Health-related quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma–a population-based study

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Rönnebjerg, LinaGothenburg University,Göteborgs universitet,Krefting Research Centre,Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden (author)

Health-related quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma–a population-based study

Article/chapterEnglish2023

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Taylor & Francis,2023

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LIBRIS-ID:oai:gup.ub.gu.se/332958
https://gup.ub.gu.se/publication/332958URI
https://doi.org/10.1080/02770903.2023.2248512DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-62737URI

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Language:English

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Subject category:art swepub-publicationtype

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Objective: Individuals with severe asthma often report poor Health-related quality of life (HRQoL) and more research is essential to increase understanding of how they may be helped to improve HRQoL. The main aim of the current paper is to evaluate HRQoL, and possible factors influencing HRQoL, in individuals with severe asthma. The aim is also to explore associations among anxiety, depression, beliefs of medication, self-efficacy, and HRQoL among individuals with severe and other asthma as well as those with no asthma. Methods: Participants with severe asthma (n = 59), other asthma (n = 526), and no asthma (n = 902) were recruited from West Sweden Asthma Study, a population-based study, which includes both questionnaire surveys and clinical examinations. Results: Individuals with severe asthma had worse physical HRQoL (measured with SF-8) than those with other and no asthma (median 48.4, 51.9, and 54.3, respectively). They also had worse mental HRQoL (median 46.7) and reported higher anxiety and depression scores (measured using HADS, median 5.0 and 3.5, respectively) compared to no asthma (median 4.0 and 2.0, respectively). HRQoL was particularly affected among women with severe asthma. Individuals with severe asthma believed that their asthma medication was more necessary than those with other asthma, but they reported more concern for the medication. Asthma control and packyears predicted physical HRQoL and anxiety predicted mental HRQoL among individuals with severe asthma. Conclusions: Efforts to improve asthma control and to reduce anxiety may improve HRQoL in individuals with severe asthma. Especially, women with severe asthma seem to need support to improve their HRQoL. Reducing concerns with asthma medication is most likely essential as high concerns may lead to poor adherence, which in turn may negatively affect asthma control and HRQoL.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Lungmedicin och allergi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Respiratory Medicine and Allergy hsv//eng
clinical variables
Difficult asthma
epidemiology
health psychology
physical functioning
treatable traits
well-being
Difficult asthma

Added entries (persons, corporate bodies, meetings, titles ...)

Axelsson, Malin,1964Malmö universitet,Institutionen för vårdvetenskap (VV)(Swepub:mau)ad6596 (author)
Kankaanranta, Hannu,1967Gothenburg University,Göteborgs universitet,Krefting Research Centre,Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Tampere University Respiratory Research Group, Faculty of Medicine and Health Technology, University of Tampere, Tampere, Finland(Swepub:gu)xkankh (author)
Ekerljung, Linda,1979Gothenburg University,Göteborgs universitet,Krefting Research Centre,Department of Internal Medicine and Clinical Nutrition, Krefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden(Swepub:gu)xekeli (author)
Göteborgs universitetKrefting Research Centre (creator_code:org_t)

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In:Journal of Asthma: Taylor & Francis61:2, s. 148-590277-09031532-4303

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

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