Cognitive-Behavior Therapy Techniques with Asthma

Steve's suggestions are good ones but I don't think any of them focus specifically on Asthma. I'd recommend looking at what current texts on Behavioral Medicine have to say about Asthma or respiratory disorders. Much of what they discuss will be cognitive behavioral.

Here are 3 articles that look at CBT and asthma:

Wade, S. L.; Holden, G.; Lynn, H.; Mitchell, H. & Ewart, C. (2000) Cognitive-behavioral predictors of asthma morbidity in inner-city children. Journal of Developmental & Behavioral Pediatrics, 21, 340-346. ABSTRACT: Examined the relationship between cognitive-behavioral aspects of asthma management (caretaker asthma knowledge, expectations, and problem-solving) and asthma morbidity in a sample of 1,376 inner-city children (aged 4-9 yrs) with physician-diagnosed asthma. In the analyses, baseline symptom severity served as a covariate, and the average of the 3-, 6-, and 9-mo follow-up data served as the outcome measure. Children of caregivers with ineffective problem-solving strategies had significantly more days of wheezing over a 14-day period. Ineffective problem-solving capabilities were also associated with poorer functional status; however, positive caregiver expectations were associated with better functional status. Of the cognitive-behavioral factors studied in a high-risk urban population, caregiver problem-solving skills and expectations emerged as meriting further investigation and possible intervention.

Perez, M. G.; Feldman, L. & Caballero, F. (1999). Effects of a self-management educational program for the control of childhood asthma. Patient Education & Counseling, 36, 47-55. ABSTRACT: Evaluated the effects of a self-management educational program on 29 children (aged 6-14 yrs) and their parents implemented in an office setting in Venezuela. Children were randomly assigned to experimental or control groups. Children's asthma knowledge, self-management abilities, index morbidity, and parents' asthma knowledge and management abilities were measured. The program consisted of 6 sessions of information giving and cognitive-behavioral strategies for the children, and 2 talks and an informative brochure for the parents. Results of t tests indicate that the experimental group experienced a statistically significant effects on children's asthma knowledge and practice of self-management abilities and in parents' knowledge compared to the control group. The educational self-management program had a significant impact on the Morbidity Index of the study group at post-test. Younger children benefited more from the program compared to older ones. Children's age is highlighted as a critical variable in designing asthma educational programs. Results suggest the effectiveness on these programs independently of cultural context.

Redlich, N. & Prior, M. (1998). Cognitive-behavioural interventions in pediatric chronic illness. Behaviour Change, 15, 151-159. ABSTRACT: This paper provides an overview of cognitive-behavioural interventions in pediatric behavioural medicine. Although the literature so far is sparse, the contribution of cognitive-behavioural therapy is reviewed in the areas of pediatric cancer, asthma, and diabetes mellitus. Each of these illnesses and their accompanying psychological sequelae are discussed in the context of evaluation research.

Replies:

Re:Cognitive-Behavior Therapy Techniques with Asthma, by Steve, 10/19/01 Re:Cognitive-Behavior Therapy Techniques with Asthma, by Angela Gregory, 11/28/01

| Behavior OnLine Home Page | Disclaimer |

Copyright © 1996-2004 Behavior OnLine, Inc. All rights reserved.