scholarly journals The Interpretation of Dyspnea in the Patient with Asthma

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Marc H. Lavietes
Keyword(s):  
Lung Function ◽  
Panic Disorder ◽  
Acute Asthma ◽  
Initial Response ◽  
Response To Therapy ◽  
The Self ◽  
Self Report ◽  
Borg Scale ◽  
Behavioral Traits ◽  
Asthmatic Patients

Physicians have noted dyspnea in severely ill asthmatic patients to be associated with fright or panic; in more stable patients dyspnea may reflect characteristics including lung function, personality and behavioral traits. This study evaluates the symptom of dyspnea in 32 asthmatic patients twice: first when acutely ill and again after an initial response to therapy. Spirometry was performed, dyspnea quantified (Borg scale), and panic assessed with a specialized measure of acute panic (the acute panic inventory (API)) in the 32 patients before and again after treatment. After treatment, questionnaires to evaluate somatization and panic disorder were also administered. When acutely ill, both the API and all spirometric measures (PEFR; FEV1; IC) correlated with dyspnea. Multiple linear regression showed that measures of the API, the peak expiratory flow rate, and female sex taken together accounted for 41% of dyspnea in acute asthma. After treatment, the API again predicted dyspnea while spirometric data did not. Those subjects who described themselves as having chronic panic disorder reported high grades of dyspnea after treatment also. We conclude that interpretations of the self-report of asthma differ between acutely ill and stable asthmatic patients.

Reliability of the self-report version of the panic disorder severity scale

2002 ◽  
Vol 15 (4) ◽  
pp. 183-185 ◽  
Author(s):  
Patricia R. Houck ◽  
David A. Spiegel ◽  
M. Katherine Shear ◽  
Paola Rucci
Keyword(s):  
Panic Disorder ◽  
The Self ◽  
Self Report ◽  
Severity Scale

scholarly journals Discharge Considerations for Adult Asthmatic Patients Treated in Emergency Departments

1996 ◽  
Vol 3 (5) ◽  
pp. 322-327 ◽  
Author(s):  
Anton F Grunfeld ◽  
J Mark FitzGerald
Keyword(s):  
Risk Factors ◽  
Emergency Department ◽  
Emergency Departments ◽  
English Language ◽  
Acute Asthma ◽  
Airflow Obstruction ◽  
Response To Therapy ◽  
Medline Search ◽  
Asthmatic Patients ◽  
Adult Asthmatic

OBJECTIVE:To review the medical literature on outcome of treatment of acute asthma in the emergency department and issue recommendations regarding patient admission or discharge.DATA SOURCES:A MEDLINE search was done for articles in the English language on acute asthma and treatment in the emergency department for the years 1975 to 1993. In addition, references in pertinent review articles were reviewed.STUDY SELECTION:Studies addressing treatment of acute asthma in emergency departments were selected by consensus.DATA SYNTHESIS:Three major areas have been shown to affect outcome and the decision to admit or discharge a patient following treatment in the emergency department: first, the severity of the attack and the response to therapy; second, historical risk factors; and third, care following discharge from the emergency department. This paper reviews the literature on outcome of acute asthma attacks and issues recommendations regarding objective airflow measurements and co-existing risk factors to be assessed before discharging patients. The role of anti-inflammatory therapy in emergency department treatment and in postdischarge treatment of these patients is also reviewed.CONCLUSION:Evaluation for discharge following treatment of acute asthma should integrate objective measures of airflow obstruction with historical high risk factors. The use of systemic corticosteroids in the emergency department and following discharge, with careful follow-up, may help control the attack and reduce relapse of asthma.

Measuring the Big Five in Self-Report and Other Ratings

2000 ◽  
Vol 16 (1) ◽  
pp. 31-43 ◽  
Author(s):  
Claudio Barbaranelli ◽  
Gian Vittorio Caprara
Keyword(s):  
Big Five ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Error Variance ◽  
The Self ◽  
Self Report ◽  
Sources Of Information ◽  
Third Person ◽  
Fit Indexes ◽  
Response Modes

Summary: The aim of the study is to assess the construct validity of two different measures of the Big Five, matching two “response modes” (phrase-questionnaire and list of adjectives) and two sources of information or raters (self-report and other ratings). Two-hundred subjects, equally divided in males and females, were administered the self-report versions of the Big Five Questionnaire (BFQ) and the Big Five Observer (BFO), a list of bipolar pairs of adjectives ( Caprara, Barbaranelli, & Borgogni, 1993 , 1994 ). Every subject was rated by six acquaintances, then aggregated by means of the same instruments used for the self-report, but worded in a third-person format. The multitrait-multimethod matrix derived from these measures was then analyzed via Structural Equation Models according to the criteria proposed by Widaman (1985) , Marsh (1989) , and Bagozzi (1994) . In particular, four different models were compared. While the global fit indexes of the models were only moderate, convergent and discriminant validities were clearly supported, and method and error variance were moderate or low.

Using the Rating Scale Model to Examine the Psychometric Properties of the Self-Efficacy Scale for Driver Competence

2011 ◽  
Vol 27 (3) ◽  
pp. 164-170 ◽  
Author(s):  
Anna Sundström
Keyword(s):  
Psychometric Properties ◽  
Self Efficacy ◽  
Rating Scale ◽  
Measurement Precision ◽  
The Self ◽  
Test Theory ◽  
Self Report ◽  
Scale Model ◽  
Validity And Reliability ◽  
Two Samples

This study evaluated the psychometric properties of a self-report scale for assessing perceived driver competence, labeled the Self-Efficacy Scale for Driver Competence (SSDC), using item response theory analyses. Two samples of Swedish driving-license examinees (n = 795; n = 714) completed two versions of the SSDC that were parallel in content. Prior work, using classical test theory analyses, has provided support for the validity and reliability of scores from the SSDC. This study investigated the measurement precision, item hierarchy, and differential functioning for males and females of the items in the SSDC as well as how the rating scale functions. The results confirmed the previous findings; that the SSDC demonstrates sound psychometric properties. In addition, the findings showed that measurement precision could be increased by adding items that tap higher self-efficacy levels. Moreover, the rating scale can be improved by reducing the number of categories or by providing each category with a label.

