Similar psychological characteristics in mild and severe asthma.
Similar psychological characteristics in mild and severe asthma.
复制标题
轻度和重度哮喘的心理特征相似。
DOI：
10.1016/s0022-3999(00)00203-8
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发表时间：
2001
影响因子：
4.7
通讯作者：
P. Spinhoven
中科院分区：
文献类型：
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作者：
A. Brinke;M. Ouwerkerk;E. Bel;P. Spinhoven;P. Spinhoven
目的心理因素被认为是影响哮喘严重程度的潜在因素。在本研究中，我们调查了轻度和重度哮喘患者在几个心理特征上的差异。方法90例重症哮喘患者(女性占74%，平均[S.D.])对46.5[13.7]岁)和37例轻度哮喘(73%女性，年龄：39.4[13.9]岁)患者的一般心理健康、焦虑敏感性、过度换气症状、个性和心理控制源倾向进行比较，并采用有效的自我报告问卷进行测量。采用协方差分析(ANCOVA)进行组间比较。结果轻、重度哮喘患者的心理特征差异无统计学意义。仅在外在心理控制源子量表上，重症哮喘患者与轻度哮喘患者相比，对医生和药物的信任度较低(P=0.005)。结论轻、重度哮喘患者不能根据精神病理或个性特征进行区分。所观察到的对医生或药物对哮喘病程的影响缺乏信心是否是疾病严重程度的原因或后果，仍有待确定。
ObjectivePsychological factors have been implicated as potentially contributing to asthma severity. In the present study, we investigated whether patients with mild and severe asthma differ with regard to several psychological characteristics.MethodsNinety outpatients with severe asthma (74% female, mean [S.D.] age: 46.5 [13.7] years) and 37 outpatients with mild asthma (73% female, age: 39.4 [13.9] years) were compared with respect to general psychological health, anxiety sensitivity, hyperventilation symptoms, personality, and locus-of-control orientation, all measured by well-validated self-report questionnaires. Analysis of (co)variance (ANCOVA) was used to assess between-groups differences.ResultsNo significant differences in psychological characteristics were found between patients with mild and severe asthma. Only on the subscale for external locus-of-control orientation, severe asthmatic patients differed from those with mild disease (P=.005) in showing less trust in physicians and medication with regard to influencing their asthma.ConclusionThe results suggest that mild and severe asthmatic patients cannot be differentiated on the basis of psychopathology or personality. Whether or not the observed lack of confidence in the influence of physicians or medication on asthma course is cause or consequence of disease severity, remains to be established.
影响因子：
--
作者：
CLONINGER, CR;SVRAKIC, DM;PRZYBECK, TR
通讯作者：
PRZYBECK, TR