A cognitive-behavioural prospective in difficult to treat childhood asthma

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Alessandra Latrofa, Maria Grazia Foschino Barbaro
Publishing Year 2016 Issue 2016/38
Language Italian Pages 19 P. 53-71 File size 144 KB
DOI 10.3280/QPC2016-038005
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Asthma is a chronic inflammatory disease of the airways, and it is one of the leading causes of morbidity and mortality in the world. According to international guidelines, that provide a protocol based on co-partecipation end empowerment of the patient, the international literature shows the existence of a series of educational intervention programs centered on the transmission of information that make the patient able to actively cope with the disease. Despite the proven effectiveness of these programs, there are many cases of asthma considered "difficult". The objective of this paper is to analyze some studies whose focus on the psychological aspects involved in the control of asthmatic disease. The presence of dysfunctional mental representations about bodily sensations and disease seems to have a strong impact on the quality of the perception of somatic symptoms. At the same time the presence of anxious and depressive symptoms seems to adversely affect the lung function, and then the severity of asthmatic pathology. The analysis of international literature emphasizes the importance of integrated intervention to promote a good control of the disease, thus improving the quality of life and health status, as the biopsychosocial paradigm conceptualizes.

Keywords: Childhood asthma, perception of symptoms, anxiety, depression, cognitive restructuring

  1. Bonaldi A., Salmoiraghi M. (1998). La gestione integrata delle malattie. Prospettive Sociali e Sanitarie, 4: 1-5
  2. Bronfenbreener U. (1979). The Ecology of Human Development: Experiments and Design and Nature. Massachusetts: Harvard University.
  3. Campbell D.A., Yellowlees P.M., McLennan G., Coates J.R., Frith P.A., Gluyas P.A., Latimer K.M., Luke C.G., Martin A.J., Ruffin R.E. (1995). Psychiatric and medical features of near fatal asthma. Thorax, 50(3): 254-259.
  4. Carloni I., Omenetti S., Fabbri B., Pietroni L., de Benedictis F.M. (2012). L’asma difficile nel bambino e nell’adolescente. Allergologia Respiratoria, 42(166): 98-105.
  5. Centanni S., Di Marco F., Castagna F., Boveri B., Casanova F., Piazzini A. (2000).
  6. Psychological issues in the treatment of asthmatic patients. Respiratory Medicine, 94(8): 742-749.
  7. Ciccone D.S., Chandler H.K., Pate-Carolan L., Janal M.N., Lavietes M.H. (2007). A test of the symptom amplification hypothesis in patients with asthma. The Journal of Nervous and Mental Disease, 195(2): 119-124.
  8. Cooke L., Myers L.B., Derakshan N. (2003). Lung function, adherence and denial in asthma patients who exhibit a repressive coping style. Psychology, Health & Medicine, 8(1): 35-44. DOI: 10.1080/135485002100005924
  9. Cousino M.K., Hazen R.A. (2013). Parenting stress among caregivers of children with chronic illness: a systematic review. Journal of Pediatric Psychology, 38(8): 809-828.
  10. Dahl J., Wilson K.G., Nilsson A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35(4): 785-801. DOI: 10.1016/S0005-7894(04)80020-
  11. Dal Negro R., Rossi A., Cerveri I. (2003). The burden of COPD in Italy: results from the Confronting COPD survey. Respiratory Medicine, 97: S43-S50. DOI: 10.1016/S0954-6111(03)80024-
  12. De Peuter S., Lemaigre V., Van Diest I., Verleden G., Demedts M., Van den Bergh O. (2007).
  13. Differentiation between the sensory and affective aspects of histamine-induced bronchoconstriction in asthma. Respiratory Medicine, 101(5): 925-932.
