Perception of airway obstruction in asthma: Sequential daily analyses of symptoms, peak expiratory flow rate, and mood
Journal of Allergy and Clinical ImmunologyPublished 1 May 1997Open access
Andrea Apter, Glenn Affleck, Susan Reisine, Howard Tennen, E. F. Barrows, Meredith Wells
Citations76
SJR quartileQ1
SJR score3.94
SNIP2.56
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Mood states were influenced by asthma symptoms, but the converse was not true; those patients with lower FEF25-75 values tended to be less accurate perceivers.
Abstract
The relationship between changes in PEFR and symptoms over time was generally poor. Those patients with lower FEF25-75 values tended to be less accurate perceivers. Mood states were influenced by asthma symptoms, but the converse was not true.
Keywords
Medicine
American Review of Respiratory DiseaseStandardization of Spirometry — 1987 Update
3,276 Citations1987A. Sonia Buist
Measuring stress: A guide for health and social scientists.
1,280 Citations1995Sheldon Cohen, Ronald C. Kessler +1 more
This chapter discusses strategies for measuring stress in studies of psychiatric and physical disorders and the role of stress hormones in the response of the immune system.
New England Journal of MedicineChemosensitivity and Perception of Dyspnea in Patients with a History of Near-Fatal Asthma
500 Citations1994Yoshihiro Kikuchi, Shinichi Okabe +5 more
Reduced chemosensitivity to hypoxia and blunted perception of dyspnea may predispose patients to fatal asthma attacks.
New England Journal of MedicineAcute Bronchial Asthma
491 Citations1973E. R. McFadden, Roger Kiser +1 more
Altered lung mechanics appear to result from persistent airflow obstruction residing in peripheral airways that is not sufficient to induce symptoms at rest but compromises pulmonary function and may serve as a base for future recurrent episodes of asthma.
The LancetPERCEPTION OF ASTHMA
422 Citations1976A Rubinfeld, M. C. F. Pain
Patients with methacholine-induced asthma were unable to sense the presence of marked airways obstruction and could not be characterised as a distinct group on the basis of their sex, age, or duration of their asthma.
Journal of AsthmaAsthma and Emotion: A Review
236 Citations1993Paul M. Lehrer, Susan Isenberg +1 more
This review of the empirical literature on the relationship between asthma and emotion presents an explanatory model of the connection between them, and predicts are presented for research on this model, and for the psychological treatment of asthma.
BMJAccuracy of perception of severity of asthma: patients treated in general practice.
217 Citations1993Adrian Kendrick, C M B Higgs +2 more
In general practice a high proportion of asthmatic patients do not reliably detect changes in their lung function, which reinforces the need for careful objective assessment of lung function in the management of asthma.
Journal of Consulting and Clinical PsychologyNeuroticism and the pain^mood relation in rheumatoid arthritis: Insights from a prospective daily study.
212 Citations1992Glenn Affleck, Howard Tennen +2 more
Psychosomatic MedicineMultidimensional Analysis of the Subjective Symptomatology of Asthma
212 Citations1973Robert A. Kinsman, Thomas J. Luparello +2 more
It is suggested that complex patterning of subjective symptomatology is common in asthma, andSymptom patterns described across each of the 5 symptom clusters may help to define coping styles related to the role of emotions in asthma and the course of illness.
Journal of Personality and Social PsychologyDaily stress and the trajectory of mood: Spillover, response assimilation, contrast, and chronic negative affectivity.
183 Citations1993Christine A. Marco, Jerry Suls
NA and current- day stress were the major influences of mood across days and high NAs were more distressed by current-day problems and recovered more slowly from problems of the preceding day.
SLEEPAssociations of Sleep With Everyday Mood, Minor Symptoms and Social Interaction Experience
178 Citations1994Peter Totterdell, Shirley Reynolds +2 more
The results suggest that the sleep disturbances found in affective disorders may not be pathological but instead represent the extremes of normal relationships between sleep and well-being.
Journal of Personality and Social PsychologyPerson and contextual features of daily stress reactivity: Individual differences in relations of undesirable daily events with mood disturbance and chronic pain intensity.
