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Coping with asthma: is the physician able to identify patient's behaviour?
Fulvio Braido1, Ilaria Baiardini, Alberto Bordo
1Allergy & Respiratory Diseases Clinic, DIMI-University of Genoa, IRCCS AOU San Martino-IST, 16132 Genova, Italy. fulvio.braido@unige.it
Respiratory Medicine
|October 6, 2012
Summary
Patients with asthma frequently use maladaptive coping strategies, which their general practitioners (GPs) tend to underestimate. This disconnect may hinder effective asthma management and clinical outcomes.
Area of Science:
- Pulmonary Medicine
- Health Psychology
- General Practice
Background:
- Patient coping strategies significantly influence asthma management and health outcomes.
- Understanding patient coping mechanisms is crucial for effective asthma care.
Purpose of the Study:
- To assess coping methods used by asthma patients.
- To evaluate general practitioners' (GPs) accuracy in identifying patient coping strategies.
Main Methods:
- A cross-sectional survey utilizing a modified Coping Orientations to Problem Experienced Questionnaire.
- Data collected from 6264 asthma patients and 3089 GPs.
Main Results:
- Over half of patients used active coping strategies (51-59%), while passive/avoidant strategies were used by 12-28%.
- GPs underestimated active coping (35-45%) and passive/avoidant coping (8-26%).
- Physician accuracy in identifying specific strategies varied (34-64%), with better identification of active strategies.
Conclusions:
- A significant prevalence of maladaptive coping strategies exists among asthma patients.
- Physicians tend to underestimate these strategies, potentially impeding optimal asthma outcomes.
- Addressing this underestimation is key to improving clinical results in asthma management.
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