Psychological Factors and Asthma Control Flashcards
Why are psychological factors important?
- It can impact disease process (compliance),
- Resp illness has significant psychological impact.
- Reduces QoL,
- Helps us understand health behaviours
Describe the effect of psychological factors in asthma control
- Association of psychological factors with asthma related deaths, near fatal asthma, brittle asthma, non compliance and A&E visits. Most importantly are depression, anxiety, panic and denial
Define anxiety
State of intense apprehension and fear resulting from anticipation of a threatening event or stimulation.
Describe features of denial and avoidance as a coping strategy
It can be useful in the short term (three days) but long term can lead to more anxiety, depression, reduces physical functioning and more discomfort.
What is the impact of misconceptions?
They can cause unhelpful beliefs which can arise from conflicting information and interactions with doctors
Summarise the Impairment Disability Triad (WHO)
It focuses on impairment and disability.
Impairment - loss or abnormality of psychological, physiological or anatomical structure.
Disability - Any restriction or lack of ability to preform an activity
Briefly describe the common sense model
It looks at how the person makes sense of their condition via illness representation and how this goes on to affect mood, motivation and behaviour
What are the 5 points to consider in illness representation?
1) Identity (name, signs, symptoms)
2) Cause (internal or external)
3) Consequences (physical, social, emotional and economic)
4) Time-line: (Acute, recurrent and chronic)
5) Cure/Control
What is the importance of knowing casual attributions?
Knowing the cause can help make the experience less anxiety provoking. Finding the cause for asthma attacks helps patients make sense of their illness experience.
What is the importance of patient self management?
The fluctuating nature of asthma means patients need to be educated to respond properly to symptom control. Proper self management of asthma prevents exacerbations, improves care and is cost effective.
What is the benefit of models of health behaviour?
It can help us understand the relationship between psychological distress and impact on asthma and QoL.
What is the biopsychosocial model of illness?
FACTORS THAT AFFECT HEALTH EXPERIANCE:
Bio - Biochemistry, genetics, bacteria.
Psycho - Beliefs, behaviour, emotion.
Social - Culture, deprivation, social support and employment
