年轻时患有严重且无法控制的哮喘的社会心理体验:定性综述。

IF 3.4 3区 医学 Q1 RESPIRATORY SYSTEM
Leanne-Jo Holmes, Siobhan Ludlow, Stephen Fowler, Marie Marshall, Karina Lovell
{"title":"年轻时患有严重且无法控制的哮喘的社会心理体验:定性综述。","authors":"Leanne-Jo Holmes, Siobhan Ludlow, Stephen Fowler, Marie Marshall, Karina Lovell","doi":"10.1136/bmjresp-2024-002541","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Living with severe and uncontrolled asthma can negatively impact on well-being, yet little is known about the psychosocial impact on young adults (age 12-25).</p><p><strong>Aim: </strong>To identify, appraise and synthesise current literature pertaining to the psychosocial experience of living with severe and uncontrolled asthma as a young adult, to generate new knowledge, further conceptual understanding and provide recommendations to help improve long-term outcomes.</p><p><strong>Methods: </strong>We followed a predefined protocol, registered on PROSPERO. We systematically searched for qualitative research which captured the psychosocial impact of living with severe and uncontrolled asthma as a young adult. Using thematic synthesis, data was coded and developed into descriptive and analytical themes.</p><p><strong>Results: </strong>10 studies with 219 participants were identified and included in the synthesis. 73 codes were then developed into 17 descriptive themes, subsequently forming 5 analytical themes: 'Living with a constant uncertainty', 'The deleterious impact of asthma', 'Acquiescence', 'A need for support & understanding' and 'The constraints of living with asthma'.Young adults with severe and uncontrolled asthma live with a significant negative impact on their psychosocial well-being. Reported emotions described living with a burden of shame, embarrassment, anxiety, isolation, uncertainty, fear, conflict, lack of control, restriction on life choices and a perceived desire to be normal. These emotions influenced lifestyle choices and adherence to treatment, compounding on physical symptomology. This resulted in a cyclical interplay between the physical and psychological impact of living with severe and uncontrolled asthma.</p><p><strong>Conclusion: </strong>There is clear evidence of a negative psychosocial impact of living with severe and uncontrolled asthma as a young adult. We have also highlighted the paucity of recent literature and provide the rationale for further research, to increase our understanding of the impact and support requirements of young adults with severe asthma to help improve long-term outcomes and quality of life.</p><p><strong>Prospero registration number: </strong>CRD42022363201.</p>","PeriodicalId":9048,"journal":{"name":"BMJ Open Respiratory Research","volume":"12 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931952/pdf/","citationCount":"0","resultStr":"{\"title\":\"Psychosocial experience of living with severe and uncontrolled asthma as a young adult: a qualitative synthesis.\",\"authors\":\"Leanne-Jo Holmes, Siobhan Ludlow, Stephen Fowler, Marie Marshall, Karina Lovell\",\"doi\":\"10.1136/bmjresp-2024-002541\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Living with severe and uncontrolled asthma can negatively impact on well-being, yet little is known about the psychosocial impact on young adults (age 12-25).</p><p><strong>Aim: </strong>To identify, appraise and synthesise current literature pertaining to the psychosocial experience of living with severe and uncontrolled asthma as a young adult, to generate new knowledge, further conceptual understanding and provide recommendations to help improve long-term outcomes.</p><p><strong>Methods: </strong>We followed a predefined protocol, registered on PROSPERO. We systematically searched for qualitative research which captured the psychosocial impact of living with severe and uncontrolled asthma as a young adult. Using thematic synthesis, data was coded and developed into descriptive and analytical themes.</p><p><strong>Results: </strong>10 studies with 219 participants were identified and included in the synthesis. 73 codes were then developed into 17 descriptive themes, subsequently forming 5 analytical themes: 'Living with a constant uncertainty', 'The deleterious impact of asthma', 'Acquiescence', 'A need for support & understanding' and 'The constraints of living with asthma'.Young adults with severe and uncontrolled asthma live with a significant negative impact on their psychosocial well-being. Reported emotions described living with a burden of shame, embarrassment, anxiety, isolation, uncertainty, fear, conflict, lack of control, restriction on life choices and a perceived desire to be normal. These emotions influenced lifestyle choices and adherence to treatment, compounding on physical symptomology. This resulted in a cyclical interplay between the physical and psychological impact of living with severe and uncontrolled asthma.</p><p><strong>Conclusion: </strong>There is clear evidence of a negative psychosocial impact of living with severe and uncontrolled asthma as a young adult. We have also highlighted the paucity of recent literature and provide the rationale for further research, to increase our understanding of the impact and support requirements of young adults with severe asthma to help improve long-term outcomes and quality of life.</p><p><strong>Prospero registration number: </strong>CRD42022363201.</p>\",\"PeriodicalId\":9048,\"journal\":{\"name\":\"BMJ Open Respiratory Research\",\"volume\":\"12 1\",\"pages\":\"\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-03-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931952/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Open Respiratory Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/bmjresp-2024-002541\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"RESPIRATORY SYSTEM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Open Respiratory Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjresp-2024-002541","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0

