Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma
<p>Abstract</p> <p>Background</p> <p>The Juniper Asthma Specific Quality of Life Questionnaire (AQLQ(S)) is a questionnaire that allows measurement of disease specific quality of life. We wanted to examine correlations between the (AQLQ(S)) general and different subscal...
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| Format: | Article |
| Language: | English |
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BMC
2011-09-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | http://www.hqlo.com/content/9/1/76 |
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| author | Ghezzo Heberto L'Archeveque Jocelyne Lavoie Kim L Miedinger David Malo Jean-Luc |
| author_facet | Ghezzo Heberto L'Archeveque Jocelyne Lavoie Kim L Miedinger David Malo Jean-Luc |
| author_sort | Ghezzo Heberto |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The Juniper Asthma Specific Quality of Life Questionnaire (AQLQ(S)) is a questionnaire that allows measurement of disease specific quality of life. We wanted to examine correlations between the (AQLQ(S)) general and different subscale scores and both psychiatric morbidity and levels of psychological distress in individuals with occupational asthma (OA) and to determine if results in the emotional function subscale allow identification of individuals with clinically significant psychological distress or current psychiatric disorders.</p> <p>Methods</p> <p>This was a cross-sectional study of individuals with OA who were assessed during a re-evaluation for permanent disability, after they were no longer exposed to the sensitizing agent. Patients underwent a general sociodemographic and medical history evaluation, a brief psychiatric interview (Primary Care Evaluation of Mental Disorders, PRIME-MD) and completed a battery of questionnaires including the AQLQ(S), the St-Georges Respiratory Questionnaire (SGRQ), and the Psychiatric Symptom Index (PSI).</p> <p>Results</p> <p>There was good internal consistency (Cronbach alpha = 0.936 for the AQLQ(S) total score) and construct validity for the AQLQ(S) (Spearman rho = -0.693 for the SGRQ symptom score and rho = -0.650 for the asthma severity score). There were medium to large correlations between the total score of the AQLQ(S) and the SGRQ symptom score (r = -.693), and PSI total (r = -.619) and subscale scores (including depression, r = -.419; anxiety, r = -.664; anger, r = -.367; cognitive disturbances, r = -.419). A cut-off of 5.1 on the AQLQ(S) emotional function subscale (where 0 = high impairment and 7 = no impairment) had the best discriminative value to distinguish individuals with or without clinically significant psychiatric distress according to the PSI, and a cut-off of 4.7 best distinguished individuals with or without a current psychiatric disorder according to the PRIME-MD.</p> <p>Conclusions</p> <p>Impaired quality of life is associated with psychological distress and psychiatric disorders in individuals with OA. Findings suggest that the AQLQ(S) questionnaire may be used to identify patients with potentially clinically significant levels of psychological distress.</p> |
| first_indexed | 2024-04-12T16:11:19Z |
| format | Article |
| id | doaj.art-e2e6a87f398049a7bdbb76dc7691de7f |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-12T16:11:19Z |
| publishDate | 2011-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-e2e6a87f398049a7bdbb76dc7691de7f2022-12-22T03:25:53ZengBMCHealth and Quality of Life Outcomes1477-75252011-09-01917610.1186/1477-7525-9-76Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthmaGhezzo HebertoL'Archeveque JocelyneLavoie Kim LMiedinger DavidMalo Jean-Luc<p>Abstract</p> <p>Background</p> <p>The Juniper Asthma Specific Quality of Life Questionnaire (AQLQ(S)) is a questionnaire that allows measurement of disease specific quality of life. We wanted to examine correlations between the (AQLQ(S)) general and different subscale scores and both psychiatric morbidity and levels of psychological distress in individuals with occupational asthma (OA) and to determine if results in the emotional function subscale allow identification of individuals with clinically significant psychological distress or current psychiatric disorders.</p> <p>Methods</p> <p>This was a cross-sectional study of individuals with OA who were assessed during a re-evaluation for permanent disability, after they were no longer exposed to the sensitizing agent. Patients underwent a general sociodemographic and medical history evaluation, a brief psychiatric interview (Primary Care Evaluation of Mental Disorders, PRIME-MD) and completed a battery of questionnaires including the AQLQ(S), the St-Georges Respiratory Questionnaire (SGRQ), and the Psychiatric Symptom Index (PSI).</p> <p>Results</p> <p>There was good internal consistency (Cronbach alpha = 0.936 for the AQLQ(S) total score) and construct validity for the AQLQ(S) (Spearman rho = -0.693 for the SGRQ symptom score and rho = -0.650 for the asthma severity score). There were medium to large correlations between the total score of the AQLQ(S) and the SGRQ symptom score (r = -.693), and PSI total (r = -.619) and subscale scores (including depression, r = -.419; anxiety, r = -.664; anger, r = -.367; cognitive disturbances, r = -.419). A cut-off of 5.1 on the AQLQ(S) emotional function subscale (where 0 = high impairment and 7 = no impairment) had the best discriminative value to distinguish individuals with or without clinically significant psychiatric distress according to the PSI, and a cut-off of 4.7 best distinguished individuals with or without a current psychiatric disorder according to the PRIME-MD.</p> <p>Conclusions</p> <p>Impaired quality of life is associated with psychological distress and psychiatric disorders in individuals with OA. Findings suggest that the AQLQ(S) questionnaire may be used to identify patients with potentially clinically significant levels of psychological distress.</p>http://www.hqlo.com/content/9/1/76Occupational asthmapsychiatric disorderpsychological distressscreeningquality of life |
| spellingShingle | Ghezzo Heberto L'Archeveque Jocelyne Lavoie Kim L Miedinger David Malo Jean-Luc Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma Health and Quality of Life Outcomes Occupational asthma psychiatric disorder psychological distress screening quality of life |
| title | Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| title_full | Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| title_fullStr | Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| title_full_unstemmed | Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| title_short | Identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| title_sort | identification of clinically significant psychological distress and psychiatric morbidity by examining quality of life in subjects with occupational asthma |
| topic | Occupational asthma psychiatric disorder psychological distress screening quality of life |
| url | http://www.hqlo.com/content/9/1/76 |
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