Psychological factors in fatal childhood asthma.

Fritz, Gregory K.; Rubinstein, Steven; Lewiston, Norman J.

doi:10.1111/j.1939-0025.1987.tb03535.x

Cited by 65 publications

(23 citation statements)

References 21 publications

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“…Given the psychological and behavioural component associated with asthma and its management,3 26 the findings of our study are not entirely unexpected, at least with regard to use of major tranquillisers. Unlike previous reports linking asthma mortality with depression, especially in children,27 28 29 our study did not show an increased risk among users of antidepressants, possibly on account of age differences in study populations.…”

Section: Discussioncontrasting

confidence: 99%

Increased morbidity and mortality related to asthma among asthmatic patients who use major tranquillisers

Joseph

Blais

Ernst

et al. 1996

BMJ

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Section: Discussioncontrasting

confidence: 99%

Increased morbidity and mortality related to asthma among asthmatic patients who use major tranquillisers

Joseph

Blais

Ernst

et al. 1996

BMJ

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“…The group with severe asthma but good adherence showed a level of psychiatric morbidity inbetween the highest and lowest levels. In another study 26 patients (68.5%) reported symptoms of anxiety and 25 (65.8%) patients reported symptoms of depression (18) In a study, Fritz et al (19) found a significant difference in FEV 1 and FEV 1 /FVC values between asthma patients with and without depressive symptoms, and suggested that this may be associated with a common biological pathway between asthma and depression. There are many studies suggesting that treatment of depression and anxiety in patients with asthma improve control of the disease (20,21).…”

Section: Discussionmentioning

confidence: 98%

Improvement of Psychological Symptoms With the Treatment of Asthma

et al. 2006

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Aim:To evaluate the psychological status of patients with currently diagnosed asthma at the time of diagnosis and in the follow-up after the inhaled steroid treatment is initiated.Methods: Patients with mild and moderate persistant asthma were accepted to the study. Patients with a previous history of psychiatric disease were excluded. Symptom Check List-90-Revised (SCL-90-R) test was performed to currently diagnosed asthma patients. SCL-90-R test was repeated 3 and 6 months after the treatment was initiated. Evaluating the test, global severity index and symptom sub-indices (somatization, obsessive-compulsive signs, depression, anxiety, hostility, fobic anxiety, paranoid ideation and psychoticism) were obtained.Results: Twenty five female and 5 male patients were accepted to the study. Mean age was 41.2±15.1 years. There was a significant decrease in global severity index in the 6 th month according to the basal values. Significant decrease in the scores for depression, anxiety, paranoid ideation in the third month (p=0.046, p=0.047, p=0.047 respectively) and for somatization (p=0.012), obsessive-compulsive signs (p=0.037), depression (p=0.001), anxiety (p=0.003), hostility (p=0.021), paranoids ideation (p=0.003) was obtained in the 6 th month according to the basal values.Conclusion: Asthma treatment improves psychological status of the patients with bronchial asthma. This was considered to be related with the relief of the symptoms of asthma.

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“…Pediatricians are now aware of the importance of psychosocial factors in asthma (Warner, Gotz, Landau, et al, 1989, 1992). This knowledge is based on several retrospective studies about children who died from asthma (Fritz, Rubinstein, & Lewiston, 1987; Strunk, 1987, 1989; Strunk et al, 1985; Teitz, Kahlstrom, & Cardiff, 1975). These studies concluded that psychological factors were at play in fatal or nearly fatal asthma.…”

Section: Introductionmentioning

confidence: 99%

Joint Consultation for High‐Risk Asthmatic Children and Their Families, with Pediatrician and Child Psychiatrist as Co‐Therapists: Model and Evaluation

1997

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Although a very common disease, childhood asthma can be a life-threatening condition. Psychosocial determinants have been acknowledged to trigger severe asthma. The authors review current knowledge about how psychosocial factors influence childhood asthma, with a special focus on compliance with treatment and family interaction. The authors describe their experience of joint treatment of high-risk asthmatic children and their families. The pediatrician and child psychiatrist work as co-therapists, and the results of this intervention are investigated. Forty-one high-risk asthmatics and their families were followed in the joint-consultation program. Two years after the onset of joint consultation, a significant improvement was found in symptom score, treatment score, and compliance score. The number of hospital admissions and of days spent in hospital decreased significantly. The cost of care was subsequently cut by two-thirds, despite the added cost of psychiatric care. The authors conclude that it is possible for doctors of the body and of the mind to share consultation work, with a positive impact on both the patient's health and the cost of treatment.

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Psychological factors in fatal childhood asthma.

Cited by 65 publications

References 21 publications

Increased morbidity and mortality related to asthma among asthmatic patients who use major tranquillisers

Increased morbidity and mortality related to asthma among asthmatic patients who use major tranquillisers

Improvement of Psychological Symptoms With the Treatment of Asthma

Joint Consultation for High‐Risk Asthmatic Children and Their Families, with Pediatrician and Child Psychiatrist as Co‐Therapists: Model and Evaluation

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