Psychological interventions for adults with asthma
Open accessAbstract
BACKGROUND: Many people have asthma, and for some their symptoms may be triggered by psychological factors. In addition compliance with medical therapy may have a psychological dimension. Therefore, psychological interventions aim to reduce the burden of symptoms and improve management of the disease. OBJECTIVES: To assess the effectiveness of psychological interventions for adults with asthma. SEARCH STRATEGY: The Cochrane Airways Group Specialised Register and PsycINFO were searched with pre-defined terms up until August 2005. SELECTION CRITERIA: Randomised controlled trials published in any language assessing the effects of a psychological intervention compared with a form of control in adult participants were included in the review. DATA COLLECTION AND ANALYSIS: Two reviewers assessed the relevance of abstracts identified by electronic searching and retrieved agreed studies for further scrutiny. The studies that met the inclusion criteria were assembled and data extracted. MAIN RESULTS: Fourteen studies, involving 617 particpants, were included in the review, however study quality was poor and sample sizes were frequently small. However, some pooled effects were analysed. The use of 'as needed' medications was reduced in two studies, (47 patients), by relaxation therapy (OR 4.47, CI 1.22 to 16.44). There was no significant difference in FEV1 for relaxation therapy in four studies of 150 patients, (SMD -0.01, CI -0.41 to 0.40). Quality of life, measured using the Asthma Quality of Life Questionnaire in two studies, (48 patients), showed a positive effect following CBT (WMD 0.71, CI 0.23 to 1.19). Peak Expiratory Flow outcome data in two studies, (51 patients), indicated a significant difference in favour of bio-feedback therapy (SMD 0.66, CI 0.09 to 1.23). The remainder of the findings between studies were conflicting. This may have been due to the different types of interventions used and the deficiencies in trial design. AUTHORS' CONCLUSIONS: This review was unable to draw firm conclusions for the role of psychological interventions in asthma due to the absence of an adequate evidence base. Larger, well-conducted and reported randomised trials are required in this area, in order to determine the effects of these techniques in the treatment of asthma in adults.
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Similar recruitment and retention difficulties have been previously reported in trials of one-to-one CBT in asthma.
“Similar recruitment and retention difficulties have been previously reported in trials of one-to-one CBT in asthma [10,11].”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [10]
The supplied passages and additional indexed results are labeled as a study of cognitive muscular therapy for knee osteoarthritis, not the cited asthma review. Searches for recruitment, retention, CBT, and asthma returned no passage addressing difficulties in one-to-one CBT trials for asthma, so this copy cannot verify the claim. (LLM, conf=0.78)
Experimental — accuracy not yet measuredEvidence for the use of CBT in asthma is lacking and no studies focus specifically on severe asthma.
“evidence for its use in cases of asthma is lacking and no studies focus specifically on the pattern of severe asthma [10,11].”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [10]
The indexed passages are labelled as sections of a knee-osteoarthritis study, despite being returned for the cited asthma review. Its Abstract and Introduction discuss cognitive muscular therapy for knee osteoarthritis, not CBT for asthma. Searches for CBT evidence and studies specifically focused on severe asthma returned no relevant passage, so this copy cannot verify the claim. (LLM, conf=0.78)
Experimental — accuracy not yet measuredNo previous CBT study has targeted severe asthma patients or evaluated group-based therapy.
“It is, however, important to note that no previous CBT study has targeted severe asthma patients or evaluated groupbased therapy [10].”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [10]
The passages supplied and returned for this DOI are labelled as sections of a knee-osteoarthritis paper, not the cited asthma review (pages unavailable). Searches for severe asthma and group-based CBT found no passage addressing whether earlier asthma studies targeted those patients or evaluated group therapy. The claim cannot be assessed from the indexed copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredPrevious studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ to be sensitive to change.
“Previous studies evaluating the effectiveness of individual CBT in the general asthma population have found the AQLQ [10,11, 33, 34] to be sensitive to change.”
From A randomised controlled feasibility trial of Group Cognitive Behavioural Therapy for people with severe asthma (2017) · cites this paper as [10]
The supplied passages and both searches of the indexed copy return sections headed as a knee-osteoarthritis study, not the cited asthma review. Searches for AQLQ sensitivity to change and cognitive behavioural therapy found no passage addressing the claim, so it cannot be verified from our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measured
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- Authors
- Yorke, J., Fleming, S. L., & Shuldham, C.
- Affiliations
- University of Salford (GB)
- Royal Brompton & Harefield NHS Foundation Trust (GB)
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2006-01-25
- Issue
- 1
- Pages
- CD002982-CD002982
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- PMC
- PMC7004249
- OpenAlex
- W1664538138
- Cited by
- 95
- References
- 118
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 4 · 2012: 5
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- University of Salford Institutional Repository (University of Salford) (submittedVersion, cc-by)
- Funders
- National Institute for Health and Care Research (NIHR202203)
- Department of Health and Social Care
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- asthma, psychological intervention, relaxation training, cognitive behavioral therapy, biofeedback, medication adherence, quality of life, peak expiratory flow, FEV1, adults
- MeSH terms
- Adult, Asthma, Health Services Needs and Demand, Humans, Psychotherapy, Randomized Controlled Trials as Topic
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