摘要

背景:患有严重和不受控制的哮喘会对健康产生负面影响,但对年轻人(12-25岁)的心理社会影响知之甚少。目的:识别、评估和综合目前有关年轻人患有严重和不受控制的哮喘的心理社会经验的文献,产生新的知识,进一步的概念理解,并提供建议,以帮助改善长期结果。方法:我们遵循预先确定的方案,在PROSPERO上注册。我们系统地检索了定性研究,这些研究捕获了年轻成人患有严重和不受控制的哮喘的心理社会影响。使用主题综合,数据被编码并发展成描述性和分析性主题。结果:10项研究共219名参与者被确定并纳入综合。73条准则随后发展成17个描述性主题,随后形成5个分析性主题:“生活在持续的不确定性中”、“哮喘的有害影响”、“默许”、“需要支持和理解”和“哮喘生活的限制”。患有严重和不受控制的哮喘的年轻人生活在对他们的社会心理健康产生重大负面影响的环境中。报告中的情绪描述了生活在羞耻、尴尬、焦虑、孤立、不确定、恐惧、冲突、缺乏控制、对生活选择的限制和对正常生活的渴望的负担之下。这些情绪影响了生活方式的选择和对治疗的坚持,加重了身体症状。这导致患有严重和不受控制的哮喘的身体和心理影响之间的周期性相互作用。结论:有明确的证据表明,年轻成人患有严重且未控制的哮喘会产生负面的心理社会影响。我们还强调了最近文献的缺乏,并为进一步的研究提供了依据,以增加我们对严重哮喘的年轻人的影响和支持需求的理解,以帮助改善长期结果和生活质量。普洛斯彼罗注册号:CRD42022363201。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial experience of living with severe and uncontrolled asthma as a young adult: a qualitative synthesis.

Background: Living with severe and uncontrolled asthma can negatively impact on well-being, yet little is known about the psychosocial impact on young adults (age 12-25).

Aim: To identify, appraise and synthesise current literature pertaining to the psychosocial experience of living with severe and uncontrolled asthma as a young adult, to generate new knowledge, further conceptual understanding and provide recommendations to help improve long-term outcomes.

Methods: We followed a predefined protocol, registered on PROSPERO. We systematically searched for qualitative research which captured the psychosocial impact of living with severe and uncontrolled asthma as a young adult. Using thematic synthesis, data was coded and developed into descriptive and analytical themes.

Results: 10 studies with 219 participants were identified and included in the synthesis. 73 codes were then developed into 17 descriptive themes, subsequently forming 5 analytical themes: 'Living with a constant uncertainty', 'The deleterious impact of asthma', 'Acquiescence', 'A need for support & understanding' and 'The constraints of living with asthma'.Young adults with severe and uncontrolled asthma live with a significant negative impact on their psychosocial well-being. Reported emotions described living with a burden of shame, embarrassment, anxiety, isolation, uncertainty, fear, conflict, lack of control, restriction on life choices and a perceived desire to be normal. These emotions influenced lifestyle choices and adherence to treatment, compounding on physical symptomology. This resulted in a cyclical interplay between the physical and psychological impact of living with severe and uncontrolled asthma.

Conclusion: There is clear evidence of a negative psychosocial impact of living with severe and uncontrolled asthma as a young adult. We have also highlighted the paucity of recent literature and provide the rationale for further research, to increase our understanding of the impact and support requirements of young adults with severe asthma to help improve long-term outcomes and quality of life.

Prospero registration number: CRD42022363201.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
BMJ Open Respiratory Research
BMJ Open Respiratory Research RESPIRATORY SYSTEM-
CiteScore
6.60
自引率
2.40%
发文量
95
审稿时长
12 weeks
期刊介绍: BMJ Open Respiratory Research is a peer-reviewed, open access journal publishing respiratory and critical care medicine. It is the sister journal to Thorax and co-owned by the British Thoracic Society and BMJ. The journal focuses on robustness of methodology and scientific rigour with less emphasis on novelty or perceived impact. BMJ Open Respiratory Research operates a rapid review process, with continuous publication online, ensuring timely, up-to-date research is available worldwide. The journal publishes review articles and all research study types: Basic science including laboratory based experiments and animal models, Pilot studies or proof of concept, Observational studies, Study protocols, Registries, Clinical trials from phase I to multicentre randomised clinical trials, Systematic reviews and meta-analyses.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信