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哮喘女性的生理和心理反应性:焦虑和月经周期阶段的影响。

Physiological and psychological reactivity in women with asthma: the effects of anxiety and menstrual cycle phase.

作者信息

Dorhofer Diana M, Sigmon Sandra T

机构信息

University of Maine, Orono 04469, USA.

出版信息

Behav Res Ther. 2002 Jan;40(1):3-17. doi: 10.1016/s0005-7967(00)00110-8.

DOI:10.1016/s0005-7967(00)00110-8
PMID:11762425
Abstract

The relation between menstrual cycle timing, panic attacks, and diagnosis of asthma was explored in this study. Women with or without asthma and with or without a history of panic attacks engaged in a psychophysiological task during either the intermenstrual or premenstrual cycle phase and completed self-report measures of menstrual symptoms and attitudes, general psychological symptoms, and attitudes toward illness. No significant differences were identified for psychological or psychophysiological measures with menstrual cycle phase as a factor. However, women with both asthma and a history of panic attacks reported more general psychological distress than women in the other groups, and more state anxiety than controls. Women in the asthma, asthma and panic, and panic groups reported higher anxiety sensitivity than the control group. After listening to asthma-related scenes, women with asthma exhibited a decrease in peak expiratory air flow, and women with asthma and panic exhibited increased skin conductance response magnitude. Implications for the role of anxiety in lung function are discussed, as well as directions for future research with asthma and anxiety populations.

摘要

本研究探讨了月经周期时间、惊恐发作与哮喘诊断之间的关系。有或无哮喘、有或无惊恐发作史的女性在月经间期或经前期进行一项心理生理任务,并完成月经症状与态度、一般心理症状以及对疾病态度的自我报告测量。以月经周期阶段为因素时,心理或心理生理测量未发现显著差异。然而,患有哮喘且有惊恐发作史的女性报告的一般心理困扰比其他组女性更多,且状态焦虑比对照组更多。哮喘组、哮喘伴惊恐组和惊恐组的女性报告的焦虑敏感性高于对照组。在听与哮喘相关的场景后,哮喘女性的呼气峰值气流降低,哮喘伴惊恐女性的皮肤电导反应幅度增加。讨论了焦虑在肺功能中的作用,以及未来针对哮喘和焦虑人群研究的方向。

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