成人哮喘和慢性支气管炎患者的精神健康：西班牙一项人群为基础的研究
2012/07/05
摘要
目的：研究哮喘和慢性支气管炎（CB）患者的心理功能障碍和阳性精神状态，并与健康对照比较，以鉴别与这些精神问题相关的因素。
方法：对来自西班牙欧洲健康访谈调查（EHISS, 2009）的数据进行横断面研究。采用问卷调查寻找哮喘和CB患者。为评价精神健康，从SF-36问卷调查中提取2个指标：心理功能障碍和阳性精神健康状态。
结果：研究入选19598名受试者，8.3%的受试者诊断为哮喘，7.4%诊断为CB。健康者的心理功能障碍评分显著高于哮喘患者和CB患者，阳性精神状态评分也高于哮喘和CB患者。与这些指标评分较低独立相关的指标包括女性、更多的慢性疾病和肥胖。相反，酒精摄入和体能锻炼与上述指标评分较高相关。
结论：与哮喘患者和CB患者相比，健康者具有较高的心理功能障碍评分和阳性精神健康状态评分。这表明他们的精神状态更好。与这些指标评分较低（即精神健康状态较差）相关的指标包括女性、更多的慢性疾病和肥胖。相反，酒精摄入和体能锻炼与上述指标评分较高相关，即与较好的精神健康相关。
（林江涛 审校）
Respir Med. 2012 Apr 23. [Epub ahead of print]
Respir Med. 2012 Apr 23. [Epub ahead of print]
Source
Pulmonology Department, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Calle Doctor Esquerdo 46, 28007 Madrid, Spain.
Abstract
OBJECTIVES: To analyze the conditions of psychological dysfunction and positive mental health in patients with asthma and chronic bronchitis (CB), as compared to healthy individuals, and to identify the factors associated with these mental health indicators.
METHODS:Cross-sectional study based on data obtained from the European Health Interview Survey for Spain(EHISS,2009).We identified individuals with asthma and CB using a specific questionnaire.In order to assess mental health,two indicators extracted from questionnaire SF36 were used:psychological dysfunction and positive mental health status.
RESULTS: Out of 19,598 subjects included in the study, 8.3% were classified as asthmatic and 7.4% as CB. Healthy individuals had significantly higher psychological dysfunction scores than those with asthma and CB. The same occurred with positive mental health. The variables independently associated with lower scores out of these variables were gender female, a greater number of chronic diseases and obesity. On the contrary, alcohol consumption and physical exercise were associated with a higher score in the aforementioned variables.
RESULTS: Out of 19,598 subjects included in the study, 8.3% were classified as asthmatic and 7.4% as CB. Healthy individuals had significantly higher psychological dysfunction scores than those with asthma and CB. The same occurred with positive mental health. The variables independently associated with lower scores out of these variables were gender female, a greater number of chronic diseases and obesity. On the contrary, alcohol consumption and physical exercise were associated with a higher score in the aforementioned variables.
CONCLUSIONS: Healthy individuals have significantly higher scores in psychological dysfunction and positive mental health than patients with asthma and CB. This suggests that their mental health is much better. The variables related with lower scores out of these variables, and therefore with worse mental health, are: being female, having a greater number of chronic diseases and obesity. On the contrary, alcohol consumption and the practicing of physical exercise are associated with a higher score in the aforementioned variables, thus indicating a greater degree of mental health.
Respir Med. 2012 Apr 23. [Epub ahead of print]
上一篇：
低收入国家儿童期哮喘：看不见的杀手
下一篇：
全球成人哮喘的患病率：从横断面世界的健康调查的结果