178 Citations1994Glenn Affleck, Howard Tennen +2 more
BMJDiary keeping in asthma: comparison of written and electronic methods.
146 Citations1993Michael E. Hyland, C. A. Paul Kenyon +2 more
Poor diary completion may result from having unreasonable expectations of patients and giving incomplete instructions, and electronic, time coded diaries could ensure better quality of records.
American Review of Respiratory DiseaseThe Influence of Psychological Status on Respiratory Symptom Reporting
141 Citations1989Robert Dales, Walter O. Spitzer +2 more
Psychological status is an important determinant of respiratory symptoms and therefore must be taken into consideration when interpreting results of epidemiologic studies using questionnaire information.
Annals of Behavioral MedicineDrinking and Smoking: a Field Study of their Association
127 Citations1994Saul Shiftman, Lynn A. Fischer +4 more
Journal of Personality and Social PsychologyIndividual differences in intraperson variability in mood.
101 Citations1994Louis A. Penner, Saul Shiffman +2 more
Psychosomatic MedicinePanic-Fear: A Personality Dimension Related to Intractability in Asthma
91 Citations1977Jerald F. Dirks, Nelson F. Jones +1 more
Development of the MMPI panic‐fear scale should enable further investigation of personality and behavioral aspects related to the perceived severity and intractability of other medical conditions and disabilities.
PubMedThe ability of asthmatics to detect added resistive loads.
85 Citations1978N. K. Burki, Katharyn J. Mitchell +2 more
There was a wide variation in both the threshold of detection and the ratio of the added resistance to the sum of the airway resistance and the minimal resistance of the apparatus in the asthmatic compared to the normal group.
Psychosomatic MedicinePanic-Fear in Asthma: Rehospitalization Following Intensive Long-Term Treatment
83 Citations1978Jerald F. Dirks, Robert A. Kinsman +3 more
The available information suggests that High Panic‐Fear patients react to asthma with symptom exaggeration and helplessness, while Low Panic‐ fear patients employ an equally maladaptive strategy best characterized as symptom minimization and denial as indicated by rehospitalization following intensive long‐term treatment.
Annals of Behavioral MedicineStatistical Analysis of Temporal Data With Many Observations: Issues For Behavioral Medicine Data
82 Citations1993James Jaccard, Choi K. Wan
Approaches to the analysis of behavioral medicine data with few individuals but many repeated observations are discussed and applications from econometrics using cross-sectional pooled time series designs are recommended.
PubMedClinical markers of asthma severity and risk: importance of subjective as well as objective factors.
80 Citations1992S Janson-Bjerklie, Sandra Ferketich +2 more
It is found that the subjective factors of perceived severity and perceived danger and the objective factors of medications, hospitalizations, history of intubation, and pulmonary function were important markers of asthma severity and risk.
Annals of Behavioral MedicineA dual pathway model of daily stressor effects on rheumatoid arthritis
76 Citations1997Glenn Affleck, Susan Urrows +4 more
Increases in daily event stressors during the week preceding each clinical exam were associated with increased joint pain (regardless of changes in mood), and increased daily stressors were indirectly associated with decreased joint inflammation through reduction in levels of soluble interleukin-2 receptors.
Annals of Behavioral MedicineDaily Stress and Stress-Related Disorders
66 Citations1993Phillip J. Brantley, Glenn N. Jones
Investigations of the association between daily minor stress and the selected stress-related disorders of asthma, headache, inflammatory bowel disease, and diabetes are reviewed, with evidence suggesting the strength of the association varies greatly across individuals.
Measurement of Affective Response
59 Citations1995Arthur A. Stone
Clinical ScienceChronobiological Study of the Relationship between Dyspnoea and Airway Obstruction in Symptomatic Asthmatic Subjects
57 Citations1989Claudine Peiffer, J Marsac +1 more
An important intra- and between-subject variability in the accuracy of perception of spontaneous airway obstruction in asthmatic subjects is quantified which seems to be unrelated to most characteristics of asthma.
Behavior Research Methods, Instruments, & ComputersIn situ repeated measures of affect and cognitive performance facilitated by use of a hand-held computer
55 Citations1992Peter Totterdell, Simon Folkard
The functional requirements for a standard measures of affect and cognitive performance in field studies without the direct intervention of the investigator are set out, and a set of programs developed to meet those requirements are described.
