Nikola M Stenzel, Nina Piel, Klaus Kenn, Michael Kreuter
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引用次数: 0
摘要
引言多项针对慢性肺部疾病(如慢性阻塞性肺病)的研究表明,生活质量(QoL)会受到与疾病相关的恐惧的影响。然而,对于间质性肺病(ILD),这些研究还从未进行过系统的研究。因此,本研究旨在开发和评估一种适当的测量工具,并调查疾病相关焦虑对 ILD 患者 QoL 的影响:方法:166 名 ILD 患者参与了研究,并根据慢性阻塞性肺病焦虑问卷(CAF-R)和专家评估完成了与疾病相关的恐惧项目库。此外,还评估了人口统计学和心理变量(焦虑:GAD-7;QoL:K-BILD;健康信念:KKG)。对心理测量特性进行了分析(因子结构、信度、效度)。回归分析用于计算疾病相关焦虑对 QoL 的不同预测能力:结果:因子结构得到了证实(量表结果:因子结构得到确认(量表:害怕依赖和倒退、害怕社会排斥和孤立、害怕体力活动、害怕呼吸困难和与睡眠相关的抱怨)。量表显示出令人满意的信度(α = 0.68 至 0.89)和良好的效度。与疾病相关的焦虑被证明是K-BILD不同量表的不同预测因子(ß = -0.15 to ß = -0.58,所有PS < .01):ILD-焦虑问卷(IAQ)是一种易于使用、有效的测量工具,可用于评估与疾病相关的焦虑。这些焦虑对 QoL 不同方面的影响各不相同。因此,它可以帮助确定潜在心理辅助干预的适应症。还需要进行更多的长期研究,以调查特定的焦虑在不同情况下如何影响整体和特定疾病的 QoL。
Development and initial validation of the ILD-Anxiety-Questionnaire (IAQ): A new instrument for assessing disease specific fears in interstitial lung disease.
Introduction: Multiple studies focusing on chronic lung diseases (i.e. COPD), have indicated that the quality of life (QoL) can be impacted by disease-related fears. In the context of Interstitial Lung Diseases (ILD), however, these have never been systematically examined. Therefore, the aim of the present study was to develop and evaluate an appropriate measuring tool, and to investigate the influence of disease-related anxieties on QoL in ILD.
Method: N = 166 ILD patients participated in the study and completed an itempool on disease-related fears, based on the COPD-Anxiety-Questionnaire (CAF-R) and expert assessments. Further, demographic and psychological variables were assessed (anxiety: GAD-7, QoL: K-BILD; Beliefs about Health: KKG). Psychometric properties were analyzed (factor structure, reliability, validity). Regression analyses were used to calculate the differential predictive power of disease-related anxieties on QoL.
Results: The factor structure was confirmed (Scales: Fear-of-Dependence-and-Progression, Fear-of-Social-Exclusion-and-Isolation, Fear-of-Physical-Activity, Fear-of-Dyspnea, and Sleep-related- Complaints). The Scales showed satisfying reliabilities (α = 0.68 to 0.89) and good validity. Disease-related anxieties proved to be differential predictors for different scales of the K-BILD (ß = -0.15 to ß = -0.58, all ps < .01).
Conclusions: The ILD-Anxiety-Questionnaire (IAQ) is an easy-to-use, valid measurement tool for assessing disease-related anxieties. These vary in their impact on different aspects of QoL. Therefore, it might aid in specifying the indication for potential psychological supplementary interventions. Additional long-term studies are required to investigate how specific anxieties affect both overall and condition-specific QoL in diverse situations.
期刊介绍:
Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.