental health in adolescents: A scoping review.
Associations of asthma self-management and mental health in adolescents: A scoping review.
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DOI：
10.1016/j.rmed.2022.106897
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发表时间：
2022-08
影响因子：
4.3
通讯作者：
Bruzzese, Jean-Marie
中科院分区：
文献类型：
--
作者：
Leonard, Sarah I.;Turi, Eleanor R.;Powell, Jennifer S.;Usseglio, John;MacDonell, Karen Kolmodin;Bruzzese, Jean-Marie
青少年哮喘是非常普遍和经常不受控制的，尽管控制是可以实现的良好的自我管理。焦虑、抑郁和压力与哮喘预后恶化相关，并可能影响自我管理;以前没有综述研究过这种关系。本范围综述评估了目前关于11至24岁青少年心理健康和哮喘自我管理的文献的性质，并综合了它们之间的关系。在PRISMA-ScR指南的指导下，我们于2020年9月使用MEDLINE、Embase、CINAHL、PsycInfo和Scopus系统检索了文献，并于2021年6月进行了更新。纳入的研究检查了11-24岁青少年的焦虑、抑郁和/或压力与哮喘自我管理之间的关系。我们没有限制研究设计、地点或日期。在识别的1，559份记录中，14份符合入选标准。自我管理的类型包括触发控制，医疗保健依从性和整体症状预防和管理。在四项研究中，焦虑症状与哮喘自我管理较差相关，但在三项研究中更好。在五项研究中，抑郁症状与哮喘自我管理较差相关，但在两项研究中更好。在一项研究中，压力与较差的自我管理有关。心理健康症状几乎普遍与触发控制较差相关，但与医疗依从性和整体症状预防和管理的相关性各不相同。心理健康症状可能会促进或阻碍哮喘自我管理，这取决于心理健康和自我管理的类型。需要进一步研究，以更好地了解这种关系，并为未来的干预措施提供信息。提供者可能会评估心理健康作为青少年哮喘自我管理的潜在障碍。
Adolescent asthma is highly prevalent and frequently uncontrolled despite control being achievable with good self-management. Anxiety, depression, and stress are associated with worse asthma outcomes, and may impact self-management; no previous review has examined this relationship. This scoping review assessed the nature of the current literature on mental health and asthma self-management among adolescents ages 11 to 24 and synthesized their relationships. Guided by the PRISMA-ScR guidelines, we systematically searched the literature using MEDLINE, Embase, CINAHL, PsycInfo, and Scopus in September 2020 and updated it in June 2021. Included studies examined associations between anxiety, depression, and/or stress and asthma self-management in adolescents ages 11–24. We did not restrict study design, location, or date. Out of 1,559 records identified, 14 met inclusion criteria. Types of self-management included trigger control, healthcare adherence, and overall symptom prevention and management. Anxiety symptoms were associated with poorer asthma self-management in four studies, but better in three. Depressive symptoms were associated with poorer asthma self-management in five studies, but better in two. Stress was associated with poorer self-management in one study. Mental health symptoms were nearly universally associated with poorer trigger control, but associations with healthcare adherence and overall symptom prevention and management varied. Mental health symptoms may facilitate or hinder asthma self-management depending on the types of mental health and self-management. Further research is needed to better understand this relationship and inform future interventions. Providers might assess mental health as a potential barrier to adolescent asthma self-management.
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