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Psychological interventions for adults with asthma: A systematic review

Yorke, J, Fleming, SL and Shuldham, C 2007, 'Psychological interventions for adults with asthma: A systematic review' , Respiratory Medicine, 101 (1) , pp. 1-4.

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Abstract

Aim The purpose of this study was to conduct a systematic review of randomized controlled trials where the efficacy of psychological interventions in modifying health and behavioural outcomes for adults with asthma was investigated. Method A review of randomized controlled trials was designed. The literature search was conducted until May 2005. Results Fourteen studies, involving 617 adults, were included in the review. The use of ‘as needed’ medications was reduced by relaxation therapy (OR 4.47, CI 1.22–16.44), quality of life, measured using the Asthma Quality of Life Questionnaire, showed a positive effect following cognitive behavioural therapy (WMD 0.71, CI 0.23–1.19), and peak expiratory flow outcome data indicated a significant difference in favour of bio-feedback therapy (SMD 0.66, CI 0.09–1.23). Conclusions Some promising results did emerge from meta-analyses performed. However, due to heterogeneity and the low quality of included studies, this review was unable to draw firm conclusions for the role of psychological interventions in asthma. We recommend that larger and well-conducted randomized trials use valid outcome measures to evaluate the effectiveness of psychological interventions for adults with asthma.

Item Type: Article
Uncontrolled Keywords: Asthma; Psychological; Systematic review
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Nursing, Midwifery & Social Work Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences
Journal or Publication Title: Respiratory Medicine
Publisher: Elsevier
Refereed: Yes
ISSN: 0954-6111
Depositing User: Users 29196 not found.
Date Deposited: 07 May 2010 11:21
Last Modified: 20 Aug 2013 17:18
URI: http://usir.salford.ac.uk/id/eprint/9266

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