Psychological impact of the COVID-19 pandemic on people with asthma: a co-produced mixed-methods study.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2024-12-01 Epub Date: 2023-09-11 DOI:10.1080/08870446.2023.2256784

Tracy Jackson, Kirstie McClatchey, Amy Hai Yan Chan, Noelle Morgan, Emma Kinley, Hilary Pinnock

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Abstract

Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.

Methods and measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.

Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n = 568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n = 495, 58.3%). Qualitative interviews identified five themes (1) health communication, (2) interaction with healthcare, (3) COVID-19-related concerns, (4) impact on mental health, and (5) behaviour change.

Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.

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COVID-19 大流行对哮喘患者的心理影响：一项共同制作的混合方法研究。

目的：当 COVID-19 被宣布为大流行病时，人们担心哮喘患者面临不良后果的高风险。我们旨在探讨大流行期间英国哮喘患者的心理影响：我们的混合方法研究是与患者和公众参与的同事共同设计的，包括一项在线调查，以检测焦虑/抑郁/创伤后应激障碍（PTSD）和健康信念；以及定性访谈。我们招募了 849 人参与调查，并在 2020 年 5 月至 6 月间对 26 人进行了访谈。我们对访谈录音进行了逐字转录，并进行了专题分析：调查发现，77% 的受访者有焦虑症状，77% 的受访者有抑郁症状，61% 的受访者有创伤后应激障碍。三分之二的受访者认为大流行改变了他们管理哮喘的方式（n = 568，66.9%），一半以上的受访者认为他们没有获得足够的有关 COVID-19 的健康信息（n = 495，58.3%）。定性访谈确定了五个主题：（1）健康沟通；（2）与医疗保健的互动；（3）与 COVID-19 相关的问题；（4）对心理健康的影响；以及（5）行为改变：结论：在大流行初期，哮喘患者普遍存在心理困扰。结论：在大流行的早期阶段，哮喘患者普遍存在心理困扰，了解这一点可能有助于为未来的医疗保健/政策规划提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.