Association between illness perception and clinical control, quality of life, physical activity, and psychosocial status in subjects with moderate to severe asthma: a cluster analysis

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Simone T. Camargo
dc.contributor.authorFREITAS, Patricia Duarte
dc.contributor.authorLUNARDI, Adriana Claudia
dc.contributor.authorXAVIER, Rafaella Fagundes
dc.contributor.authorBARBOSA, Renata Cleia C.
dc.contributor.authorSTELMACH, Rafael
dc.contributor.authorCARVALHO, Celso R. F.
dc.date.accessioned2024-02-15T14:46:27Z
dc.date.available2024-02-15T14:46:27Z
dc.date.issued2023
dc.description.abstractBackground: Illness perception (IP) is a psychosocial factor involved in several chronic diseases and is associated with relevant clinical outcomes. However, the relationship between IP and health-related quality of life (HRQoL), psychosocial status, and physical activity in daily life (PADL) in subjects with asthma is poorly understood.Objective: To identify groups of subjects with asthma based on their IPs and to assess their association with clinical control, HRQoL, psychosocial disturbances, and PADL.Methods: This cross-sectional study included 149 subjects with moderate to severe asthma. IP, anthropometric data, Asthma Control Questionnaire-7, Asthma Quality of Life Questionnaire, Hospital Anxiety and Depression Scale, PADL (accelerometry), and general self-efficacy (GSE) were assessed. Cluster analysis was performed to identify clusters with similar profiles and investigate their characteristics and differences. Pearson's correlation coefficient was used to test the associations between IP and other variables.Results: Statistical analyses identified two clusters of subjects with asthma based on IP. Cluster 1 presented worse IP in seven out of eight domains than Cluster 2. Cluster 1 had more negative consequences of the disease, worse understanding, and a high emotional representation of the disease than Cluster 2. Cluster 1 also had a greater extent of asthma symptoms, poor clinical control, worse HRQoL, and more symptoms of anxiety and depression. No difference between clusters was found for PADL or self-efficacy.Conclusion: Subjects with asthma who have worse IP have more negative symptoms, worse clinical control, HRQoL, and symptoms of anxiety and depression.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP) [2018/17788-3]
dc.description.sponsorshipMinisterio da Ciencia, Tecnologia e Inovacao -Conselho Nacional de Pesquisa (CNPq) [312279/2018-3]
dc.identifier.citationJOURNAL OF ASTHMA, v.60, n.1, p.115-122, 2023
dc.identifier.doi10.1080/02770903.2022.2032136
dc.identifier.eissn1532-4303
dc.identifier.issn0277-0903
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/57922
dc.language.isoeng
dc.publisherTAYLOR & FRANCIS LTDeng
dc.relation.ispartofJournal of Asthma
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright TAYLOR & FRANCIS LTDeng
dc.subjectAsthmaeng
dc.subjectillness perceptioneng
dc.subjectpsychosocial factorseng
dc.subjectphysical activityeng
dc.subject.othercommon-sense modeleng
dc.subject.otherhospital anxietyeng
dc.subject.otherquestionnaireeng
dc.subject.otherdepressioneng
dc.subject.otherrepresentationseng
dc.subject.othervalidationeng
dc.subject.otheroutcomeseng
dc.subject.otheradultseng
dc.subject.othercopdeng
dc.subject.wosAllergyeng
dc.subject.wosRespiratory Systemeng
dc.titleAssociation between illness perception and clinical control, quality of life, physical activity, and psychosocial status in subjects with moderate to severe asthma: a cluster analysiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalFREITAS, Patricia Duarte:Univ Sao Paulo, Sch Med, Dept Phys Therapy, Av Dr Arnaldo 455,Room 1210, BR-01246903 Sao Paulo, SP, Brazil
hcfmusp.author.externalBARBOSA, Renata Cleia C.:Univ Sao Paulo, Sch Med, Dept Phys Therapy, Av Dr Arnaldo 455,Room 1210, BR-01246903 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcSIMONE TRINDADE CAMARGO DA SILVA
hcfmusp.contributor.author-fmusphcADRIANA CLAUDIA LUNARDI
hcfmusp.contributor.author-fmusphcRAFAELLA FAGUNDES XAVIER
hcfmusp.contributor.author-fmusphcRAFAEL STELMACH
hcfmusp.contributor.author-fmusphcCELSO RICARDO FERNANDES DE CARVALHO
hcfmusp.description.beginpage115
hcfmusp.description.endpage122
hcfmusp.description.issue1
hcfmusp.description.volume60
hcfmusp.origemWOS
hcfmusp.origem.pubmed35060439
hcfmusp.origem.scopus2-s2.0-85124307501
hcfmusp.origem.wosWOS:000750778700001
hcfmusp.publisher.cityABINGDONeng
hcfmusp.publisher.countryENGLANDeng
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