Lind Nina, Nordin Maria, Palmquist Eva, Nordin Steven
a Department of Psychology , Umeå University , Umeå , Sweden .
Psychol Health Med. 2014;19(3):316-23. doi: 10.1080/13548506.2013.806814. Epub 2013 Jun 14.
With the aim to better understand the association between asthma/allergy and psychological distress, it was hypothesized that levels of stress, exhaustion, anxiety, depression, and health worries for environmental pollution would be higher in allergic asthma, allergic rhinitis, and atopic dermatitis than in non-allergic asthma and in referents without asthma or allergy. Taking part in the population-based Västerbotten Environmental Health Study (aged 18-79 years), 76 respondents reported a physician-based diagnosis of allergic asthma, 86 reported non-allergic asthma, 190 reported allergic rhinitis, and 46 reported atopic dermatitis as the only form of asthma/allergy. A group of 2876 respondents without an asthma/allergy diagnosis constituted as referents. The participants responded to the Perceived Stress Scale, the Shirom-Melamed Burnout Questionnaire, the Hospital Anxiety and Depression Scale, and the Environmental Pollution subscale of the Modern Health Worries Scale. Levels of stress, exhaustion, and anxiety were higher in allergic asthma and atopic dermatitis than in non-allergic asthma, allergic rhinitis, and among referents, and there was a strong tendency of such group differences for depression and health worries. The results imply that stress reduction and treatment of negative affect may in certain cases be fruitful interventions in patients with atopy.
为了更好地理解哮喘/过敏与心理困扰之间的关联，研究假设，过敏性哮喘、过敏性鼻炎和特应性皮炎患者的压力、疲惫、焦虑、抑郁水平以及对环境污染的健康担忧程度会高于非过敏性哮喘患者以及无哮喘或过敏的对照者。参与基于人群的韦斯特博滕环境卫生研究（年龄在18 - 79岁之间）的受访者中，76人报告有医生诊断的过敏性哮喘，86人报告非过敏性哮喘，190人报告过敏性鼻炎，46人报告特应性皮炎为哮喘/过敏的唯一形式。一组2876名无哮喘/过敏诊断的受访者作为对照者。参与者对感知压力量表、希罗姆 - 梅拉梅德倦怠问卷、医院焦虑抑郁量表以及现代健康担忧量表中的环境污染分量表进行了回答。过敏性哮喘和特应性皮炎患者的压力、疲惫和焦虑水平高于非过敏性哮喘、过敏性鼻炎患者以及对照者，并且在抑郁和健康担忧方面也有明显的群体差异倾向。结果表明，在某些情况下，减轻压力和治疗负面情绪可能是对特应性患者有效的干预措施。
