Cluley S, Cochrane G M
Department of Psychotherapy, Leeds, UK.
Respir Med. 2001 Jan;95(1):37-9. doi: 10.1053/rmed.2000.0968.
Previous studies have linked psychological morbidity to poor control of asthma, but have not objectively measured adherence to treatment, and have linked poor adherence to depression, but have not measured asthma severity. This study assessed asthma and psychological morbidity and objectively measured adherence to medication and showed that psychological morbidity in those with asthma is significantly increased when control of asthma is poor, especially when control is poor and adherence to inhaled steroid regimen is low.
以往的研究已将心理疾病与哮喘控制不佳联系起来,但未客观测量治疗依从性,并且已将依从性差与抑郁症联系起来,但未测量哮喘严重程度。本研究评估了哮喘和心理疾病,并客观测量了药物治疗依从性,结果显示,哮喘患者在哮喘控制不佳时,尤其是在控制不佳且吸入性类固醇治疗方案依从性较低时,心理疾病会显著增加。