title: [Determinants of high risk illness behavior in patients with bronchial asthma].
abstract: The aim of this study was to identify factors influencing high-risk illness behaviour in patients with bronchial asthma. High-risk illness behaviour was defined as 1. non-compliance with antiasthmatic medication and 2. delaying or avoiding medical help when facing airways deterioration or severe attacks. 150 patients with bronchial asthma were investigated; 60 of them had participated in the structured Asthma Treatment and Teaching Programme (ATTP), 90 had not taken part in such a programme by then. Using structural equation models, lack of emotional support by a key figure, poor doctor-patient relationship, and a negative cortisone image were identified as predictors of high-risk illness behaviour in patients who had attended ATTP, while in patients without participation in a treatment and teaching programme, only a negative cortisone image was predictive of this criterion.
authors.affiliation: Klinisches Institut, Heinrich-Heine-Universität, Düsseldorf.
authors.forename: W
authors.initials: W
authors.lastname: Wöller
authors.forename: J
authors.initials: J
authors.lastname: Kruse
authors.forename: N
authors.initials: N
authors.lastname: Schmitz
authors.forename: B
authors.initials: B
authors.lastname: Richter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001249:Asthma / Q000188:drug therapy / Q000523:psychology*; D003348:Cortisone / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D012309:Risk-Taking; D012803:Sick Role; D012944:Social Support; D016312:Treatment Refusal / Q000523:psychology*
chemical_list: D003348:Cortisone
vernacular_title: Determinanten von Risikokrankheitsverhalten bei Patienten mit Asthma bronchiale.