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哮喘和慢性阻塞性肺疾病患者的人格特质、焦虑水平及应对压力方式——一项比较分析

Personality traits, level of anxiety and styles of coping with stressin people with asthma and chronic obstructive pulmonary disease - a comparative analysis.

作者信息

Tabała Klaudia, Wrzesińska Magdalena, Stecz Patryk, Kocur Józef

机构信息

Zakład Rehabilitacji Psychospołecznej UM w Łodzi.

Zakład Metodologii Badań Psychologicznych i Statystyk, Instytut Psychologii, Wydział Nauk o Wychowaniu Uniwersytetu Łódzkiego.

出版信息

Psychiatr Pol. 2016 Dec 23;50(6):1167-1180. doi: 10.12740/PP/62726.

Abstract

OBJECTIVES

Chronic obstructive pulmonary disease (COPD) and asthma are a challenge to public health, with the sufferers experiencing a range of psychological factors affecting their health and behavior. The aim of the present study was to determine the level of anxiety, personality traits and stress-coping ability of patients with obstructive lung disease and comparison with a group of healthy controls.

METHODS

The research was conducted on a group of 150 people with obstructive lung diseases (asthma and COPD) and healthy controls (mean age = 56.0 ± 16.00). Four surveys were used: a sociodemographic survey, NEO-FFI Personality Inventory, State-Trait Anxiety Inventory (STAI), and Brief Cope Inventory. Logistic regression was used to identify the investigated variables which best differentiated the healthy and sick individuals.

RESULTS

Patients with asthma or COPD demonstrated a significantly lower level of conscientiousness, openness to experience, active coping and planning, as well as higher levels of neuroticism and a greater tendency to behavioral disengagement. Logistic regression found trait-anxiety, openness to experience, positive reframing, acceptance, humor and behavioral disengagement to be best at distinguishing people with lung diseases from healthy individuals.

CONCLUSIONS

The results indicate the need for intervention in the psychological functioning of people with obstructive diseases.

摘要

目的

慢性阻塞性肺疾病(COPD)和哮喘对公共卫生构成挑战,患者会经历一系列影响其健康和行为的心理因素。本研究的目的是确定阻塞性肺病患者的焦虑水平、人格特质和应激应对能力,并与一组健康对照者进行比较。

方法

对150名患有阻塞性肺病(哮喘和COPD)的患者及健康对照者(平均年龄=56.0±16.00)进行了研究。使用了四项调查问卷:社会人口学调查问卷、NEO-FFI人格量表、状态-特质焦虑量表(STAI)和简易应对方式问卷。采用逻辑回归分析来确定最能区分健康个体和患病个体的调查变量。

结果

哮喘或COPD患者的尽责性、经验开放性、积极应对和计划性水平显著较低,神经质水平较高,行为脱离的倾向更大。逻辑回归分析发现,特质焦虑、经验开放性、积极重新评价、接受、幽默和行为脱离最能区分肺病患者和健康个体。

结论

结果表明有必要对阻塞性疾病患者的心理功能进行干预。

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