Psychosocial Factors and Behavioral Medicine Interventions in Asthma

Autor/inn/en	Ritz, Thomas; Meuret, Alicia E.; Trueba, Ana F.; Fritzsche, Anja; von Leupoldt, Andreas
Titel	Psychosocial Factors and Behavioral Medicine Interventions in Asthma
Quelle	In: Journal of Consulting and Clinical Psychology, 81 (2013) 2, S.231-250 (20 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0030187
Schlagwörter	Prevention; Health Behavior; Smoking; Intervention; Behavior Modification; Self Management; Diseases; Anatomy; Pathology; Psychotherapy; Schemata (Cognition); Dietetics; Life Style; Biofeedback; Anxiety; Comorbidity; Depression (Psychology); Cultural Awareness; Drug Therapy; Medicine + Suchen Sie Ihr Suchwort? Prävention; Vorbeugung; Health behaviour; Gesundheitsverhalten; Rauchen; Behaviour modification; Verhaltensänderung; Selbstmanagement; Disease; Krankheit; Anatomie; Pathologie; Psychotherapie; Cognition; Schema; Kognition; Ernährungslehre; Lebensstil; Angst; Cultural identity; Kulturelle Identität; Medizin
Abstract	Objective: This review examines the evidence for psychosocial influences in asthma and behavioral medicine approaches to its treatment. Method: We conducted a systematic review of the literature on psychosocial influences and the evidence for behavioral interventions in asthma with a focus on research in the past 10 years and clinical trials. Additional attention was directed at promising new developments in the field. Results: Psychosocial factors can influence the pathogenesis and pathophysiology of asthma, either directly through autonomic, endocrine, immunological, and central nervous system mechanisms or indirectly through lifestyle factors, health behaviors, illness cognitions, and disease management, including medication adherence and trigger avoidance. The recent decade has witnessed surging interest in behavioral interventions that target the various pathways of influence. Among these, self-management training, breathing training, and exercise or physical activation programs have proved particularly useful, whereas other essential or promising interventions, such as smoking cessation, dietary programs, perception and biofeedback training, and suggestive or expressive psychotherapy, require further, more rigorous evaluation. Given the high comorbidity with anxiety and mood disorders, further evaluation of illness-specific cognitive behavior therapy is of particular importance. Progress has also been made in devising community-based and culturally tailored intervention programs. Conclusion: In concert with an essential medication treatment, behavioral medicine treatment of asthma is moving closer toward an integrated biopsychosocial approach to disease management. (Contains 1 table and 1 footnote.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10