Related Experiment Videos
Interference of psychological factors in difficult-to-control asthma
Laurence Halimi1, Isabelle Vachier, Muriel Varrin
1Clinique des Maladies Respiratoires, Hôpital Arnaud de Villeneuve, 371 Av du Doyen Gaston Giraud 34295 Montpellier Cedex 5, France. chanez@montp.inserm.fr
Background:
Most patients with asthma can be controlled with suitable medication, but 5-10% of them remain difficult to control despite optimal management.
Objective:
We investigated whether patients with difficult-to-control asthma (DCA) or controlled asthma (CA) differ with respect to psychological factors, such as general control beliefs on life events.
Methods:
DCA was defined as an absence of control despite optimal management. Recent control was measured using the Asthma Control Questionnaire. General control beliefs were investigated using a Locus of Control scale (LOC).
Results:
Patients with DCA had a significantly higher external LOC as compared to patients with CA (P=0.01). In the DCA group, the hospital admission rate was highly significant in association with the external LOC (P=0.004) as compared to the internal LOC trend.
Conclusion:
This study showed that patients with DCA had different general control beliefs which might have hampered their management and interfered with their therapeutic adherence. The present findings could enhance management of DCA in a clinical setting.
Related Concept Videos
Asthma-I: Introduction
Asthma I: Introduction
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-IV: Nursing Management
First, in...