A cluster analysis of bronchial asthma patients with depressive symptoms

• Material Type: 博士論文
• Title: A cluster analysis of bronchial asthma patients with depressive symptoms
• Author/Editor: Seino, Yo
• Publication, Distribution, etc.: 新潟大学
• Publication Date: 2018-03-23
• Publication Date (W3CDTF): 2018-03-23
• Alternative Title: A cluster analysis of bronchial asthma patients with depressive symptoms; うつ症状を有する気管支喘息患者群のクラスター分析
• Degree grantor/type: 新潟大学
• Date Granted: 2018-03-23
• Date Granted (W3CDTF): 2018-03-23
• Dissertation Number: 甲第4406号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第4406号
• Text Language Code: eng
• Subject Heading: Adherence; ASK-12; Bronchial Asthma; Cluster Analysis; Depression; J-PHQ-9
• Note (General): Objective: Whether or not depression affects the control or severity of asthma is unclear. We performed a cluster analysis of asthma patients with depressive symptoms to clarify their characteristics. Methods and subjects: Multiple medical institutions in Niigata Prefecture, Japan, were surveyed in 2014. We recorded the age, disease duration, body mass index (BMI), medications, and surveyed asthma control status and severity, as well as depressive symptoms and adherence to treatment using questionnaires. A hierarchical cluster analysis was performed on the group of patients assessed as having depression. Results: Of 2,273 patients, 128 were assessed as being positive for depressive symptoms (DS[+]). Thirty-three were excluded because of missing data, and the remaining 95 DS[+] patients were classified into 3 clusters (A, B, and C). The patients in cluster A (n = 19) were elderly, had severe, poorly controlled asthma, and demonstrated possible adherence barriers; those in cluster B (n = 26) were elderly with a low BMI and had no significant adherence barriers but had severe, poorly controlled asthma; and those in cluster C (n = 50) were younger, with a high BMI, no significant adherence barriers, well-controlled asthma, and few were severely affected. The scores for depressive symptoms were not significantly different between clusters. Conclusion: About half of the patients in the DS[+] group had severe, poorly controlled asthma, and these clusters were able to be distinguished by their ASK-12 score, which reflects adherence barriers. The control status and severity of asthma may also be related to the age, disease duration, and BMI in the DS[+] group.; 学位の種類: 博士（医学）. 報告番号: 甲第4406号. 学位記番号: 新大院博（医）甲第805号. 学位授与年月日: 平成30年3月23日; Internal Medicine. 2018. 9073-17.; 新大院博（医）甲第805号; 開始ページ : 1; 終了ページ : 30
• DOI: info:doi/10.2169/internalmedicine.9073-17; https://doi.org/info:doi/10.2169/internalmedicine.9073-17
• Persistent ID (NDL): info:ndljp/pid/11123971; https://dl.ndl.go.jp/pid/11123971
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2018-08-03T23:36:01+09:00
• Date Created (W3CDTF): 2019-08-05
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10191/50418
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp