Abstract
This study investigates the meaning of cognitions and coping in well-being, hospital admissions, medication consumption, and absence from work due to asthma in asthmatic patients. Patients completed five questionnaires: the Respiratory Illness Opinion Survey (Kinsman, Jones, Matus, & Schum, 1976), measuring external control, psychological stigma, and optimism; the Asthma Coping Questionnaire (Maes, Schlösser, & Vromans, 1986), measuring coping mechanisms; the Dutch version of the STAI (van der Ploeg, Defares, & Spielberger, 1979), measuring state and trait anxiety; the Questionnaire for Inner Well-Being (Hermans & Tak-van de Ven, 1973), measuring well-being; and the General Questionnaire for Asthmatic Patients (Maes et al., 1986) measuring medical outcome. Stepwise multiple regression showed that cognitions and coping determined a considerable part of the variance in the dependent variables: well-being, hospital admissions, and absence from work due to asthma.
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Alexander, A.B. (1981). Behavioral approaches in the treatment of bronchial asthma. In C.K. Prokop & L.A. Bradley (Eds.),Medical psychology, contributions to behavioral medicine. New York: Academic Press.
Cohen, A.I. (1977). Psychological factors. In T.J.H. Cllark & S. Godfrey (Eds.),Asthma. Philadelphia, Pa: Saunders.
Creer, T.L. (1978). Asthma: Psychological aspects and management. In E. Middelton, Jr., C.E. Reed, & E.F. Ellis (Eds.),Allergy, principles and practice. St. Louis, Mo.: Mosby.
Creer, T.L. (1982). Asthma.Journal of Consulting and Clinical Psychology, 50, 912–921.
Dahlem, N.W., Kinsman, R.A., & Horton D.J. (1977). Panic-fear in asthma: Requests for as-needed medications in relation to pulmonary function measurements.Journal of Allergy and Clinical Immunology, 60, 295–300.
Dirks, J.F., Jones, N.F., Kinsman, R.A., & Spector, S.L. (1977). Panic-fear: A personality dimension related to length of hospitalization in respiratory illness.Journal of Asthma Research, 14, 61–77.
Dirks, J.F. (1978). The psycho-maintenance of bronchial asthma: A review and preliminary theoretical integration of panic-fear research. InAsthma, Denver, Co., Report no. 54.
Dirks, J.F., Kinsman, R.A., Horton, D.J., Fross, K.H., & Jones, N.F. (1978). Panic-fear in asthma: Rehospitalization following intensive long-term treatment.Psychosomatic Medicine, 40, 5–13.
Fix, A.J., Daughton, D., & Kass, J. (1981). Behavioral sciences in pulmonary rehabilitation. In C.J. Golden, S.S. Alcaparras, F.D. Strider & B. Graber (Eds.),Applied techniques in behavioral medicine. New York: Grune & Stratton.
French, T.M., & Alexander, F. (1941). Psychogenetic factors in bronchial asthma.Psychosomatic Medicine Monographs, 4.
Gatchel, R.J. & Baum, A. (1983),An introduction to health psychology. Reading, Ma: Addison-Wesley.
Hermans, H.J.M., & Tak-van de Ven, J.C.M. (1973). Bestaat er een oorspronkelijke dimensie positief innerlijk welbevinden?Nederlands Tijdschrift voor Psychologie, 27, 731–755.
Kaptein, A.A. (1982).Illness behaviour of patients with asthma. Amsterdam: Academisch proefschrift.
Kinsman, R.A., O’Banion, K., Resnikoff, P., Luparello, T.Y., & Spector, S.L. (1973). Subjective symptoms of acute asthma within a heterogeneous sample of asthmatics.Journal of Allergy and Clinical Immunology, 52, 284–329.
Kinsman, R.A., Luparello, T., O’Banion, K., & Spector, S. (1973). Multi-dimensional analysis of the subjective symptomatology of asthma.Psychosomatic Medicine, 35, 250–267.
Kinsman, R.A., Spector, S.L., Shucard, D.W., & Luparello, T.J. (1974). Observations on patterns of subjective symptomatology of acute asthma.Psychosomatic Medicine, 36, 129–143.
Kinsman, R.A., Jones, N.F., Matus, I., & Schum, R.A. (1976). Patient variables supporting chronic diseases.Journal of Nervous and Mental Disease, 163, 159–165.
Kleiger, J.H., & Dirks, J.F. (1980). Psycho-maintenance aspects of alexithymia: Relationship to medical outcome variables in chronic respiratory illness population.Psychotherapy and Psychosomatics, 34, 25–33.