  14. De Peuter S., Lemaigre V., Van Diest I., Van den Bergh O. (2008). Illness-specific catastrophic thinking and overperception in asthma. Health Psychology, 27(1): 93. DOI: 10.1037/0278-6133.27.1.9
  15. Derakshan N., Eysenck M.W., Myers L.B. (2007). Emotional information processing in repressors: The vigilance-avoidance theory. Cognition and Emotion, 21(8): 1585-1614.
  17. D’Zurilla T.J., Nezu (1982). Social problem solving in adults. In: Kendall P.C., editor, Advances in Cognitive-Behavioral Research and Therapy. New York: Academic Press, pp. 202-74.
  18. Eccleston C., Palermo T.M., Fisher E., Law E. (2012). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 8. DOI: 10.1002/14651858.CD00966
  19. Engel (1977). The need for a new medical model, a challenge for biomedicine. Science, 196: 129-136.
  20. Folkman S., Lazarus R.S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54(3): 466. DOI: 10.1037//0022-3514.54.3.46
  21. Fritz G.K., McQuaid E.L., Spirito A., Klein R.B. (1996). Symptom perception in pediatric asthma: relationship to functional morbidity and psychological factors. Journal of the American Academy of Child & Adolescent Psychiatry, 35(8): 1033-1041. DOI: 10.1097/00004583-199608000-0001
  22. Garcia G., Adler M., Humbert M. (2003). Difficult asthma. Allergy, 58(2): 114-121.
  23. Global Iniziative for Asthma (GINA, 2009). Guida tascabile per il trattamento e la prevenzione dell’asma per bambini di età inferiore ai 5 Anni. Una guida per medici pediatri ed il personale sanitario. -- Testo disponibile sul sito http://www.ginasthma.com/Committees.asp?l1=7&l2=2
  24. Global Iniziative for Asthma (GINA, 2010). Guida tascabile per il trattamento e la prevenzione dell’asma per adulti e bambini di età superiore o uguale a 5 anni. Una guida per medici e personale sanitario. --Testo disponibile sul sito http://www.ginasthma.com/Committees.asp?l1=7&l2=2
  25. Goodwin R.D., Bandiera F.C., Steinberg D., Ortega A.N., Feldman J.M. (2012). Asthma and mental health among youth: etiology, current knowledge and future directions. Expert Review of Respiratory Medicine, 6(4): 397-406.
  26. Goubert L., Crombez G., Eccleston C., Devulder J. (2004). Distraction from chronic pain during a pain-inducing activity is associated with greater post-activity pain. Pain, 110(1): 220-227.
  27. Gregg J.A., Callaghan G.M., Hayes S.C., Glenn-Lawson J.L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 75(2): 336. DOI: 10.1037/0022-006X.75.2.33
  28. Haley J. (1976). Problem Solving Therapy. San Francisco: Jossey-Bass.
  29. Hayes S.C., Strosahl K.D., Wilson K.G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
  30. Isenberg S., Lehrer P., Hochron S. (1997). Defensiveness and perception of external inspiratory resistive loads in asthma. Journal of Behavioral Medicine, 20(5): 461-472. DOI: 10.1023/A:102555153275
  31. Janssens T., Verleden G., De Peuter S., Van Diest I., Van den Bergh O. (2009). Inaccurate perception of asthma symptoms: A cognitive-affective framework and implications for asthma treatment. Clinical Psychology Review, 29(4): 317-327.
  32. 2009.02.006 Janssens T., Verleden G., De Peuter S., Petersen S., Van den Bergh O. (2011). The influence of fear of symptoms and perceived control on asthma symptom perception. Journal of Psychosomatic Research, 71(3): 154-159.
