Psychosocial factors and behavioral medicine interventions in asthma.
Psychosocial factors and behavioral medicine interventions in asthma.
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哮喘的心理社会因素和行为医学干预措施。
DOI：
10.1037/a0030187
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发表时间：
2013-04
影响因子：
5.9
通讯作者：
von Leupoldt A
中科院分区：
文献类型：
--
作者：
Ritz T;Meuret AE;Trueba AF;Fritzsche A;von Leupoldt A
本文综述了哮喘的心理社会影响和行为医学治疗方法的证据。我们对有关哮喘的心理社会影响和行为干预证据的文献进行了系统回顾，重点是过去10年的研究和临床试验。对该领域有希望的新发展给予了更多的关注。心理社会因素可以直接通过自主神经、内分泌、免疫和中枢神经系统机制影响哮喘的发病机制和病理生理，或间接通过生活方式因素、健康行为、疾病认知和疾病管理（包括药物依从性和触发避免）影响哮喘的发病机制和病理生理。近十年来，人们对针对各种影响途径的行为干预兴趣高涨。其中，自我管理训练，呼吸训练，锻炼或身体激活程序已被证明是特别有用的，而其他必要的或有希望的干预措施，如戒烟，饮食计划，感知和生物反馈训练，暗示或表达心理治疗，需要进一步更严格的评估。鉴于与焦虑和情绪障碍的高共病率，进一步评估疾病特异性认知行为治疗尤为重要。在制定以社区为基础和针对文化的干预方案方面也取得了进展。与基本药物治疗相一致，哮喘的行为医学治疗正朝着疾病管理的综合生物心理社会方法迈进。
This review examines the evidence for psychosocial influences in asthma and behavioral medicine approaches to its treatment. We conducted a systematic review of the literature on psychosocial influences and the evidence for behavioral interventions in asthma with a focus on research in the past 10 years and clinical trials. Additional attention was directed at promising new developments in the field. Psychosocial factors can influence the pathogenesis and pathophysiology of asthma, either directly through autonomic, endocrine, immunological, and central nervous system mechanisms, or indirectly through lifestyle factors, health behaviors, illness cognitions, and disease management including medication adherence and trigger avoidance. The recent decade has witnessed surging interest in behavioral interventions that target the various pathways of influence. Among these, self-management training, breathing training, and exercise or physical activation programs have proven particularly useful, whereas other essential or promising interventions, such as smoking cessation, dietary programs, perception and biofeedback training, and suggestive or expressive psychotherapy, require further more rigorous evaluation. Given the high comorbidity with anxiety and mood disorders, further evaluation of illness-specific cognitive behavior therapy is of particular importance. Progress has also been made in devising community-based and culturally tailored intervention programs. In concert with an essential medication treatment, behavioral medicine treatment of asthma is moving closer towards an integrated biopsychosocial approach to disease management.
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影响因子：
14.2
作者：
Chen, Edith;Hanson, Margaret D.;Miller, Gregory E.
通讯作者：
Miller, Gregory E.
影响因子：
10.6
作者：
Brown, ES;Woolston, DJ;Cullum, CM
通讯作者：
Cullum, CM
DOI：
10.1164/rccm.200510-1589oc
发表时间：
2006-07-15
影响因子：
24.7
作者：
Chaudhuri, Rekha;Livingston, Eric;Thomson, Neil C.
通讯作者：
Thomson, Neil C.
影响因子：
14.2
作者：
Bender, B;Milgrom, H;Apter, A
通讯作者：
Apter, A
影响因子：
5.8
作者：
Alving, K;Janson, C;Nordvall, L
通讯作者：
Nordvall, L