Lazarus, R.S. (1966).Psychological stress and the coping process. New York: McGraw-Hill.
Lazarus, R.S., Averill, J.R., & Opton, E.M., Jr. (1970). Toward a cognitive theory of emotion. In M. Arnold (Ed.),Feelings and emotions. New York: Academic Press.
Lazarus, R.S., & Launier, R. (1978). Stress-related transactions between person and environment. In L.A. Pernin & A. Lewis (Ed.),Perspectives in interactional psychology. New York: Plenum Press.
Lustig, F.M., Haas, A., & Castillo, R. (1972). Clinical and rehabilitation regime in patients with obstructive pulmonary disease.Archives of Physical Medicine and Rehabilitation, 53, 315–322.
Maes, S., & Grauenkamp, F.J. (1982). Gezondheidspsychologisch onderzoek. In K.A. Soudijn (Ed.),Psychologisch onderzoek in perspectief. Lisse: Swets Publishing Service.
Maes, S., & Bruggemans, E. (1984). Het verband tussen informatie, angst en welbevinden bij coronaire bypass- en myocardinfarct patiënten.Gezondheid en Samenleving, 3, 161–170.
Maes, S., & Schlösser, M., & Vromans, I. (1986). Asthma, coping en medische consumptie. In P. Schreurs & R. Rombouts (Eds.),Omgaan met ernstige ziekten. Lisse: Swets & Zeitlinger.
Maes, S., & Schlösser, M. (1987). The cognitive management of health behavior outcomes in asthmatic patients. In S. Maes, C.D., Spielberger, P. Defares & I. Sarason (Eds.),Health Psychology: An international perspective. New York: Wiley.
Matarazzo, J.D. (1980). Behavioral health and behavioral medicine.American psychologist, 35, 807–817.
McFadden, E.R., Jr. (1980). Asthma: Airway reactivity and pathogenesis.Seminars in Respiratory Medicine, 1, 287–296.
McCrae, R.R. (1982). Age differences in the use of coping mechanisms.Journal of Gerontology, 37, 454–460.
McLean, J.A., & Ching, A.Y.T. (1973). Follow-up study of relationships between family situation and bronchial-asthma in children.Journal of American Academy of Child Psychiatry 12, 142.
Nadel, J.A. (1976). Airways: Automatic regulation and airways responsiveness. In E.B. Weiss & M.S. Segal (Eds.),Bronchial asthma: Mechanisms and therapeutics. Boston: Little Brown.
Pattison, E.M., Rhodes, R.J., & Dudley, D.L. (1971). Response to group treatment in patients with severe chronic lung-disease.International Journal of Group Psychotherapy, 21, 214–225.
Pearlin, L.T., & Schooler, K. (1978). The structure of coping.Journal of Health and Social Behaviour, 19, 2–12.
Ploeg, H.M. van der, Defares, P.B., & Spielberger, C.D. (1979).‘Zelfbeoordelings-vragenlijst’ -Angstschaal. Een bewerking van de Spielberger State-Trait Anxiety Inventory (STAI). Lisse: Swets & Zeitlinger.
Purcell, K. (1963). Distinction between subgroups of asthmatic children: Children’s perceptions of events associated with asthma.Pediatrics, 31, 486–494.
Purcell, K., & Weiss, J.H. (1970) Asthma. In C.C. Costello (Ed.),Symptoms of Psychopathology. New York: Wiley.
Ray, C. (1982). The surgical patients: Psychological stress and coping resources. In J.R. Eiser (Ed.),Social psychology and behavioral medicine. New York: Wiley.
Spielberger, C.D., Gorsuch, R.L., & Lushene, R.E. (1970).STAI-manual. Palo Alto, Ca: Consulting Psychologists Press.
SPSS Inc. (1983).A complete guide to SPSS-X language and operations. Chicago: SPSS.
Staudenmayer, H., Kinsman, R.A., & Jones, N.F. (1978). Attitudes towards illness and hospitalization in asthma.Journal of Nervous and Mental Disease, 166, 624–634.
Steptoe, A. (1984). Psychological aspects of bronchial asthma. In S. Rachman (Ed.).Contributions to medical psychology, Volume 3. Oxford: Pergamon Press.
Stone, G.C., Cohen, F., & Adler, N.E. (1979).Health psychology—a handbook. San Francisco, Ca: Jossey-Bass.
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Maes, S., Schlosser, M. The role of cognition and coping in health behavior outcomes of asthmatic patients. Current Psychology 6, 79–90 (1987). https://doi.org/10.1007/BF02686637
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DOI: https://doi.org/10.1007/BF02686637