  33. Kabat-Zinn J. (1982). An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical consideration and preliminary results. General Hospital Psychiatry, 4: 33-47. DOI: 10.1016/0163-8343(82)90026-
  34. Kahana S., Drotar D., Frazier T. (2008). Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. Journal of Pediatric
  35. Psychology, 33(6): 590-611.
  36. Katz P.P., Yelin E.H., Eisner M.D., Blanc P.D. (2002). Perceived control of asthma and quality of life among adults with asthma. Annals of Allergy, Asthma & Immunology, 89(3): 251-258. DOI: 10.1016/S1081-1206(10)61951-
  37. Kaugars A.S., Klinnert M.D., Bender B.G. (2004). Family influences on pediatric asthma.
  38. Journal of Pediatric Psychology, 29(7): 475-491.
  39. Keeley D., Osman L. (2001). Dysfunctional breathing and asthma: it is important to tell the
  40. difference. British Medical Journal, 322(7294): 1075.
  41. Klein R.B., Walders N., McQuaid E.L., Adams S., Yaros D., Fritz G.K. (2004). Symposium:
  42. The Asthma Risk Grid: Clinical Interpretation of Symptom Perception. Allergy &
  43. Asthma Proceedings, 25: 1. ISSN 1088-5412
  44. Koinis-Mitchell D., McQuaid E.L., Seifer R., Kopel S.J., Nassau J.H., Klein R.B., Fritz G.K.
  45. (2009). Symptom perception in children with asthma: cognitive and psychological factors. Health Psychology, 28(2): 226.
  46. Kopf S., Oikonomou D., Hartmann M. (2014). Effects of stress reduction on cardiovascular risk factors in type 2 diabetes patients with early kidney disease – results of a randomized controlled trial (HEIDIS). Experimental and Clinical Endocrinology & Diabetes, 122: 341-9.
  47. Lehrer P., Feldman J., Giardino N., Song H.S., Schmaling K. (2002). Psychological aspects of asthma. Journal of Consulting and Clinical Psychology, 70(3): 691. DOI: 10.1037//0022-006X.70.3.69
  48. Lundgren T., Dahl J., Melin L., Kies B. (2006). Evaluation of acceptance and commitment therapy for drug refractory epilepsy: A randomized controlled trial in South Africa – A pilot study. Epilepsia, 47(12): 2173-2179.
  49. Lundgren T., Dahl J., Yardi N., Melin L. (2008). Acceptance and Commitment Therapy and yoga for drug-refractory epilepsy: A randomized controlled trial. Epilepsy & Behavior, 13(1): 102-108.
  50. Magadle R., Berar-Yanay N., Weiner P. (2002). The risk of hospitalization and near-fatal and fatal asthma in relation to the perception of dyspnea. CHEST Journal, 121(2): 329-333.
  51. Mancuso C.A., Rincon M., McCulloch C.E., Charlson M.E. (2001). Self-efficacy, depressive symptoms, and patients’ expectations predict outcomes in asthma. Medical Care, 39(12): 1326-1338. DOI: 10.1097/00005650-200112000-0000
  52. McClafferty H. (2014). An Overview of Integrative Therapies in Asthma Treatment. Curren
  53. Allergy and Asthma Reports, 14(10): 1-8.
  54. McCracken L.M., MacKichan F., Eccleston C. (2007). Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. European Journal of Pain, 11(3): 314-322.
  55. McCracken L.M., Turk D.C. (2002). Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process. Spine, 27(22): 2564-2573. DOI: 10.1097/00007632-200211150-0003
  56. McCracken L.M., Vowles K.E., Eccleston C. (2005). Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour Research and Therapy, 43(10): 1335-1346.
  57. McQuaid E.L., Mitchell D.K., Walders N., Nassau J.H., Kopel S.J., Klein R.B., Fritz G.K. (2007). Pediatric asthma morbidity: The importance of symptom perception and family response to symptoms. Journal of Pediatric Psychology, 32(2): 167-177.
  58. Merkes M. (2010). Mindfulness-based stress reduction for people with chronic diseases. Australian Journal of Primary Health, 16: 200-10. DOI: 10.1071/PY0906
  59. Middleton E.Jr., Ellis E.F., Yunginger J.W., Reed C.E., Adkinson N.F.Jr., Busse W.W. et al. (1998). Allergy principles and practice (5th ed.). St. Louis: Mosby.
