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A systematic review of psychological, physical health factors and quality of life in adult asthma

A systematic review of psychological, physical health factors and quality of life in adult asthma
A systematic review of psychological, physical health factors and quality of life in adult asthma
Asthma is a common non-communicable disease, often characterised by activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and poor quality of life. The objective of the present study was to conduct a systematic review of the literature investigating the potential factors impacting quality of life (QoL) in asthma. Electronic searches were carried out on: MEDLINE, EMBASE, PsycINFO, the Cochrane Library and Web of Science (initial search April 2017 and updated in January 2019). All primary research studies including asthma, psychological or physical health factors
and quality of life were included. Narrative synthesis was used to develop themes among findings in included studies in an attempt to identify variables impacting QoL in asthma. The search retrieved 43 eligible studies, that were grouped in three themes: psychological factors (including anxiety and depression, other mental health conditions, illness representations and emotion regulation), physical health factors (including BMI and chronic physical conditions) and multifactorial aspects, including the interplay of health and
psychological factors and asthma. These were found to have a substantial impact on QoL in asthma, both directly and indirectly, by affecting self-management, activity levels and other outcomes. Findings suggest a complex and negative effect of health and psychological factors on QoL in asthma. The experience of living with asthma is multifaceted, and future research and intervention development studies should take this into account, as well as the variety of variables interacting and affecting the person.
1471-4418
Stanescu, Sabina-Claudia
ea9357e1-3371-4021-b44d-c1df840b79b3
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Ainsworth, Ben
98a141d2-0e3b-42b9-802c-15fbaeb5bc07
Stanescu, Sabina-Claudia
ea9357e1-3371-4021-b44d-c1df840b79b3
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Ainsworth, Ben
98a141d2-0e3b-42b9-802c-15fbaeb5bc07

Stanescu, Sabina-Claudia, Kirby, Sarah, Thomas, Mike, Yardley, Lucy and Ainsworth, Ben (2019) A systematic review of psychological, physical health factors and quality of life in adult asthma. Primary Care Respiratory Journal, 29, [37]. (doi:10.1038/s41533-019-0149-3).

Record type: Article

Abstract

Asthma is a common non-communicable disease, often characterised by activity limitation, negative effects on social life and relationships, problems with finding and keeping employment, and poor quality of life. The objective of the present study was to conduct a systematic review of the literature investigating the potential factors impacting quality of life (QoL) in asthma. Electronic searches were carried out on: MEDLINE, EMBASE, PsycINFO, the Cochrane Library and Web of Science (initial search April 2017 and updated in January 2019). All primary research studies including asthma, psychological or physical health factors
and quality of life were included. Narrative synthesis was used to develop themes among findings in included studies in an attempt to identify variables impacting QoL in asthma. The search retrieved 43 eligible studies, that were grouped in three themes: psychological factors (including anxiety and depression, other mental health conditions, illness representations and emotion regulation), physical health factors (including BMI and chronic physical conditions) and multifactorial aspects, including the interplay of health and
psychological factors and asthma. These were found to have a substantial impact on QoL in asthma, both directly and indirectly, by affecting self-management, activity levels and other outcomes. Findings suggest a complex and negative effect of health and psychological factors on QoL in asthma. The experience of living with asthma is multifaceted, and future research and intervention development studies should take this into account, as well as the variety of variables interacting and affecting the person.

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Sys rev asthma - Primary Care Respiratory Journal - Accepted Manuscript
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Accepted/In Press date: 24 September 2019
e-pub ahead of print date: 21 October 2019

Identifiers

Local EPrints ID: 435140
URI: http://eprints.soton.ac.uk/id/eprint/435140
ISSN: 1471-4418
PURE UUID: 24c96dbf-13b1-430d-bfec-48abf164a067
ORCID for Sarah Kirby: ORCID iD orcid.org/0000-0003-1759-1356
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 23 Oct 2019 16:30
Last modified: 07 Oct 2020 04:17

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