Anxiety, alexithymia and attitude to the disease in children with severe bronchial asthma
Bibliographic record
Abstract
The study of psychological characteristics of the children with bronchial asthma (BA) is extremely relevant in determining \nthe severity of the course of the disease. The purpose of the study was to examine associations between BA severity and \npersonal psychological characteristics. \n Levels of state (SA), trait (TA) and school anxiety (ScA) with self-reported State Trait Anxiety Inventory (Spielberger and \nHanin), School Anxiety Inventory (Phillips) were examined, a Bekhterev institute personality questionnaire (LOBI) was used in \norder to diagnose the types of attitudes to BA, an adapted Toronto Alexithymia Scale (by G. Taylor) was used to detect \nalexithymia. The first clinical group was formed by 32 children with severe BA, and the II group of comparison included 30 \nchildren with moderate BA (GINA). \n High TA scores were observed in 26.6±1.7% of patients with severe BA versus 9.1±6.1% of children in control group \n(OR=4,0; 95%CI:0,75-21,2). High SA scores were revealed in 25±8.2% versus 22.7±8.3% of patients with severe and nonsevere \nBA correspondingly (p>0.05). The patients’ TA levels were associated with more severe children’s fears (r=0.3; \np<0.03) and the presence of early warning signs of the BA attack (r=0.3; p <0.04). The experience of child’s social stress was \nassociated with night attacks (r = 0.27; p <0.04). The higher level of ScA correlated with a child’s negative attitude to the \nneed of daily medicines use (r=0.3; p<0.03) and higher scores of the bronchial lability (r=0.36; p<0.01). The high level of SA \nwas a predictor of the lower efficacy of control treatment with inhaled corticosteroids (r=-0.6; p<0.02). The mean scores of \nthe Toronto Alexithymia Scale were 71.2±2.1 versus 70.3±2.7 in groups of comparison (p>0.05), however, the presence of \nalexithymia correlated with the number of asthma attacks per year (r=0.36; p<0.05), the negative attitude toward \nhospitalization (r=0.37; p<0.04) and the need of daily intake of drugs (r=0.26; p<0.05). The neurasthenic and / or sensitized \ntype of attitude to the disease was more often noted in children with severe asthma (OR=5.3; 95% CI:1.3-24.7), and euphoric \n/ anosognosic types of attitudes were associated with lower levels of disease control and non-compliance to basic therapy. \n Thus, there was a tendency to higher TA, ScA and presence of the neurasthenic and / or sensitized type of attitude to the \ndisease in children with severe BA.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".