| Review of psychosocial stress and asthma: an integrated biopsychosocial approach. | |
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MedLine Citation:
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PMID: 10195081 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Environmental stressors may impact asthma morbidity through neuroimmunological mechanisms which are adversely impacted and/or buffered y social networks, social support, and psychological functioning. In addition, life stress may impact on health beliefs and behaviours that may affect asthma management. Whereas earlier psychosomatic models have supported a role for psychological stress in contributing to variable asthma morbidity among those with existing disease, a growing appreciation of the interactions between behavioural, neural, endocrine, and immune processes suggest a role for these psychosocial factors in the genesis of asthma as well. While a causal link between stress and asthma has not bee established, this review provides a framework in which we can begin to see links between these systems that might provide new insights to guide future explorations. The complexity of these interactions underscore the need for a multidisciplinary approach which combines the idea that the origin of asthma is purely psychogenic in nature with the antithetical consideration that the biological aspects are all important. These distinctions are artificial, and future research that synthesizes biological, psychological, sociocultural, and family parameters is urgently needed to further our understanding of the rising burden of asthma. |
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Authors:
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R J Wright; M Rodriguez; S Cohen |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Thorax Volume: 53 ISSN: 0040-6376 ISO Abbreviation: Thorax Publication Date: 1998 Dec |
Date Detail:
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Created Date: 1999-04-19 Completed Date: 1999-04-19 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0417353 Medline TA: Thorax Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1066-74 Citation Subset: IM |
Affiliation:
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Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Asthma
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etiology* Autonomic Nervous System / physiopathology Endocrine System / physiopathology Humans Respiratory Tract Infections / etiology Social Support Stress, Psychological / complications*, immunology |
| Grant Support | |
ID/Acronym/Agency:
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MH00721/MH/NIMH NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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