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Psychosomatic Medicine, Vol 40, Issue 1 5-13, Copyright © 1978 by American Psychosomatic Society

ORIGINAL ARTICLES

Panic-fear in asthma: rehospitalization following intensive long-term treatment

JF Dirks, RA Kinsman, DJ Horton, KH Fross and NF Jones

The panic-fear personality scale related to rehospitalization rates of asthmatics during two successive 6-month periods following intensive long-term treatment. High and Low Panic-Fear patients were nearly twice as likely as Moderates to be rehospitalized. Neither longitudinal pulmonary function measurements, physicians' judgments about the medical severity of the asthma during treatment, nor the presence or absence of maintenance oral corticosteroids at discharge were related to rehospitalization. The available information suggests that High Panic-Fear patients react to asthma with symptom exaggeration and helplessness, while Low Panic-Fear patients employ an equally maladaptive strategy best characterized as symptom minimization and denial. It is possible that both of these extreme response styles may affect adherence to prescribed medical regimens and are equally detrimental as indicated by rehospitalization following intensive long-term treatment.


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