The role of self-efficacy and locus of control in asthma-related needs and outcomes: a cross-sectional study
The role of self-efficacy and locus of control in asthma-related needs and outcomes: a cross-sectional study
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DOI：
10.1080/02770903.2018.1556687
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发表时间：
2020-02-01
影响因子：
1.9
通讯作者：
Loerbroks，Adrian
中科院分区：
文献类型：
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作者：
Schreitmueller，Julia;Loerbroks，Adrian
本研究旨在找出与哮喘病情改善相关的心理资源。方法自2017年9月至2018年3月，对205例内科医生诊断为哮喘的患者进行调查。心理资源包括自我效能感(即，相信自己有能力组织和执行所需的行为[SE]；通过测量一般自我效能信念的短量表进行评估)，以及内部和外部控制源(即，一个人对某一特定事件是自己的行为还是自己无法控制的力量的结果的信念[LoC]；内部-外部控制源量表-4)。结果变量包括哮喘控制(哮喘控制测试)、哮喘相关生活质量(QOL；哮喘生活质量问卷-悉尼)和患者需求(哮喘治疗问卷中的患者需求)。结果我们观察到，较高的自我效能和内部LOC得分，但外部LOC子量表上较低的得分与哮喘控制的改善有关(SE：β=0.19，p=0.01；内部LOC：β=0.17，p=0.02；外部LoC：β=−0.18，p=0.01)，较好的哮喘相关生活质量(SE：β=−0.38，p<；0.01；内部LoC：β=−0.40，p<；0.01；外部LoC：β=0.46，p<；0.01；和较少的未满足需求(SE：β=−0.16，p=0.02；内部LoC：β=−0.18，p<；0.01；外部LoC：β=0.32，p<；0.01)。结论本研究为哮喘患者的心理资源提供了新的证据，这与哮喘预后的改善有关。
ObjectiveThis study sought to identify psychological resources, which are associated with improved asthma outcomes.MethodsA total of 205 patients who reported physician-diagnosed asthma were surveyed between September 2017 and March 2018. Psychological resources included self-efficacy (i.e. the belief in one’s capabilities to organize and execute required behavior [SE]; assessed by the Short Scale for Measuring General Self-Efficacy Beliefs), and internal and external locus of control (i.e. one’s beliefs about whether a given event is the result of one’s behavior or of forces outside one’s control [LoC]; Scale for Internal External Locus of Control-4). Outcome variables included asthma control (Asthma Control Test), asthma-related quality of life (QoL; Asthma Quality of Life Questionnaire-Sydney) and patient needs (Patient Needs in Asthma Treatment Questionnaire). Associations were estimated by linear regressions.ResultsWe observed that higher self-efficacy and internal LoC scores, but lower scores on the external LoC subscale were associated with improved asthma control (SE: β = 0.19,p= 0.01; internal LoC: β = 0.17,p= 0.02; external LoC: β = −0.18,p= 0.01), better asthma-related QoL (SE: β = −0.38,p< 0.01; internal LoC: β = −0.40,p< 0.01; external LoC: β = 0.46,p< 0.01) and less unmet needs (SE: β = −0.16,p= 0.02; internal LoC: β = −0.18,p< .01; external LoC: β = 0.32,p< 0.01).ConclusionsOur study provides novel evidence on psychological resources among patients with asthma, which are associated with improved asthma outcomes.