Severe asthma and adherence to peak flow monitoring: Longitudinal assessment of psychological aspects
| Autor: | Philippe Godard, René Pry, Muriel Varrin, Gérard Pithon, Pascal Chanez, Laurence Halimi |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Adolescent media_common.quotation_subject Peak Expiratory Flow Rate Severity of Illness Index Developmental psychology Surveys and Questionnaires Odds Ratio medicine Humans Personality Longitudinal Studies Internal-External Control Aged Asthma media_common Aged 80 and over Chi-Square Distribution Extraversion and introversion Middle Aged medicine.disease Neuroticism Psychiatry and Mental health Clinical Psychology Logistic Models Locus of control Personality type Patient Compliance Female Personality Assessment Inventory Psychology Psychosocial Clinical psychology |
| Zdroj: | Journal of Psychosomatic Research. 69:331-340 |
| ISSN: | 0022-3999 |
| Popis: | Background Adherence in severe asthma is a difficult health problem. Although psychosocial factors may be responsible for non-adherence, few longitudinal studies have investigated their link with adherence, with most studies having focused on pharmacology. Methods Sixty patients with severe asthma were recruited. Adherence was electronically monitored using peak flow measurements at entry and after 1 year of follow-up. Eysenck's Personality Inventory, Rotter's Locus of Control (LOC), and health control beliefs were all studied. Multiple logistic regression (MLR) was used for risk calculations. Results Initially, subjects with poor adherence had an external LOC ( P =.001) and a high extraversion score ( P =.003) compared to those with good adherence. The lie score was high in all patients. Nocturnal awakenings were highly significantly correlated with poor adherence ( P =.006). After 1 year, patient adherence, extraversion, and neuroticism remained unchanged. The LOC changed in subjects with poor adherence, showing a less “external” orientation ( P =.007). The health parameters were better at the end of the study. By MLR analysis, externality, extraversion, and low social desirability were associated with poor adherence. Patients with poor adherence had a greater probability of nocturnal symptoms. Conclusion No specific personality type was associated with lack of adherence in the present study, but a high extraversion score, a low social desirability score, and a high level of externality were all predictors of poor adherence. |
| Databáze: | OpenAIRE |
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