Health PsychologyA multilevel data-analytic approach for evaluation of relationships between daily life stressors and symptomatology: Patients with irritable bowel syndrome.
54 Citations1994Jerry Suls, Chun Wan +1 more
Annals of Allergy Asthma & ImmunologyClinical Evaluation of Asthma
51 Citations1996James T.C. Li, Edward J. O’Connell
The medical history and physical examination are moderately effective in diagnosing asthma and estimating its severity, and Objective measures of lung function are necessary for the accurate diagnosis of asthma.
Pediatric PulmonologySpirometric patterns in childhood asthma: Peak flow compared with other indices
51 Citations1995Robert B. Klein, Gregory K. Fritz +3 more
Results demonstrated that the FEF25–75 was the most specific and sensitive measure of airway obstruction, and it is appropriate for asthma education programs to recommend PEFR as an objective measure to guide in making therapeutic decisions.
Journal of Allergy and Clinical ImmunologyCommon measures of asthma severity lack association for describing its clinical course
48 Citations1994Andrea Apter, Richard ZuWallack +1 more
The commonly used measures of asthma severity, symptom scores, peak flow rate, and beta-agonist use may not be interchangeable in describing the clinical course.
Annals of Behavioral MedicineFatigue and Mood in Chronic Fatigue Syndrome Patients: Results of a Momentary Assessment Protocol Examining Fatigue and Mood Levels and Diurnal Patterns
46 Citations1994Arthur A. Stone, Joan E. Broderick +5 more
Compared to the control group, levels of fatigue were higher in the CFS group, yet there were no differences in overall level of positive or negative affect, and strong diurnal patterns of affect were observed for fatigue measures indicating that it was higher in the morning and evening.
Psychosomatic MedicineDefense style and the perception of asthma.
44 Citations1987H. Steiner, C M B Higgs +3 more
A role for defense pathology in the psychomaintenance of asthma is suggested by the hypothesis that inability to sense changes in the severity of bronchial asthma varies with insensitivity to emotional arousal, which in turn is associated with repressive defense styles.
British Journal of Medical PsychologyThe mood‐peak flow relationship in adult asthmatics: A pilot study of individual differences and direction of causality
38 Citations1990Michael E. Hyland
The relationship between mood and peak flow (PEF) was examined in 10 adult asthmatics by taking twice daily readings over 15 days and the size of the mood-PEF relationship correlated significantly with the percentage difference between morning and evening PEF.
British Journal of Medical PsychologyMood and pulmonary function in adult asthmatics: A pilot self‐monitoring study
35 Citations1985Andrew Steptoe, Rowena Holmes
The relationship between mood and fluctuations in peak expiratory flow rate (PEF) was studied in seven mildly asthmatic adult men and seven non-asthmatic controls and significant correlations were found in six of the asthmatics.
ThoraxPerception of airflow obstruction and associated breathlessness in normal and asthmatic subjects: correlation with anxiety and bronchodilator needs.
34 Citations1994LP Boulet, Isabelle Cournoyer +3 more
The variability of bronchodilator use for similar degrees of Bronchoconstriction suggests that it may be misleading to assess the severity of asthma control using only this indirect measure.
Psychotherapy and PsychosomaticsPsychomaintenance Aspects of Alexithymia: Relationship to Medical Outcome Variables in a Chronic Respiratory Illness Population
33 Citations2010James H. Kleiger, Jerald F. Dirks
The study highlights the fact that alexithymia and panic-fear are two dimensions which may contribute to medical intractability in chronic asthma.
European Respiratory JournalRelationship of daytime asthma symptom frequency to morning peak expiratory flow
20 Citations1996H. A. Atherton, Patrick White +2 more
For the majority of asthmatics, morning peak flow may be an unreliable predictor of expected symptoms during that day, and reliance on peak flow measurement as a tool enabling astHmatics to manage their asthma on a daily basis needs to be reconsidered.
PubMedMood variability in asthmatic patients: a case report.
7 Citations1992J. W. Stead, Christelle Henry +1 more