The influence of fear of symptoms and perceived control on asthma symptom perception
Open accessAbstract
Objective Self-reported asthma symptoms correlate only modestly with measures of underlying pathophysiological mechanisms. In this study, we investigated the role of fear of symptoms and perceived control on respiratory symptom perception in patients with asthma. Methods Patients with intermittent to moderate persistent asthma (N=32) were administered 4 subsequent rebreathing challenges (one using 100% O(2) and three using 5% CO(2) and 95% O(2)). We manipulated perceived control by providing information on the availability/unavailability of rescue medication during the challenges (perceived control/no control condition). Perceived symptoms and lung function were assessed after each rebreathing challenge. Results Persons with low fear of symptoms reported respiratory symptoms to be less unpleasant during the perceived control condition compared to the no control condition. The reverse was found for persons with high fear of symptoms. The interaction between fear of symptoms and the control manipulations was mediated by threat perception. Conclusion Messages intended to increase perceived control over symptoms may actually increase threat in persons with high fear of symptoms and eventually increase unpleasantness of respiratory sensations. This finding underlines the importance of affective processes in the perception of asthma symptoms and shows that instructions to patients should take pre-existing fear levels into account.
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Experimental studies demonstrate that fear of asthma is enough to over-perceive asthma symptoms.
“A broad inclusion is further supported by experimental studies demonstrating that fear of asthma is enough to over-perceive asthma symptoms (Janssens, Verleden, De Peuter, Petersen & Van den Bergh, 2011;Janssens, Verleden, De Peuter, Van Diest & Van den Bergh, 2009).”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Janssens, Verleden, De Peuter, Petersen & Van den Bergh, 2011
The indexed copy identifies the paper and its topic in the title and publication-details sections, but the retrieved passages contain no Methods or Results from the study. Searches for fear-induced symptom over-perception and the study's conclusions found no passage establishing that fear alone is sufficient to over-perceive asthma symptoms. (LLM, conf=0.75)
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Cites
Schatz, M., Sorkness, C. A., Li, J. T., Marcus, P., Murray, J. J., Nathan, R. A., Kosinski, M., Pendergraft, T. B., & Jhingran, P. (2006) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2006.01.011 · Cited by 1,221 · see citing works
Interpreting thresholds for a clinically significant change in health status in asthma and COPD
Jones, P. W. (2002) · European Respiratory Journal · doi:10.1183/09031936.02.00063702 · Cited by 585 · see citing works
Sanderson, W. C. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810020059010 · Cited by 492 · see citing works
The multiple dimensions of dyspnea: Review and hypotheses
Lansing, R. W., Gracely, R. H., & Banzett, R. B. (2009) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2008.07.012 · Cited by 355 · see citing works
Wiech, K., Kalisch, R., Weiskopf, N., Pleger, B., Stephan, K. E., & Dolan, R. J. (2006) · The Journal of Neuroscience · doi:10.1523/jneurosci.2568-06.2006 · Cited by 323 · see citing works
Accuracy of respiratory symptom perception in different affective contexts
Bogaerts, K., Notebaert, K., Van Diest, I., Devriese, S., De Peuter, S., & Van den Bergh, O. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.12.005 · Cited by 117 · see citing works
Psychological treatment of comorbid asthma and panic disorder: a pilot study
Lehrer, P. M., Karavidas, M. K., Lu, S.-E., Feldman, J., Kranitz, L., Abraham, S., Sanderson, W., & Reynolds, R. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.07.001 · Cited by 77 · see citing works
Can subjective asthma symptoms be learned?
De Peuter, S., Van Diest, I., Lemaigre, V., Li, W., Verleden, G., Demedts, M., & Van den Bergh, O. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000160470.43167.e2 · Cited by 64 · see citing works
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Bonnert, M., Andersson, E., Serlachius, E., Manninen, I., Bergström, S., & Almqvist, C. (2020) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12674 · Cited by 14 · see citing works
- Authors
- Janssens, T., Verleden, G., De Peuter, S., Petersen, S., & Van den Bergh, O.
- Affiliations
- KU Leuven (BE)
- Universitair Ziekenhuis Leuven (BE)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 71
- Issue
- 3
- Pages
- 154-159
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1971845224
- Cited by
- 18
- References
- 8
- Citations by year
- 2025: 2 · 2024: 2 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 2 · 2017: 2 · 2015: 1
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- green
- orbilu.uni.lu
- Licence
- cc-by-nc-sa
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Luxembourg) (submittedVersion, cc-by-nc-sa)
- Lirias (submittedVersion)
- Funders
- AstraZeneca
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- asthma, perceived control, symptom perception, threat perception, rescue medication, emotional processing, patient education
- MeSH terms
- Adolescent, Adult, Asthma, Attitude to Health, Fear, Female, Humans, Male, Oxygen, Surveys and Questionnaires, Respiratory Function Tests, Risk Factors, Young Adult
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