Identifying Patterns in Complex Field Data

2017 ◽  
Vol 225 (3) ◽  
pp. 268-284 ◽  
Author(s):  
Andrew J. White ◽  
Dieter Kleinböhl ◽  
Thomas Lang ◽  
Alfons O. Hamm ◽  
Alexander L. Gerlach ◽  
...  
Keyword(s):  
Heart Rate ◽  
Panic Disorder ◽  
Latent Class ◽  
Treatment Protocol ◽  
Situational Factors ◽  
Self Report ◽  
Complex Field ◽  
Cluster Assignment ◽  
Experimental Conditions ◽  
Conventional Analysis

Abstract. Ambulatory assessment methods are well suited to examine how patients with panic disorder and agoraphobia (PD/A) undertake situational exposure. But under complex field conditions of a complex treatment protocol, the variability of data can be so high that conventional analytic approaches based on group averages inadequately describe individual variability. To understand how fear responses change throughout exposure, we aimed to demonstrate the incremental value of sorting HR responses (an index of fear) prior to applying averaging procedures. As part of their panic treatment, 85 patients with PD/A completed a total of 233 bus exposure exercises. Heart rate (HR), global positioning system (GPS) location, and self-report data were collected. Patients were randomized to one of two active treatment conditions (standard exposure or fear-augmented exposure) and completed multiple exposures in four consecutive exposure sessions. We used latent class cluster analysis (CA) to cluster heart rate (HR) responses collected at the start of bus exposure exercises (5 min long, centered on bus boarding). Intra-individual patterns of assignment across exposure repetitions were examined to explore the relative influence of individual and situational factors on HR responses. The association between response types and panic disorder symptoms was determined by examining how clusters were related to self-reported anxiety, concordance between HR and self-report measures, and bodily symptom tolerance. These analyses were contrasted with a conventional analysis based on averages across experimental conditions. HR responses were sorted according to form and level criteria and yielded nine clusters, seven of which were interpretable. Cluster assignment was not stable across sessions or treatment condition. Clusters characterized by a low absolute HR level that slowly decayed corresponded with low self-reported anxiety and greater self-rated tolerance of bodily symptoms. Inconsistent individual factors influenced HR responses less than situational factors. Applying clustering can help to extend the conventional analysis of highly variable data collected in the field. We discuss the merits of this approach and reasons for the non-stereotypical pattern of cluster assignment across exposures.

Development and Psychometric Properties of a New Scale: The Self-Report Scale for Schizoid Behaviors (SRSSB)

2012 ◽  
Author(s):  
Peter D. Marle ◽  
Alisa J. Estey ◽  
Laura J. Finan ◽  
Karenleigh A. Overmann
Keyword(s):  
Psychometric Properties ◽  
The Self ◽  
Self Report

Panic Disorder Severity Scale-Self-Report--2-item Version

2019 ◽  
Author(s):  
Erik Forsell ◽  
Martin Kraepelien ◽  
Kerstin Blom ◽  
Nils Isacsson ◽  
Susanna Jernelöv ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Self Report ◽  
Severity Scale

The Vietnamese Version of the Health-related Quality of Life Measure for Children with Epilepsy (CHEQOL-25): Reliability

MedPharmRes ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 9-14
Author(s):  
Tri Doan ◽  
Tuan Tran ◽  
Han Nguyen ◽  
◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Good Practice ◽  
The Self ◽  
Self Report ◽  
Health Related Quality ◽  
Life Measure ◽  
Related Quality ◽  
Health Related ◽  
Parent Proxy

Purpose: This study aimed to translate and culturally adapt the self-report and parent-proxy Health-Related Quality of Life Measure for Children with Epilepsy (CHEQOL-25) into Vietnamese and to evaluate their reliability. Methods: Both English versions of the self-report and parent-proxy CHEQOL-25 were translated and culturally adapted into Vietnamese by using the Principles of Good Practice for the Translation and Cultural Adaptation Process. The Vietnamese versions were scored by 77 epileptic patients, who aged 8–15 years, and their parents/caregivers at neurology outpatient clinic of Children Hospital No. 2 – Ho Chi Minh City. Reliability of the questionnaires was determined by using Cronbach’s coefficient α and intra-class correlation coefficient (ICC). Results: Both Vietnamese versions of the self-report and parent-proxy CHEQOL-25 were shown to be consistent with the English ones, easy to understand for Vietnamese children and parents. Thus, no further modification was required. Cronbach’s α coefficient for each subscale of the Vietnamese version of the self-report and parent-proxy CHEQOL-25 was 0.65 to 0.86 and 0.83 to 0.86, respectively. The ICC for each subscale of the self-report and parent-proxy CHEQOL-25 was in the range of 0.61 to 0.86 and 0.77 to 0.98, respectively. Conclusion: The Vietnamese version of the self-report and parent-proxy CHEQOL-25 were the first questionnaires about quality of life of epileptic children in Vietnam. This Vietnamese version was shown to be reliable to assess the quality of life of children with epilepsy aged 8–15 years.

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