Avallone Kimberly M, McLeish Alison C, Luberto Christina M, Bernstein Jonathan A
Department of Psychology, University of Cincinnati, Cincinnati, OH 45221-0376, USA.
J Asthma. 2012 Feb;49(1):57-62. doi: 10.3109/02770903.2011.641048. Epub 2011 Dec 16.
The aim of this study was to examine the role of anxiety sensitivity (AS) in terms of asthma control and asthma-related quality of life in a sample of adults with a physician-verified diagnosis of asthma.
Self-report measures assessing psychological and asthma symptoms were mailed to 368 asthma patients from a community allergy and asthma office who had been seen for a physician follow-up visit between 1 January 2009 and 1 January 2010. Participants in the current study were 127 asthma patients (74% female; M(age) = 43.4 years, SD = 12.3) who completed and returned the self-report measures.
The results indicated that, after controlling for gender, age, negative affect, and number of comorbid medical problems, the physical concerns factor of AS (AS-Physical Concerns) significantly predicted asthma control and all domains of asthma-related quality of life (symptoms, activity limitations, emotional functioning, and environmental stimuli).
These findings replicate and extend previous research and indicate that the fear of physical sensations negatively affects both asthma control and quality of life. These findings also suggest that targeting the AS-Physical Concerns may be a novel way to improve asthma control and quality of life.
本研究旨在探讨焦虑敏感性（AS）在经医生确诊为哮喘的成年样本中对哮喘控制及哮喘相关生活质量的作用。
向一家社区过敏与哮喘诊所的368名哮喘患者邮寄了评估心理和哮喘症状的自陈式量表，这些患者在2009年1月1日至2010年1月1日期间接受了医生的随访。本研究的参与者为127名哮喘患者（74%为女性；年龄均值M = 43.4岁，标准差SD = 12.3），他们完成并返还了自陈式量表。
结果表明，在控制了性别、年龄、消极情绪和共病医疗问题数量后，AS的身体担忧因子（AS-身体担忧）显著预测了哮喘控制及哮喘相关生活质量的所有领域（症状、活动受限、情绪功能和环境刺激）。
这些发现重复并扩展了先前的研究，表明对身体感觉的恐惧会对哮喘控制和生活质量产生负面影响。这些发现还表明，针对AS-身体担忧可能是改善哮喘控制和生活质量的一种新方法。