  60. Miller B.D., Wood B.L. (2003). Emotions and Family Factors in Childhood Asthma: Psychobiologic Mechanisms and Pathways of Effect. Advances in Psychosomatic Medicine, 24: 131-160. DOI: 10.1159/00007378
  61. Miller B.D., Wood B.L., Lim J., Ballow M., Hsu C. (2009). Depressed children with asthma evidence increased airway resistance:“Vagal bias” as a mechanism? Journal of Allergy and Clinical Immunology, 124(1): 66-73.
  62. Miller G.E., Gaudin A., Zysk E., Chen E. (2009). Parental support and cytokine activity in childhood asthma: the role of glucocorticoid sensitivity. Journal of Allergy and Clinical Immunology, 123(4): 824-830.
  63. Minor H.G., Carlson L.E., Mackenzie M.J., Zernicke K., Jones L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43(1): 91-109.
  64. Minuchin S. (1974). Families & Family Therapy. Massachusetts: Harvard University.
  65. Muris P., Merckelbach H., Meesters C. (2001). Learning experiences and anxiety sensitivity in normal adolescents. Journal of Psychopathology and Behavioral Assessment, 23(4): 279-283. DOI: 10.1023/A:101278350485
  66. Pauwels R.A., Pedersen S., Busse W.W., Tan W.C., Chen Y.Z., Ohlsson S.V., O’Byrne P. M. (2003). Early intervention with budesonide in mild persistent asthma: a randomised, double-blind trial. The Lancet, 361(9363): 1071-1076. DOI: 10.1016/S0140-6736(03)12891-
  67. Pbert L., Madison J.M., Druker S., Olendzki N., Magner R., Reed G., Carmody J. (2012). Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial. Thorax, 67: 769-76.
  68. Prevedini A.B., Presti G., Rabitti E., Miselli G., Moderato P. (2011). Acceptance and Commitment Therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 33(1 Suppl. A): A53-A63.
  69. Put C., Van den Bergh O., Van Ongeval E., De Peuter S., Demedts M., Verleden G. (2004). Negative affectivity and the influence of suggestion on asthma symptoms. Journal of Psychosomatic Research, 57(3): 249-255. DOI: 10.1016/S0022-3999(03)00541-
  70. Rabe K.F., Vermeire P.A., Soriano J.B., Maier W.C. (2000). Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study. European Respiratory Journal, 16(5): 802-807.
  71. Sales J., Fivush R., Teague G.W. (2008). The role of parental coping in children with asthma’s psychological well-being and asthma-related quality of life. Journal of Pediatric Psychology, 33(2): 208-219. doi.: 10.1093/jpepsy/jsm068
  72. Scarupa M.D., Mori N., Canning B.J. (2005). Gastroesophageal Reflux Disease in Children with Asthma. Pediatric Drugs, 7(3): 177-186. DOI: 10.2165/00148581-200507030-0000
  73. Scholten L., Willemen A.M., Last B.F., Maurice-Stam H., van Dijk E.M., Ensink E., Grootenhuis M.A. (2013). Efficacy of psychosocial group intervention for children with chronic illness and their parents. Pediatrics, 131(4): e1196-e1203.
  74. Sherwood Brown E., Khan D.A., Nejtek V.A., Rajan Thomas N., Mahadi S.F. (2000). Depressive symptoms and functioning in asthmatic patients. Prim. Care Psychiatry, 6: 155-61.
