Severe asthma and adherence to peak flow monitoring: longitudinal assessment of psychological aspects.

摘要: Abstract 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, most having focused on pharmacology. Methods Sixty patients were recruited. was electronically monitored using peak flow measurements at entry and after 1 year of follow-up. Eysenck's Personality Inventory, Rotter's Locus Control (LOC), control beliefs all studied. Multiple logistic regression (MLR) used risk calculations. Results Initially, subjects poor adherence had an external LOC ( P =.001) high extraversion score =.003) compared to those good adherence. The lie patients. Nocturnal awakenings highly significantly correlated =.006). After year, patient extraversion, neuroticism remained unchanged. changed showing less “external” orientation =.007). parameters better the end study. By MLR analysis, externality, low social desirability associated Patients greater probability nocturnal symptoms. Conclusion No specific personality type lack present study, but score, level externality predictors