Natural Science and Public Health, Zayed University, PO Box 144534, Abu Dhabi, UAE.
Psychiatr Q. 2013 Sep;84(3):287-302. doi: 10.1007/s11126-012-9244-0.
This study examined the levels of posttraumatic stress disorder (PTSD) following asthma attack (post-asthma attack PTSD) and psychiatric co-morbidity among college students. It also investigated the association between these variables and alexithymia. One hundred and six college students participated in the study and completed an on-line survey comprising the Asthma Symptom Checklist, PTSD Checklist, General Health Questionnaire-28 and Toronto Alexithymia Scale. Ninety-one students without asthma and major illness formed the control group. 2 % met the diagnostic criteria for full-PTSD, while 42 and 56 % met the partial and no-PTSD criteria respectively. Compared with the control, the asthma group reported significantly more somatic problems, social dysfunction and depression and was five times more likely to have an elevated risk of developing a general psychiatric disorder. After adjusting age, marital status, asthma experience and symptoms, alexithymia did not predict PTSD, while difficulty identifying feelings predicted psychiatric co-morbidity. Mediational analyses showed that asthma symptoms partially mediated the link between difficulty identifying feelings and psychiatric co-morbidity. People can develop PTSD symptoms and other psychological difficulties following asthma attack. Alexithymia influenced general psychological difficulties independently of PTSD symptoms.
本研究考察了哮喘发作后创伤后应激障碍（post-asthma attack PTSD）的水平和大学生的精神共病情况。还调查了这些变量与述情障碍之间的关系。106 名大学生参加了这项研究，并完成了一项在线调查，包括哮喘症状检查表、创伤后应激障碍检查表、一般健康问卷-28 和多伦多述情障碍量表。91 名无哮喘和重大疾病的学生组成对照组。2%符合完全 PTSD 的诊断标准，而 42%和 56%分别符合部分 PTSD 和无 PTSD 的标准。与对照组相比，哮喘组报告了更多的躯体问题、社会功能障碍和抑郁，患一般精神障碍的风险高出五倍。在校正年龄、婚姻状况、哮喘经历和症状后，述情障碍并不能预测 PTSD，而难以识别情绪则预测了精神共病。中介分析表明，难以识别情绪与精神共病之间存在部分中介关系。人们在哮喘发作后可能会出现 PTSD 症状和其他心理问题。述情障碍独立于 PTSD 症状影响一般心理困难。
