SynthesisThe Cochrane database of systematic reviews2006
Psychological interventions for adults with asthma.
Synthesis in The Cochrane database of systematic reviews, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Psychological interventions for people with hemophilia.The Cochrane database of systematic reviews · 2020Pooled it
- Impact of non-drug therapies on asthma control: A systematic review of the literature.The European journal of general practice · 2019Pooled it
- Interventions for managing asthma in pregnancy.The Cochrane database of systematic reviews · 2014Pooled it
- Psychological interventions for individuals with cystic fibrosis and their families.The Cochrane database of systematic reviews · 2014Pooled it
- Written emotional disclosure for asthma.The Cochrane database of systematic reviews · 2014Pooled it
- Psychological interventions for adults with asthma.The Cochrane database of systematic reviews · 2006Pooled it
- Impact of interventions targeting anxiety and depression in adults with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Factors associated with depressive symptoms in uncontrolled asthmatics.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018Trial
- Trial
- Association between vitamin D levels and psychological stress-induced asthma prevalence: an untargeted metabolomics study combined with the NHANES database.Frontiers in nutrition · 2026Article
- Article
- Systemic Inflammation in Asthma: What Are the Risks and Impacts Outside the Airway?The journal of allergy and clinical immunology. In practice · 2024Review
- Article
- Basis of preventive and non-pharmacological interventions in asthma.Frontiers in public health · 2023Review
- Multimorbidity in Difficult Asthma: The Need for Personalised and Non-Pharmacological Approaches to Address a Difficult Breathing Syndrome.Journal of personalized medicine · 2022Review
- High Use of Antidepressant Medication in Both Mild-to-Modelate and Possible Severe Asthma - A Nationwide Cohort Study.Journal of asthma and allergy · 2022Article
- The Management of Extrapulmonary Comorbidities and Treatable Traits; Obesity, Physical Inactivity, Anxiety, and Depression, in Adults With Asthma.Frontiers in allergy · 2021Review
- Risk factors of asthma exacerbation based on asthma severity: a nationwide population-based observational study in South Korea.BMJ open · 2018Observational
- Dysfunctional Breathing in Children and Adults With Asthma.Frontiers in pediatrics · 2018Review
- Managing respiratory disease.Chronic respiratory disease · 2017Article
Corrections and comments
- Update of
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany people have asthma, and for some their symptoms may be triggered by psychological factors. In addition compliance with medical therapy may have a psychological dimension. Therefore, psychological interventions aim to reduce the burden of symptoms and improve management of the disease.
objectivesTo assess the effectiveness of psychological interventions for adults with asthma. SEARCH STRATEGY: The Cochrane Airways Group Specialised Register and PsycINFO were searched with pre-defined terms up until August 2005. SELECTION CRITERIA: Randomised controlled trials published in any language assessing the effects of a psychological intervention compared with a form of control in adult participants were included in the review. DATA COLLECTION AND ANALYSIS: Two reviewers assessed the relevance of abstracts identified by electronic searching and retrieved agreed studies for further scrutiny. The studies that met the inclusion criteria were assembled and data extracted. MAIN
resultsFourteen studies, involving 617 particpants, were included in the review, however study quality was poor and sample sizes were frequently small. However, some pooled effects were analysed. The use of 'as needed' medications was reduced in two studies, (47 patients), by relaxation therapy (OR 4.47, CI 1.22 to 16.44). There was no significant difference in FEV1 for relaxation therapy in four studies of 150 patients, (SMD -0.01, CI -0.41 to 0.40). Quality of life, measured using the Asthma Quality of Life Questionnaire in two studies, (48 patients), showed a positive effect following CBT (WMD 0.71, CI 0.23 to 1.19). Peak Expiratory Flow outcome data in two studies, (51 patients), indicated a significant difference in favour of bio-feedback therapy (SMD 0.66, CI 0.09 to 1.23). The remainder of the findings between studies were conflicting. This may have been due to the different types of interventions used and the deficiencies in trial design. AUTHORS'
conclusionsThis review was unable to draw firm conclusions for the role of psychological interventions in asthma due to the absence of an adequate evidence base. Larger, well-conducted and reported randomised trials are required in this area, in order to determine the effects of these techniques in the treatment of asthma in adults.
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