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日常生活中应对哮喘的方法:哮喘特异性应对量表的验证

Ways of coping with asthma in everyday life: validation of the Asthma Specific Coping Scale.

作者信息

Aalto Anna-Mari, Härkäpää Kristiina, Aro Arja R, Rissanen Pekka

机构信息

National Research and Development Centre for Welfare and Health, P.O. Box 220, 00531 Helsinki, Finland.

出版信息

J Psychosom Res. 2002 Dec;53(6):1061-9. doi: 10.1016/s0022-3999(02)00339-2.

Abstract

OBJECTIVE

This study examines the validity of the Asthma Specific Coping Scale.

METHODS

Study samples were comprised of persons with drug-treated asthma (n=3464) drawn from the Drug Reimbursement Registry and asthma rehabilitation participants [brief (n=278) and comprehensive (n=316) intervention]. Data were collected by questionnaires.

RESULTS

The expected structure of the six subscales (restricted lifestyle, hiding asthma, positive reappraisal, information seeking, ignoring asthma, and asthma worry) was supported. The Cronbach's alpha reliabilities of the subscales ranged from .63 to .84. Concurrent validity was supported by meaningful correlations between asthma coping scales and psychosocial resources, health-related quality of life, and general coping. The asthma coping scales discriminated between the intervention participants and the population-based sample. Four out of six subscales also showed sensitivity to change after rehabilitation.

CONCLUSION

Though further longitudinal studies are needed, this scale seems to be a promising instrument to be used in surveys and outcome studies.

摘要

目的

本研究检验哮喘特异性应对量表的有效性。

方法

研究样本包括从药物报销登记处选取的接受药物治疗的哮喘患者(n = 3464)以及哮喘康复参与者[简短干预组(n = 278)和综合干预组(n = 316)]。通过问卷调查收集数据。

结果

六个子量表(受限生活方式、隐瞒哮喘、积极重新评价、寻求信息、忽视哮喘和哮喘担忧)的预期结构得到支持。子量表的克朗巴哈α信度在0.63至0.84之间。哮喘应对量表与心理社会资源、健康相关生活质量和一般应对之间存在有意义的相关性,支持了同时效度。哮喘应对量表区分了干预参与者和基于人群的样本。六个子量表中有四个在康复后也显示出对变化的敏感性。

结论

尽管需要进一步的纵向研究,但该量表似乎是一种有前景的工具,可用于调查和结果研究。

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