Multidimensional Dyspnea Profile: an instrument for clinical and laboratory research.

Multidimensional Dyspnea Profile: an instrument for clinical and laboratory research.
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DOI:
10.1183/09031936.00038914
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发表时间:
2015-06
期刊:
The European respiratory journal
影响因子:
--
通讯作者:
Lansing RW
Lansing RW
中科院分区:
其他
文献类型:
--
作者:
Banzett RB;O'Donnell CR;Guilfoyle TE;Parshall MB;Schwartzstein RM;Meek PM;Gracely RH;Lansing RW

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越来越多的人意识到,呼吸困难和疼痛一样,是一种多方面的体验,但测量仪器还没有跟上。多维呼吸困难特征(MDP)评估实验室和临床环境中的整体呼吸不适、感觉质量和情绪反应。在这里,我们提供了MDP,审查有关其测量特性的已发表证据,并讨论其使用和解释。MDP评估特定时间或特定活动(焦点期)期间的呼吸困难,旨在检查理论上与单独机制一致的单个项目。相比之下,其他多维呼吸困难量表使用总分评估了一段时间内回忆起的近期呼吸困难。先前使用MDP的心理物理学和心理测量学研究表明:1)暴露于不同实验室刺激的受试者可以区分空气饥饿和工作/努力感觉,并且发现空气饥饿更令人不愉快; 2)MDP即刻不愉快量表(A1)与普通呼吸困难量表收敛; 3)在急诊科患者中,两个领域被区分开(即时感知,情绪反应); 4)数小时内的重测信度高; 5)该仪器对实验性呼吸困难的阿片类药物治疗和临床改善有反应; 6)普通仪器的收敛效度良好; 7)项目反应不同,如多个维度所预测的那样。Multidimensional Dyspnea Profile为临床和实验室研究提供了统一、可靠的仪器www.example.com
There is growing awareness that dyspnoea, like pain, is a multidimensional experience, but measurement instruments have not kept pace. The Multidimensional Dyspnea Profile (MDP) assesses overall breathing discomfort, sensory qualities, and emotional responses in laboratory and clinical settings. Here we provide the MDP, review published evidence regarding its measurement properties and discuss its use and interpretation. The MDP assesses dyspnoea during a specific time or a particular activity (focus period) and is designed to examine individual items that are theoretically aligned with separate mechanisms. In contrast, other multidimensional dyspnoea scales assess recalled recent dyspnoea over a period of days using aggregate scores. Previous psychophysical and psychometric studies using the MDP show that: 1) subjects exposed to different laboratory stimuli could discriminate between air hunger and work/effort sensation, and found air hunger more unpleasant; 2) the MDP immediate unpleasantness scale (A1) was convergent with common dyspnoea scales; 3) in emergency department patients, two domains were distinguished (immediate perception, emotional response); 4) test–retest reliability over hours was high; 5) the instrument responded to opioid treatment of experimental dyspnoea and to clinical improvement; 6) convergent validity with common instruments was good; and 7) items responded differently from one another as predicted for multiple dimensions. The Multidimensional Dyspnea Profile provides a unified, reliable instrument for both clinical and laboratory research http://ow.ly/Ix8ic
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影响因子: --
作者:
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