Perceived triggers of asthma: Evaluation of a German version of the asthma trigger inventory
Perceived triggers of asthma: Evaluation of a German version of the asthma trigger inventory
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DOI：
10.1016/j.rmed.2007.10.009
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发表时间：
2008-03-01
影响因子：
4.3
通讯作者：
Magnussen, Helgo
中科院分区：
文献类型：
--
作者：
Ritz, Thomas;Kullowatz, Antje;Magnussen, Helgo
背景和目的：过去对哮喘患者对哮喘诱因的感知基本上是无结构的。因此，我们开发了哮喘触发问卷(ATI)，这是一份问卷，允许对患者感知的哮喘触发因素进行有效的心理测量。在这里，我们评估了德语版的ATI，并研究了子项与自我报告的健康状况、医疗保健使用、精神病理学和过敏皮肤测试结果的关系。方法：从社区、初级保健和住院哮喘治疗和教育中招募的370名哮喘患者的数据。结果：分析显示了一个五因素结构，与英文原版基本一致。过敏、运动、空气污染/刺激物、感染和心理触发因素的可靠性良好到令人满意(Cronbach‘s Alpha=0.77-0.89)。在调整人口统计学和哮喘严重程度的分级回归分析中，非过敏性诱因较强的哮喘患者的身心健康状况较差，更多地使用与哮喘相关的医疗保健。心理诱因与焦虑和抑郁情绪有独特的关联。ATI的花粉和动物过敏原评分与相关过敏原的皮肤测试结果显著相关。非过敏性但非过敏性触发物与哮喘控制有显著的相关性。结论：德国版的ATI能可靠地测量哮喘患者的触发物知觉。非特定的哮喘诱因对患者的福祉和初级卫生保健的使用造成了更大的负担。(C)2007爱思唯尔有限公司。保留所有权利。
Background and objective: Patients' perception of asthma triggers has been explored in a largely unstructured fashion in the past. Therefore, we developed the Asthma Trigger Inventory (ATI), a questionnaire that allows for a psychometrically valid measurement of patients' perceived asthma triggers. Here we evaluate a German language version of the ATI and studied the relationship of subscates with self-reported health status, health care use, psychopathology, and results of allergy skin testing.Method: Data were obtained from 370 asthma patients recruited from the community, primary care, and in-patient asthma treatment and education.Results: Analysis revealed a five-factor structure that largely confirmed results with the English original. Reliability was good to satisfactory (Cronbach's alpha = 0.77-0.89) for allergy, exercise, air pollution/irritants, infection, and psychological trigger subscates. In hierarchical regression analysis adjusting for demographics and asthma severity, asthma patients with stronger non-allergic triggers showed less physical and mental well-being and more asthma-related health care use. Psychological triggers showed unique associations with anxious and depressed mood. Pollen and animal allergen scores of the ATI were significantly related to skin test results for relevant allergens. Non-allergic but not allergic triggers showed substantial associations with asthma control.Conclusion: The German version of the ATI reliably measures asthma patients' trigger perceptions. Non-specific asthma triggers exert a greater burden on patients' well-being and primary health care use. (C) 2007 Elsevier Ltd. All rights reserved.