  75. Stegen K., Van Diest, I. Van de Woestijne K.P., Van den Bergh O. (2000). Negative affectivity and bodily sensations induced by 5.5% CO2 enriched air inhalation: Is there a bias to interpret bodily sensations negatively in persons with negative affect? Psychology and Health, 15(4): 513-525. DOI: 10.1080/0887044000840201
  76. Stegen K., Van Diest I., Van De Woestijne K.P., De Bergh O.V. (2001). Do persons with negative affect have an attentional bias to bodily sensations? Cognition & Emotion, 15(6): 813-829. DOI: 10.1080/0269993014300021
  77. Sturdy P.M., Victor C.R., Anderson H.R., Bland J.M., Butland B.K., Harrison B.D., Peckitt C., Taylor J.C. (2002). Mortality and severe Morbidity Working Group of the National Asthma Task Force. Psychological, social, and health behaviour risk factors for deaths certified as asthma: a national case-control study. Thorax, 57(12): 1034-1039.
  78. Szefler S.J., Martin R.J., King T.S., Boushey H.A., Cherniack R.M., Chinchilli V.M., Sorknes C.A. (2002). Significant variability in response to inhaled corticosteroids for persistent asthma. Journal of Allergy and Clinical Immunology, 109(3): 410-418.
  79. Taylor S.E. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. New York: Lawrence Erlbaum Associates Publishers.
  80. Thayer J.F., Lane R.D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61: 201-216. DOI: 10.1016/S0165-0327(00)00338-
  81. Theofilou P., Saborit A.R. (2012). Predictors of asthma treatment adherence. J. Psychol. Psychother. S, 3: 2161-0487.
  82. Tsao J.C., Myers C.D., Craske M.G., Bursch B., Kim S.C., Zeltzer L.K. (2005). Parent and child anxiety sensitivity: Relationship in a nonclinical sample. Journal of Psychopathology and Behavioral Assessment, 27(4): 259-268.
  83. Tsao J.C., Lu Q., Myers C.D., Kim S.C., Turk N., Zeltzer L.K. (2006). Parent and child anxiety sensitivity: relationship to children’s experimental pain responsivity. The Journal of Pain, 7(5): 319-326.
  84. Turyk M., Hernandez E., Wright R.J., Freels S., Slezak J., Contraras A., Piorkowski J., Persky V. (2008). Stressful life events and asthma in adolescents. Pediatric Allergy and Immunology, 19(3): 255-263.
  85. Van Damme S., Crombez G., Eccleston C., Roelofs J. (2004). The role of hypervigilance in the experience of pain. Understanding and treating fear of pain, 71-90.-- http://hdl.handle.net/1854/LU-209114
  86. Watson D., Clark L.A. (1984). Negative Affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96: 465-490. DOI: 10.1037//0033-2909.96.3.46
  87. Waxmonsky J., Wood B.L., Stern T., Ballow M., Lillis K., Cramer-Benjamin D., Miller B.D. (2006). Association of depressive symptoms and disease activity in children with asthma: methodological and clinical implications. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8): 945-954.
  88. Wetherell J.L., Afari N., Rutledge T., Sorrell J.T., Stoddard J.A., Petkus A.J., Atkinson J.H. (2011). Arandomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152(9): 2098-2107
  89. Wood B.L., Lim J., Miller B.D., Cheah P.A., Simmens S., Stern T., Ballow M. (2007). Family emotional climate, depression, emotional triggering of asthma, and disease severity in pediatric asthma: Examination of pathways of effect. Journal of Pediatric Psychology, 32(5): 542-551.
  90. Wright R.J., Rodriguez M., Cohen S. (1998). Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax, 53(12): 1066-1074.
  91. Yorke J., Fleming S.L., Shuldham C. (2005). Psychological interventions for children with asthma. The Cochrane library.
  92. WHO (1986) Ottawa charter for health promotion: an International Conference on Health Promotion, the move towards a new public health. 17-21 November, World Health Organization, Ottawa, Geneva, Canada.
  93. WHOQoL Group (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(03): 551-558. DOI: 10.1017/S003329179800666

Alessandra Latrofa, Maria Grazia Foschino Barbaro, Una prospettiva cognitivo-comportamentale nell’asma infantile farmacoresistente in "QUADERNI DI PSICOTERAPIA COGNITIVA" 38/2016, pp 53-71, DOI: 10.3280/QPC2016-038005