A review of psychological dysfunction in asthma: affective, behavioral and cognitive factors
A review of psychological dysfunction in asthma: affective, behavioral and cognitive factors
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哮喘心理功能障碍的综述：情感、行为和认知因素
DOI：
10.3109/02770903.2013.819887
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发表时间：
2013
影响因子：
1.9
通讯作者：
M. Koh
中科院分区：
文献类型：
--
作者：
A. Yii;M. Koh
摘要背景：哮喘患者心理功能障碍的研究广泛而多样。我们对心理功能障碍对哮喘的影响进行了叙述性综述。研究方法：对MEDLINE、EMBASE、CINAHL和科克伦图书馆进行了电子检索，并辅以手工检索书目和征求专家意见。结果：心理因素对哮喘的影响可按情感、行为和认知功能障碍分类。情感或情绪障碍可通过直接调节疾病活动性而导致哮喘控制不良。哮喘患者可能会出现适应不良行为。这些包括适应不良的呼吸行为，如自主呼吸动力受损和呼吸功能障碍，以及哮喘健康行为受损，即为保持良好的疾病控制而进行的一系列协调活动。对哮喘的认知功能障碍（想法和信念）和对呼吸困难感知的认知加工受损分别与疾病控制不良和哮喘死亡相关。心理功能障碍的三个领域往往紧密交织在一起，导致恶性循环。结论：我们已经概念化的心理功能障碍哮喘使用的框架，包括情感，行为和认知。它们的影响是相互交织和复杂的。未来的研究应该集中在制定一个心理评估工具，基于这一框架，并评估其在改善哮喘的结果。
Abstract Background: The research on psychological dysfunction in asthma is extensive but heterogeneous. We undertook a narrative review about the effects of psychological dysfunction on asthma. Methods: Electronic searches of MEDLINE, EMBASE, CINAHL and the Cochrane Library were conducted, supplemented by hand-searching bibliographies and seeking expert opinion. Results: The impact of psychological factors on asthma can be classified according to dysfunction in the domains of affect, behavior and cognition. Affective or emotional disturbance may lead to poor asthma control by directly modulating disease activity. Maladaptive behaviors may occur in asthma patients. These include maladaptive breathing behaviors, such as impaired voluntary drive to breathe and dysfunctional breathing, as well as impaired asthma health behaviors, that is, a coordinated range of activities performed to maintain good disease control. Dysfunctional cognitions (thoughts and beliefs) about asthma and impaired cognitive processing of the perception of dyspnea are associated with poorly controlled disease and asthma deaths, respectively. The three domains of psychological dysfunction are often closely intertwined, leading to vicious circles. Conclusions: We have conceptualized psychological dysfunction in asthma using a framework consisting of affect, behavior and cognition. Their influences are intertwined and complex. Future research should focus on the formulation of a psychological assessment tool based on this framework and evaluating its efficacy in improving asthma outcomes.
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影响因子：
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作者：
Hoehn-Saric, R;McLeod, DR;Kowalski, P
通讯作者：
Kowalski, P
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DOI：
10.1093/intqhc/14.1.69
发表时间：
2002
期刊：
International journal for quality in health care : journal of the International Society for Quality in Health Care
影响因子：
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DOI：
10.1164/ajrccm.165.8.2109065
发表时间：
2002-04-15
影响因子：
24.7
作者：
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通讯作者：
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影响因子：
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作者：
Ritz T;Meuret AE;Trueba AF;Fritzsche A;von Leupoldt A
通讯作者：
von Leupoldt A