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.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Ritz T,Meuret AE,Trueba AF,Fritzsche A,von Leupoldt Adoi
10.1037/a0030187subject
Has Abstractpub_date
2013-04-01 00:00:00pages
231-50issue
2eissn
0022-006Xissn
1939-2117pii
2012-26671-001journal_volume
81pub_type
杂志文章,评审abstract:OBJECTIVE:The primary aim of the present investigation was to directly examine a theoretically based, self-awareness intervention manipulation for at-risk men's alcohol-related aggression toward women. This study was developed in response to a call in the literature for research to (a) empirically investigate specific ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
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abstract:OBJECTIVE:This study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinkin...
journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
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journal_title:Journal of consulting and clinical psychology
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