Coping as a mediator of psychosocial impediments to optimal management and control of asthma
Open accessAbstract
Adherence to asthma medication regimens by asthma patients is often poor and contributes to the continued and substantial burden of asthma in the community. There is evidence of increased rates of behavioural problems, anxiety and depression in people with moderate-to-severe asthma and these factors may interfere with adherence and contribute to poor asthma control. An alternative explanation is that the relationship between feelings of anxiety and depression, and adherence to the treatment regimen may be more accurately predicted from the coping styles used, rather than the experience of asthma itself. The objective of this paper was to review evidence for associations between coping strategies used by asthma patients, asthma management and health outcomes. The Medline and PsychInfo databases were searched for articles containing the terms "asthma" and "coping". Patients with asthma tended to use different strategies for coping with stress and illness compared to healthy participants and individuals with other chronic illnesses. Emotion-focussed coping strategies such as denial were commonly used by patients with poor medication adherence, those who attended emergency departments for asthma, were admitted to hospital for asthma, or suffered near-fatal asthma attacks. Interventions to improve coping strategies have been effective in reducing symptoms and psychological distress. The availability of coping resources to patients and/or their caregivers and the coping strategies that are used are likely to mediate the influence of psychosocial factors on the management of asthma. Further studies exploring the ways in which individuals cope with asthma will improve our understanding of the mechanisms linking psychological and social status to asthma morbidity and mortality.
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People with asthma use more emotion-focused, and generally maladaptive, coping strategies, such as avoidance.
“In addition, it is argued that people with asthma use more emotion-focused, and generally maladaptive, coping strategies, such as avoidance.65”
From A systematic review of psychological, physical health factors, and quality of life in adult asthma (2019) · cites this paper as [65]
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- Authors
- Barton, C., Clarke, D., Sulaiman, N., & Abramson, M.
- Affiliations
- The Alfred Hospital (AU)
- Monash University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Abramson, Michael
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2003-07
- Volume
- 97
- Issue
- 7
- Pages
- 747-761
- ISSN
- 0954-6111 (ISSN-L)
- OpenAlex
- W2158937315
- Cited by
- 91
- References
- 71
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 11 · 2020: 1 · 2019: 8 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 6 · 2012: 3
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- asthma, coping strategies, medication adherence, asthma control, anxiety, depression, psychosocial factors, emotion-focused coping, denial, emergency department visits, hospitalization, psychological distress, coping interventions
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Asthma, Child, Chronic Disease, Depression, Emergencies, Hospitalization, Humans, Morbidity, Patient Compliance, Socioeconomic Factors, Caregivers
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