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Article
November 1983

Risk, Protective Factors, and Supportive Interventions in Chronic Airway Obstruction

Author Affiliations

From the Department of Psychiatry, Letterman Army Medical Center, Presidio of San Francisco. Dr Jensen is now with the Department of Psychiatry and Neurology, Dwight David Eisenhower Medical Center, Fort Gordon, Ga.
Dr Jensen received the Residents' Annual Award and the Maj Gen Kenyon Joyce Award for this research.

Arch Gen Psychiatry. 1983;40(11):1203-1207. doi:10.1001/archpsyc.1983.01790100049007
Abstract

• Fifty-nine patients with chronic airway obstruction completed the Schedule of Recent Experiences and Social Assets Scale (SAS) to measure life stress and social supports. Patients with highest stress and lowest SAS scores (the high-risk group) were randomly assigned to a pulmonary rehabilitation group, self-help support group, or waiting-list control group. Patients with lower stress and/or higher SAS scores (the lowrisk group) served as controls. Six months later, a records review showed that high-risk control patients were hospitalized more often than low-risk control patients and for more days than high-risk patients in rehabilitation and self-help support groups. Discriminant analysis determined that SAS and life stress scores predicted subsequent hospitalization, but age, sex, previous hospitalizations, and severity of illness did not. Measurements of stress and social supports can help identify high-risk patients. In turn, professionals might assist these patients by increasing their supports.

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