Shi Lu, Liang Di, Gao Yu, Huang Jiayan, Nolan Cameron, Mulvaney Andrew, Poole Taryn, Zhang Hailin
a Department of Public Health Sciences , Clemson University , Clemson , SC , USA.
b Department of Health Policy and Management , University of California Los Angeles , Los Angeles , CA , USA.
J Asthma. 2018 Jan;55(1):101-105. doi: 10.1080/02770903.2017.1306545. Epub 2017 May 1.
Given the known link between asthma and stress as well as the link between mindfulness and stress, we explore the possible association between trait mindfulness and asthma-related diagnosis and symptoms with a cross-sectional study.
In 2014, we surveyed a sample of college students in their freshman year, from a public university in Shanghai, China. We used three multilevel logistic regressions to estimate the association between trait mindfulness (measured by Mindful Awareness Attention Scale, MAAS) and self-report of ever having an asthma diagnosis, ever having had persistent dry cough, and ever having had wheezing symptoms. Age, gender, household registration status, and the frequency of smog in the respondent's hometown were used as control variables in the study. The home province of the student was used as the cluster variable in the multilevel models.
Among the 1392 students in the analysis sample (mean age = 18.3), 47 (3.4%) self-reported an asthma diagnosis, 251 (18.1%) reported having had persistent dry cough, and 100 (7.2%) reported having had wheezing symptoms. A one-unit increase in MAAS is negatively associated with having a self-reported asthma diagnosis (Odds Ratio (OR): 0.662, 95% Confidence Interval (CI): 0.452, 0.969, p = 0.034), having had persistent dry cough (OR: 0.658, 95% CI: 0.545, 0.795, p < 0.001), and wheezing (OR = 0.747, 95% CI: 0.569, 0.981, p = 0.036).
This is the first study to suggest a link between trait mindfulness and asthma. Our finding provides evidence that people with higher level of mindfulness are less likely to have had an asthma diagnosis and less likely to have the symptoms of persistent dry cough and wheezing.
鉴于已知哮喘与压力之间的联系以及正念与压力之间的联系，我们通过一项横断面研究探讨特质正念与哮喘相关诊断及症状之间的可能关联。
2014年，我们对来自中国上海一所公立大学的大一新生样本进行了调查。我们使用三个多层逻辑回归来估计特质正念（通过正念觉知注意力量表，MAAS测量）与曾被诊断为哮喘、曾有持续性干咳、曾有喘息症状的自我报告之间的关联。年龄、性别、户籍状况以及受访者家乡的雾霾频率在研究中用作控制变量。学生的家乡省份在多层模型中用作聚类变量。
在分析样本中的1392名学生（平均年龄 = 18.3岁）中，47人（3.4%）自我报告有哮喘诊断，251人（18.1%）报告有持续性干咳，100人（7.2%）报告有喘息症状。MAAS得分每增加一个单位，与自我报告的哮喘诊断（优势比（OR）：0.662，95%置信区间（CI）：0.452，0.969，p = 0.034）、有持续性干咳（OR：0.658，95%CI：0.545，0.795，p < 0.001）和喘息（OR = 0.747，95%CI：0.569，0.981，p = 0.036）呈负相关。
这是第一项表明特质正念与哮喘之间存在联系的研究。我们的发现提供了证据，表明正念水平较高的人哮喘诊断的可能性较小，出现持续性干咳和喘息症状的可能性也较小。
