Hullmann Stephanie E, Eddington Angelica R, Molzon Elizabeth S, Mullins Larry L
Department of Psychology, Oklahoma State University, 116 North Murray Hall, Stillwater, OK 74078, USA.
Int J Adolesc Med Health. 2013;25(1):31-8. doi: 10.1515/ijamh-2013-0004.
The current study sought to: 1) assess differences in levels of physical and mental health-related quality of life (HRQOL), illness uncertainty, and intrusiveness in adolescents and young adults (AYAs) with allergies and asthma, as well as 2) examine the effect of illness appraisals on HRQOL. Participants were undergraduate students with self-reported allergies (n=74) and asthma (n=74) who completed the Mishel Uncertainty in Illness Scale (MUIS), the Illness Intrusiveness Scale (IIS), and the SF-36 Health Survey Questionnaire. Paired t-tests indicated that AYAs with allergies reported higher levels of illness uncertainty and poorer mental HRQOL than AYAs with asthma; the groups did not differ on reported levels of illness intrusiveness or physical HRQOL. Hierarchical regressions were conducted to examine the relationship between illness appraisals and HRQOL. Results revealed that poorer mental HRQOL was associated with higher illness uncertainty in AYAs with allergies and higher illness intrusiveness in AYAs with asthma. Poorer physical HRQOL was associated with higher illness uncertainty in AYAs with asthma and higher illness intrusiveness in AYAs with allergies and asthma. The current examination suggests that illness appraisals may be differentially related to HRQOL in AYAs with allergies compared to those with asthma.
1）评估患有过敏和哮喘的青少年及青年（AYAs）在身心健康相关生活质量（HRQOL）、疾病不确定性和侵扰性方面的差异，以及2）研究疾病认知对HRQOL的影响。参与者为自我报告有过敏（n = 74）和哮喘（n = 74）的本科生，他们完成了米舍尔疾病不确定性量表（MUIS）、疾病侵扰性量表（IIS）和SF - 36健康调查问卷。配对t检验表明，患有过敏的AYAs比患有哮喘的AYAs报告的疾病不确定性水平更高，心理HRQOL更差；两组在报告的疾病侵扰性水平或身体HRQOL方面没有差异。进行了分层回归以研究疾病认知与HRQOL之间的关系。结果显示，心理HRQOL较差与患有过敏的AYAs中较高的疾病不确定性以及患有哮喘的AYAs中较高的疾病侵扰性相关。身体HRQOL较差与患有哮喘的AYAs中较高的疾病不确定性以及患有过敏和哮喘的AYAs中较高的疾病侵扰性相关。当前的研究表明，与患有哮喘的AYAs相比，疾病认知与患有过敏的AYAs的HRQOL可能存在不同的关系。
