(tight throat) Phankingthongkum [7] (66%) 74 (32%) 5 (2%) 1 5 [8~10] 1 [2] COPD From the Laborator

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1 Jiangna Han, MD; Yuanjue Zhu, MD; Shunwei Li, MD; Xiansheng Chen, MD; Claudia Put, PhD; Karel P. Van de Woestijne, MD; and Omer Van den Bergh, PhD (Chinese) (dyspnea) (factor analysis) (respiratory complaints) ( ) [3~5] [1, 2] Hardie [6] (deep breath) 446

2 (tight throat) Phankingthongkum [7] (66%) 74 (32%) 5 (2%) 1 5 [8~10] 1 [2] COPD From the Laboratory of Respiratory Psychophysiology (Drs. Han, Zhu, Li, and Chen), Department of Pneumology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing China; the Department of Pneumology (Drs. Put and Van de Woestijne), U Z Gasthuisberg, Leuven, Belgium; and the Department of Psychology (Dr. Van den Bergh), University of Leuven, Leuven, Belgium. Correspondence to: Jiangna Han, MD, Laboratory of Respiratory Psychophysiology, Department of Pneumology, Peking Union Medical College Hospital, Beijing, , China; Janet_Han2000@hotmail. com 35 (18 ) (8 ) ( [11] 53 20~ 40 wk CHEST

3 (DL59) (DL60) (DL61) 61 ( 2) mo ( ) h (DL38) (DL54) (DL55) (DL56) 10 ~15 min (DL57) (DL58) 448

4 / 23/31 16/26 26/22 21/14 -/53 47/49 ( )/ 38 (17~60) 46 (18~72) 49 (18~76) 55 (35~78) 30 (24~41) 40 (19~69) ( 2) 61 [12, 13] EIGENVALUE % 4 Varimax 61 EIGENVALUE Varimax ( ) EIGENVALUE Cronbach α ( Duncan ) 2 (Spearman ρ) SAS (SAS; SAS Institute; Cary, NC) (Cronbach α [8~10] ~8 Cronbach α 1 CHEST

5 2 (328 ) x s x s x s DL01, DL22, DL DL DL DL DL DL DL DL DL25, DL DL DL DL DL06 ( ) DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL55, DL DL DL DL DL DL DL DL DL DL DL DL59 ( ) DL DL DL DL DL DL DL21, ( ) ~ 8 1 ( ) 7( ) 8( ) ( ) 2( ) 2h ( ) Spearman ρ 0.70 ~ ρ=0.69) 4( ) (ρ=0.66) (ρ=0.52) ( ρ =0.58) ( ρ =0.60) 5( ) ( ρ =0.67) ( ρ =0.69) ( ρ = 0.69) ( ρ=0.66) (ρ=0.61) 450

6 8 ( 5 2) ( 5) 1 ( ) 2 ) 5 ( ) R ( 7 R 2 =0.13) ( 3 R 2 =0.06) 1 ( ) ( 4 R 2 =0.12) ( 8 3 Dizziness Sudden hot or cold Tingling fingers or arms Pounding heart Tingling legs or feet Gasping Tingling face Chest tightness Tingling head or body Whistling while breathing Shaking or trembling ( ) Whistling in throat Attempt to breathe in with much effort Difficult to breathe out Being suffocated My breath does not go in all the way Compressed chest Whistling in exhalation Blurred vision I cannot breathe enough Nervousness Desperate for breath to come Shortness of breath My breath does not go out all the way Experiencing the agony of dying Breathing more Blocked chi in the chest Breathing fast Tight or lump throat Breathing with difficulty (with effort) Cold hands or feet I cannot breathe in Blackness before eyes Inability to breathe in and out Oppressive chest Exhaling more Palpitation Hunger for more air Fear A need to take a deep inspiration Stiff fingers, arms, or legs Rapid respiration Feeling faint I cannot breathe out Fatigue Coughing Irritated Mucous congestion A restless heart, restless Chest pain Sighing Expectoration My breathing needs conscious help Hemoptysis Flushing to the head My breathing stopped ( ) Blocked chi in the throat I cannot walk on level or up the stairs Inability to breathe in deeply enough I cannot lie down Out of control or getting crazy CHEST

7 4 61 (Varimax 328 ) DL01, DL DL DL DL DL06 ( ) DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL21, DL22, DL DL DL25, DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL DL

8 DL DL DL DL DL DL DL DL DL DL DL55, DL DL DL DL59 ( ) DL DL % 12.4% 8.7% 8.5% 8.3% 7.3% 6.4% 6.1% 5.1% 4.9% 3.1% 3.0% R 2 = 0.06) 6 ( Simon [14] ) 19 (R 2 =0.08) [8] COPD [10] [15] mo 5 CHEST

9 5 ( ) (A) (B) (C) (D) (E) (F) R 2 (54 ) (42 ) (48 ) (35 ) (53 ) (96 ) Duncan P A-B,C,D-E-F B-C,D-E,F-F,A A-B,C,D,E,F A-B,C,D,E,F D,C-A,B,E-B,E,F A,B-B,C,D,F-C,D,F,E C-B,D-D,E,A,F A-B,C,D,E,F ( ) 6 15 [8 10] 11 1 [12, 20, 21] Manning [16] [21] Simon [8] Mahler [10] [15] (Simon ) ( 1) ( 6) ( ( ( 2) ( 1) Simon [8] [17] ( 1) [18, 19] ( ) ( 1) ( 1) ( 1) ( ( 1) ( ( 1) ( ( 1) ( 6) ( 1) ( 6) 1) ( 1) ( ( 1) ( 1) 454

10 2 3 [22] Duncan 5 Andrew Harver ( ) [23] CA: University of California Press, 1981; Kleinman A. Cult Med Psychiatry 1982;6: Lee S. J Psychosom Res 1997;43: Kirmayer LJ, et al. Psychosom Med 1998;60: Simon G, et al. Psychosom Med 1996;58: Hardie GE, et al. Chest 2000;117: ( ) Simon PM, et al. Am Rev Respir Dis 1990;142: Elliott MW, et al. Am Rev Respir Dis 1991;144: Han JN, et al. Chin Med J (Engl) 2004;117: Brooks CM, et al. Psychosom Med 1989;51: ( 1) 13 Ritz T, et al. J Psychosom Res 2001;51: Simon PM, et al. Am Rev Respir Dis 1989;140: Harver A, et al. Chest 2000;118: Han JN, et al. J Psychosom Res 1998;45: Melzack R, et al. Anesthesiology 1971;34: Kinsman RA, et al. Psychosom Med 1973;35: Kleinman A. Patients and healers in the context of culture. Berkeley, 7 Phankingthongkum S, et al. Pediatr Allergy Immunol 2002;13: 10 Mahler DA, et al. Am J Respir Crit Care Med 1996;154: Manning HL, et al. Monaldi Arch Chest Dis 2001;56: Peiffer C, et al. Am J Respir Crit Care Med 2001;163: CHEST

11 21 National Heart, Lung, and Blood Institute / World Health Organization. NHLBI / WHO Workshop report: global strategy for asthma management and prevention. Bethesda, MD: National Institutes of Health, Dubuisson D, et al. Exp Neurol 1976;51: Aljadeff G, et al. Thorax 1993;48: CHEST 2005;127:

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untitled Miles Weinberger, MD and Mutasim Abu-Hasan Pediatric Allergy and Pulmonary Division, Department of Pediatrics, University of Iowa, Iowa City, Iowa (asthma); (cough); (wheezing); (dyspnea) Address correspondence