哮喘联盟

    背景：哮喘与健康相关生活质量下降、机体共患疾病增加、死亡率增加、临床就诊和住院率高、工作能力下降有关。
    目的：本研究通过社区调查，研究哮喘和心理不适对功能残疾的联合影响。
    方法：数据来源于加拿大社区和健康调查（N=62,274）。心理不适通过10个项目的Kessler 调查表来评价。哮喘和残疾天数、健康自评以及长期活动能力下降通过面谈获得。
    结果：伴有哮喘和心理不适的患者，功能残疾的发生率显著高于单纯哮喘或心理不适者。
    结论：对哮喘患者心理问题进行评价和控制将有利于哮喘患者。

（刘国梁 校译）
Schmitz N, et al. Psychosomatics. 2009 Jan-Feb;50(1):42-49.

The impact of psychological distress on functional disability in asthma: results from the Canadian community health survey

BACKGROUND: Asthma is associated with decreased health-related quality of life and increased physical comorbidity and mortality, high rates of clinic visits and hospitalizations, and loss of productivity in the workplace.
OBJECTIVE: The objective of the present study was to determine the joint effect of psychological distress and asthma on functional disability in a community sample.
METHOD: The authors used data from The Canadian Community and Health Survey (N=62,274). Psychological distress was measured by the 10-item Kessler (K-10) instrument. Asthma, disability days, self-assessed health status, and long-term reduction in activities were assessed by personal interview.
RESULTS: The prevalence of functional disability was higher in subjects with asthma and comorbid psychological distress than in individuals with either asthma or psychological distress alone.
CONCLUSION: Detecting and managing psychological problems might be particularly beneficial for persons with asthma.