Psychological interventions for adults with asthma: A systematic review

被引：47

作者：

Yorke, Janelle ^{[1
]}

Fleming, Sharon L. ^{[1
]}

Shuldham, Caroline ^{[1
]}

机构：

[1] Royal Brompton & Harefield NHS Trust, London SW3 6NP, England

来源：

RESPIRATORY MEDICINE | 2007年 / 101卷 / 01期

关键词：

asthma; psychological; systematic review;

D O I：

10.1016/j.rmed.2006.04.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aim: The purpose of this study was to conduct a systematic review of randomized controlled trials where the efficacy of psychological interventions in modifying health and behavioural outcomes for adults with asthma was investigated. Method: A review of randomized controlled trials was designed. The literature search was conducted until May 2005. Results: Fourteen studies, involving 617 adults, were included in the review. The use of 'as needed' medications was reduced by relaxation therapy (OR 4.47, CI 1.22-16.44), quality of life, measured using the Asthma Quality of Life Questionnaire, showed a positive effect following cognitive behavioural therapy (WMD 0.71, CI 0.23-1.19), and peak expiratory flow outcome data indicated a significant difference in favour of bio-feedback therapy (SMD 0.66, CI 0.09-1.23). Conclusions: Some promising results did emerge from meta-analyses performed. However, due to heterogeneity and the tow quality of included studies, this review was unable to draw firm conclusions for the role of psychological interventions in asthma. We recommend that larger and well-conducted randomized trials use valid outcome measures to evaluate the effectiveness of psychological interventions for adults with asthma. (c) 2006 Elsevier Ltd. All rights reserved.

引用

页码：1 / 14

页数：14

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