Cortisone Image and Emotional Support by Key Figures in Patients with Bronchial Asthma

Wöller, Wolfgang; Kruse, Johannes; P, Winter; Mans, E. J.; Alberti, Luciano

doi:10.1159/000288663

Cited by 21 publications

(6 citation statements)

References 5 publications

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“…Poorer adherence with controller versus rescue medications may be explained by lack of immediate results with the former (Kelloway, Wyatt, DeMarco, & Adlis, 2000). Also, the perception of steroids as being threatening, because of potential side effects, is associated with poor adherence to an asthma treatment plan (Wo ¨ller, Kruse, Winter, Mans, & Alberti, 1993). Emotional support from the patient's closest person appears to reduce negative perceptions of steroid medication.…”

Section: Future Research On Symptom Perceptionmentioning

confidence: 99%

Psychological aspects of asthma.

Lehrer¹,

Feldman²,

Giardino³

et al. 2002

Journal of Consulting and Clinical Psychology

186

151

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Asthma can be affected by stress, anxiety, sadness, and suggestion, as well as by environmental irritants or allergens, exercise, and infection. It also is associated with an elevated prevalence of anxiety and depressive disorders. Asthma and these psychological states and traits may mutually potentiate each other through direct psychophysiological mediation, nonadherence to medical regimen, exposure to asthma triggers, and inaccuracy of asthma symptom perception. Defensiveness is associated with inaccurate perception of airway resistance and stress-related bronchoconstriction. Asthma education programs that teach about the nature of the disease, medications, and trigger avoidance tend to reduce asthma morbidity. Other promising psychological interventions as adjuncts to medical treatment include training in symptom perception, stress management, hypnosis, yoga, and several biofeedback procedures.

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Section: Future Research On Symptom Perceptionmentioning

confidence: 99%

Psychological aspects of asthma.

Lehrer¹,

Feldman²,

Giardino³

et al. 2002

Journal of Consulting and Clinical Psychology

186

151

View full text Add to dashboard Cite

show abstract

“…A single-factor approach might be expected to have limited effectiveness, if the factors determining adherence interact and potentiate each other's influence as they are likely to do (WHO, 2003). The most effective approaches have been shown to be multi-leveltargeting more than one factor with more than one intervention (Woller et al, 1993;Wagner et al, 2001)). Several programmes have demonstrated good results using multilevel team approaches.…”

Section: Discussionmentioning

confidence: 99%

Resistance or Non-Compliance? Assessing the Role of Literacy in Adherence to Medication

Chopra¹

2020

IJSSER

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Among the largest problems in the field of medicine is the issue of medical adherence. In both developed and developing countries, the non-adherence of patients causes recurrence in chronic illnesses, a strain on the public health system, and a general decline in economic and public health. This is especially so among the most vulnerable sections of the population, such as the elderly, women, minorities, and the poor. Several studies have concluded that there is a positive co-relation and a causal effect between literacy and medical adherence. It increases adherence to prescribed treatments when patients are made aware of the benefits of doing so, and the ill effects of non-adherence. Despite this finding, the field of healthcare policy continues to struggle with implementation of effective measures to tackle the same. This paper will examine the theoretical foundations of medical adherence, and the current policies that exist. The paper will then offer a critique of existing policy, and pose policy recommendations for a more holistic and multi-disciplinary approach that takes into account varying contexts and factors that interplay with literacy.

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“…Pachter and Weller (126) showed the level of acculturation to be a factor in disease self-management, and Haire-Joshu and coworkers (127) illustrated that within an ethnic/racial group, social-economic status predicted differences in prevention efforts. Beliefs about medication (128,129), often linked to one's social environment, have been associated with the degree of one's compliance with the regimen as well as other aspects of selfmanagement. Social relationships at school (88) and work (118) have been discussed as central to management behavior and to perceptions of the impact of asthma on the quality of one's life.…”

Section: Asthmamentioning

confidence: 99%

Advances in Prevention and Education in Lung Disease

Clark¹,

Bailey²,

Rand³

1998

Am J Respir Crit Care Med

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In the past two decades there have been significant gains in our understanding of prevention and education related to lung disease, much of it enabled by research sponsored by the Division of Lung Diseases (DLD) of the National Heart, Lung, and Blood Institute (NHLBI). This paper will discuss the evolution of the prevention and education knowledge base through focus on three dimensions of research. First, it will use chronic obstructive pulmonary disease (COPD) as a case for examining advances in our ability to screen and identify patients at risk for developing disease. It will illustrate that COPD research has moved us closer to being able to identify populations that should benefit from early and targeted interventions. Second, it will examine the literature on smoking, perhaps the most damaging of all health-related behaviors because of its strong association with a range of respiratory conditions. The aim will be to assess recent contributions to intervention research on efforts to prevent or reduce smoking as a risk factor in lung disease. Third, it will explore the extant research related to asthma education and describe the development of the National Asthma Education and Prevention Program (NAEPP). It will discuss how research and educational initiatives in asthma have contributed to advances in disease management by patients, including changes in self-management behavior, health status, health care use, and the quality of life.The concluding section of the paper will consider future research directions. Given how far prevention and education research have taken us, where are the gaps in our knowledge and what are the priority areas for further investigation? SCREENING AND PREVENTION IN COPDChronic obstructive pulmonary disease is now the fourth common cause of death in the United States (1), and it is expected that 110,000 or more deaths from COPD will occur during 1997 alone. Chronic obstructive pulmonary disease is an extremely common disease, but because it is relatively asymptomatic early in its course, most would agree that the currently estimated prevalence of 16 million cases, based on physician diagnosis, probably represents less than half the cases that would be identified if screening spirometry were to be performed. The greatest cause of COPD is smoking, but many smokers do not develop COPD. If screening spirometry was performed on all smokers, those most likely to develop COPD could be identified early, and efforts to prevent and treat this disabling and lethal disease could then be focused on those individuals at greatest risk.Research over the past 30 years has increased our understanding of the basic mechanisms of COPD ( see review by Anthonisen and Senior, this issue, p. S139), its pathogenesis, the varying pathologic entities encompassing this disorder, including chronic obstructive bronchitis, emphysema, and asthmatic bronchitis, and much about the epidemiology of this disease. The natural history of COPD is characterized by a slow, progressive limitation of maximal expiratory airflow....

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Cortisone Image and Emotional Support by Key Figures in Patients with Bronchial Asthma

Cited by 21 publications

References 5 publications

Psychological aspects of asthma.

Psychological aspects of asthma.

Resistance or Non-Compliance? Assessing the Role of Literacy in Adherence to Medication

Advances in Prevention and Education in Lung Disease

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