Evidence map›Paper›PMID 40325877›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Illness Expectations and Asthma Symptoms: A 6-Month Longitudinal Study.

Eleonora Volpato, Valentina Poletti, Paolo Banfi, Andrea Bonanomi, Francesco Pagnini

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eleonora VolpatoDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.ORCID 0000-0003-0266-6386
Valentina PolettiDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.ORCID 0000-0001-7458-7498
Paolo BanfiIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.ORCID 0000-0001-8162-0751
Andrea BonanomiDepartment of Statistical Science, Università Cattolica del Sacro Cuore, Milan, Italy.ORCID 0000-0003-2857-1430
Francesco PagniniDepartment of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.ORCID 0000-0003-1612-4211

Funding

This study has been supported by a grant from the BIAL Foundation, Portugal (grant number 220/2018).
6 · The paper itself

Abstract

backgroundAfter receiving a diagnosis, individuals often develop expectations about how their condition will evolve. This cognitive framework, known as 'Illness Expectations' (IEs), encompasses future-oriented beliefs regarding the course of the illness and its symptoms. In chronic conditions such as asthma, IEs may play a critical role in shaping patient-reported outcomes and clinical markers of disease progression. This study aims to empirically evaluate the impact of IEs on asthma symptoms and respiratory function.

methodsA cohort of 310 individuals diagnosed with asthma was followed over a 6-month period, with three assessment points. Asthma control was measured using the Asthma Control Test (ACT), while respiratory function was evaluated through forced expiratory volume in 1 s (FEV

resultsPeople with more negative explicit IEs about their asthma reported worse symptoms over time (β = -0.50, SE = 0.21, p = 0.01). Implicit IEs were not statistically significant (β = -0.014, SE = 0.008, p = 0.09). Explicit IEs about symptom progression were also associated with changes in lung function, with more negative expectations predicting greater declines in respiratory performance (β = 0.51, SE = 0.11, p = 0.001).

conclusionsThese findings suggest that IEs may be meaningfully associated with asthma outcomes, highlighting their potential relevance in understanding patient experiences and symptom perception. These results support further research into interventions targeting cognitive frameworks, with the aim of informing more personalised, patient-centred approaches to asthma management. PATIENT OR PUBLIC CONTRIBUTION: This study was developed in response to patient-reported challenges in asthma management, particularly around understanding and managing IEs. Patients contributed to identifying key areas of concern, and their perspectives informed the choice of outcomes and tools. While direct involvement in recruitment and dissemination was limited due to the pandemic, the study's design and focus were guided by patient priorities, with potential applications in clinical consultations and future co-designed interventions.

Indexed as

AsthmaAdultAgedDisease ProgressionFemaleForced Expiratory VolumeHumansLongitudinal StudiesMaleMiddle AgedRespiratory Function Testsadherenceasthmabeliefsillness expectationsmind–body connection

Identifiers

PMID40325877
PMCPMC12053105

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.