Asthma is a chronic infl ammatory disease with recurrent episodes of airfl ow obstruction, which is widespread but variable and usually reversible. It is characterized by a tendency of the bronchial tree to respond by bronchoconstriction, excessive secretion to different stimuli and edema [1]. The major symptoms are wheezing, diffi cult breathing, chest tightness and coughing that sometimes can be severe or even fatal [2]. It is a prevalent disease, which occurs in about 6% of the population, and affects people of all age groups, particularly those under 30. According to Global Burden of Disease Study [3] 324 million people worldwide live with asthma. Despite improved treatment modalities there has been a steady increase in the morbidity and mortality associated with asthma over the past decade [4]. The precise etiology of asthma is unknown. Infectious organisms, immunologic abnormalities, genetic, environmental as well as psychological factors were mentioned as likely to play a role in its etiology [5]. Asthma is one of the fi rst diseases whose psychological background was explored. The early studies were psychoanalytically oriented, and suggested a triple basis for asthma: an emotional component (mainly anxiety and latent aggressiveness), a personality component (i.e., insecurity, lack of self-confi dence, egocentricity, and a dependency confl ict between fear of closeness and fear of separation), and a psychopathological component (neuroticism, a compulsive personality disorder, and susceptibility to stress), all fostered and activated by overprotective but ambivalent parents [6-8]. Later research focused on many of these early insights