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[哮喘患者在症状感知方面是否存在缺陷?关于气道阻塞内感受的准实验和实验结果]

[Do asthmatic patients have deficits in symptom perception? Quasi-experimental and experimental findings on introception of airway obstruction].

作者信息

Dahme B, König R, Nussbaum B, Richter R

机构信息

Psychologisches Institut III, Universität Hamburg.

出版信息

Psychother Psychosom Med Psychol. 1991 Dec;41(12):490-9.

PMID:1796137
Abstract

Symptom perception of asthmatic patients was investigated in a quasi-experimental and in two experimental studies. Simultaneous ratings and measurements of airways obstruction assessed during an inhalative provocation test were correlated in the first study, in the two latter studies psychophysical parameters of the perception of external flow-resistive loads were determined for asthmatic patients and normal controls. These are the main results: 1. Most of the asthmatic patients are rather poor in discriminating provoked airways obstructions which results in a negative coping with the illness. 2. Asthmatic patients are slightly poorer in discriminating flow-resistive loads than healthy controls. 3. A distinct tendency of asthmatic patients to dissimulation found in the first study could not be confirmed in the two experiments.

摘要

在一项准实验研究和两项实验研究中,对哮喘患者的症状感知进行了调查。在第一项研究中,吸入激发试验期间评估的气道阻塞的同步评分和测量结果进行了相关性分析;在后两项研究中,确定了哮喘患者和正常对照对外部流阻负荷感知的心理物理参数。这些是主要结果:1. 大多数哮喘患者在辨别激发性气道阻塞方面相当差,这导致对疾病的消极应对。2. 哮喘患者在辨别流阻负荷方面比健康对照稍差。3. 在第一项研究中发现的哮喘患者明显的掩饰倾向在两项实验中未得到证实。

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Psychother Psychosom Med Psychol. 1991 Dec;41(12):490-9.
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