Psychomaintenance of childhood asthma: a study of 34 children

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
C BaronJ G Lapierre

Abstract

Following the study on psychomaintenance of asthma by Kinsman, Dirks, and Jones (1977), we adapted the Battery for Asthma Illness Behavior (BAIB) to children. Thirty-four children aged 9.3 to 15.4 years were tested with this modified BAIB. They were scored simultaneously on a semistructured psychological interview. Three groups emerged out of these data: low-, medium-, and high-panic-fear personalities. Patients were also rated with regard to their pulmonary function and clinical status, including medication prescribed. The high-panic-fear personality was significantly associated with a higher intensity of prescribed medication, in particular corticosteroids. These results were independent of spirometric pulmonary measurements. We conclude that doctors may overreact to the exaggerated distress of high-panic-fear patients. Psychotherapy could be of help for this group.

References

Feb 1, 1978·Psychosomatic Medicine·J F DirksN F Jones
May 1, 1973·Psychosomatic Medicine·R A KinsmanS Spector
Jan 1, 1982·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·J F Dirks, R A Kinsman
Dec 1, 1980·The British Journal of Medical Psychology·J F DirksR A Kinsman

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Citations

Jan 1, 1993·New Directions for Mental Health Services·W L Thompson, T L Thompson
Feb 1, 1994·Journal of Behavioral Medicine·P M LehrerL Rausch
Mar 4, 1998·Journal of Psychosomatic Research·R E Carr
Jul 1, 1994·The Journal of General Psychology·L SilvergladeA D'Costa
Jan 1, 1993·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·P M LehrerS M Hochron
Jan 1, 1989·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·D FurrowK Brazil
May 5, 1999·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·R E Carr
Dec 31, 2008·Respiratory Physiology & Neurobiology·Cyril Schweitzer, François Marchal
Sep 4, 2007·Progress in Neuro-psychopharmacology & Biological Psychiatry·Maurice Preter, Donald F Klein
Sep 24, 2005·Scandinavian Journal of Psychology·Esther Romero-FraisHéctor Verea
Dec 1, 1991·The Journal of Allergy and Clinical Immunology·L P BouletF Gignac
Dec 22, 1998·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·K Frankel, M Z Wamboldt
Feb 1, 1992·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·C BaronA Lamarre

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