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Co-morbid psychological dysfunction is associated with a higher risk of asthma exacerbations: a systematic review and meta-analysis

  
@article{JTD7649,
	author = {Li Zhang and Xin Zhang and Jing Zheng and Lan Wang and Hong-Ping Zhang and Lei Wang and Gang Wang},
	title = {Co-morbid psychological dysfunction is associated with a higher risk of asthma exacerbations: a systematic review and meta-analysis},
	journal = {Journal of Thoracic Disease},
	volume = {8},
	number = {6},
	year = {2016},
	keywords = {},
	abstract = {Background: The longitudinal associations between psychological dysfunction (PD) and asthma exacerbations (AE) have not been adequately addressed. This study aimed to systematically assess the influence of PD on AE, and to determine whether different PD affects AE differentially. 
Methods: Electronic databases (PubMed, Cochrane library, Web of Science, Embase, and Ovid) were searched for prospective cohort studies on the influence of PD on AE in individuals with asthma. Relative risk (RR) and adjusted RR (RRadj) were pooled across studies. Subgroup analyses assessed the effects of different types of PD and the time-dependent response to the duration of PD exposure.
Results: Ten articles that involved 31,432 adults with asthma with follow-up of 6.0–86.4 months were included. PD significantly increased the risk of AE [RRadj =1.06, 95% confidence interval (95%CI): 1.04–1.09, P},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/7649}
}