Barriers to belonging: the need for relatedness amongst people living with severe asthma

Eassey, Daniela; Reddel, Helen; Ryan, Kath; Smith, Lorraine

doi:10.1080/02770903.2019.1656230

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Exacerbation is associated with the future risk of exacerbation, leading to progressive decline in lung function and health status of patients with severe asthma [7]. In the literature, several qualitative studies have described the experience of patients with severe asthma [8][9][10][11][12][13][14][15]. However, very few have focused on the patients" experience of asthma exacerbation and the experiences that may lead to reliance on OCSs, particularly none in Asians.…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of asthma exacerbation and management: a qualitative study of severe asthma

et al. 2020

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BackgroundExacerbation is a defining feature of severe asthma, and oral corticosteroids (OCSs) are frequently prescribed to manage exacerbations. This qualitative study was conducted to examine the experience of patients with severe asthma, with a focus on asthma exacerbation and OCS treatment.MethodsAdults with severe asthma were recruited from three tertiary hospitals in South Korea. Data were collected through in-depth qualitative interviews. Verbatim transcripts were analysed using Colaizzi's phenomenological method to uncover the meaning of the participants’ experience. Recruitment of participants continued until thematic saturation.ResultsFourteen patients with severe asthma were recruited. Four theme clusters emerged: 1) experience of asthma exacerbation, 2) impact on life, 3) OCS treatments, and 4) disease perception. The patients experienced severe physical and psychosocial distress from asthma exacerbations, felt helpless due to failed efforts to prevent exacerbation, and were living a restricted life due to fear of exacerbation. They feared OCS side effects but had no other choice but to rely on OCS because other interventions were ineffective. Most had poor knowledge and understanding of severe asthma and the longterm health consequences.ConclusionAsthma exacerbation affects wide aspects of life in patients with severe asthma. Several components may underlie OCS reliance, including experience of distress during exacerbation, fear of future exacerbation, and lack of proper knowledge about long-term health consequences of severe asthma and OCS treatments. Multi-disciplinary approach is warranted to support the patients and to provide systematic education about long-term health implications of severe asthma.

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Section: Introductionmentioning

confidence: 99%

Patients' experiences of asthma exacerbation and management: a qualitative study of severe asthma

et al. 2020

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“…After witnessing conflict between Sun Yang and his coach Zhu Zhigen as well as the blood shed of Wang Meng, we could conclude that how to deal with terrible relationship deserves more reflection. The need for relatedness is a concept in self-determination theory, which means an individual is eager to gain understanding, care, and support from interacting with others and experience a sense of belonging [ 1 ]. Early sports psychological researchers focus on how to deal with awful relationships.…”

Section: Introductionmentioning

confidence: 99%

“…Aimed at recovering the initial balance, individual will generate restoration motive and try to reconnect relatedness need. This process is about relatedness need restoration [ 1 , 6 ]. The study discovered that state relatedness need thwarting will push individual to generate two motivations which is to seek being accepted and avoid being rejected [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Attentional Biases toward Face-Related Stimuli among Athletes after State Thwarting Need for Relatedness

Zhang

Liu

et al. 2022

Computational Intelligence and Neuroscience

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The present study aimed to examine attentional biases’ components and processes toward the interpersonal evaluation information among athletes after state thwarting need for relatedness. 51 athletes completed a visual dot-probe task while their eye-movements were tracking. Results indicated athletes showed different attentional bias pattern. Acceptance information is early orientation (directional bias); early acceleration detection; sustained to late attention maintenance (difficulty in disengaging). Rejection information is early orientation (directional bias); early accelerated detection; continuous attention to maintenance (attention avoidance); late attention to maintenance (difficulty in disengaging). That is to say, they had motivation to seek acceptance toward the accepted interpersonal evaluation information and to avoid rejection information toward the rejected one. Therefore, it is suggested that the coaches provide more interpersonal communicating opportunities, so as to help them to restore their demands toward interpersonal communication, and provide the customized attentional bias trainings to improve their coping response after state thwarted need for relatedness.

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Airway Inflammation Before and After Bronchial Thermoplasty in Severe Asthma

Wijsman¹,

Goorsenberg²,

Ravi³

et al. 2022

JAA

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Background Bronchial thermoplasty (BT) is a bronchoscopic treatment for severe asthma, of which the working mechanism and responder profile are partly unknown. The aim of this study is to analyse whether BT alters airway inflammation by epithelial gene expression, inflammatory cell counts and cytokines, and whether this relates to treatment response. Methods In this clinical trial, 28 severe asthma patients underwent bronchoscopy before and after treatment to obtain bronchial brushes and bronchoalveolar lavage fluid (BALF) from treated and untreated airways. RNA was extracted from bronchial brushes for transcriptome analysis, and BALF cells and cytokines were analysed. Asthma quality of life questionnaires were used to distinguish responders from non-responders. We compared results before and after treatment, between treated and untreated airways, and between responders and non-responders. Results Gene expression of airway epithelium related to airway inflammation gene set was significantly downregulated in treated airways compared to untreated airways, although this did not differ for patients before and after treatment. No differences were observed in cell counts and cytokines, neither from the untreated compared to treated airways, nor before and after treatment. At baseline, compared to non-responders, the expression of genes related to glycolysis in bronchial epithelium was downregulated and both BALF and blood eosinophil counts were higher in responders. Conclusion Local differences in gene sets pertaining to epithelial inflammatory status were identified between treated and untreated airways after treatment, not resulting in changes in differential cell counts and cytokine analyses in BALF. Secondly, baseline epithelial glycolysis genes and eosinophil counts in BALF and blood were different between responders and non-responders. The observations from this study demonstrate the potential impact of BT on epithelial gene expression related to airway inflammation while also identifying a possible responder profile.

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Barriers to belonging: the need for relatedness amongst people living with severe asthma

Cited by 5 publications

References 24 publications

Patients' experiences of asthma exacerbation and management: a qualitative study of severe asthma

Patients' experiences of asthma exacerbation and management: a qualitative study of severe asthma

Attentional Biases toward Face-Related Stimuli among Athletes after State Thwarting Need for Relatedness

Airway Inflammation Before and After Bronchial Thermoplasty in Severe Asthma

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