title: [Cortisone level and emotional support by key figures in patients with bronchial asthma].
abstract: In a subgroup of patients with bronchial asthma, irrational fears of cortisone medication can be observed beyond justified worries about side-effects. A cortisone image which involves overemphasizing the threatening aspects of cortisone, often underlies noncompliant illness behaviour. In the present study, cortisone image and subjectively experienced emotional support by a key figure was investigated in 62 patients, all of whom had participated in the Düsseldorf Asthma treatment and teaching programme (ATTP). The data show that patients having a supportive relationship with their key figures are less likely to experience threatening aspects of cortisone. The findings are discussed in light of psychoanalytic object relations theory.
authors.affiliation: Institut und Klinik für Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universität Düsseldorf.
authors.forename: W
authors.initials: W
authors.lastname: Wöller
authors.forename: J
authors.initials: J
authors.lastname: Kruse
authors.forename: G
authors.initials: G
authors.lastname: Reister
authors.forename: P
authors.initials: P
authors.lastname: Winter
authors.forename: B
authors.initials: B
authors.lastname: Richter
authors.forename: S
authors.initials: S
authors.lastname: Arnolds
authors.forename: D
authors.initials: D
authors.lastname: Kraut
mesh_terms: D000223:Adaptation, Psychological / Q000187:drug effects; D000328:Adult; D001143:Arousal / Q000187:drug effects*; D001249:Asthma / Q000188:drug therapy* / Q000523:psychology; D003348:Cortisone / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology; D012803:Sick Role; D012944:Social Support
chemical_list: D003348:Cortisone
vernacular_title: Kortisonbild und emotionale Unterstützung durch Schlüsselfiguren bei Patienten mit Asthma bronchiale.