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Review of psychosocial stress and asthma: an integrated biopsychosocial approach
Journal article   Open access   Peer reviewed

Review of psychosocial stress and asthma: an integrated biopsychosocial approach

Rosalind J Wright, Mario Rodriguez, Sheldon Cohen and Megan H Rodriguez
Thorax, v 53(12), pp 1066-1074
01 Dec 1998
PMID: 10195081
url
https://doi.org/10.1136/thx.53.12.1066View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Asthma Coping Emotions Hypotheses Immunology Morbidity Perceptions Physiology Social networks Social support Socioeconomic factors Stress Studies Trends
[...]efforts to define the aetiological risk factors for the development and expression of disease have intensified in the face of rising trends in the prevalence and severity of asthma observed worldwide. 1 Thus far, focus on traditional environmental risk factors has not fully explained these trends. [...]evidence evolved over the last two decades of important interactions among behavioural, neural, endocrine, and immune processes provides fresh insight into means by which psychosocial stressors may influence the development and expression of inflammatory diseases. 2 3 This insight emerged in parallel with our increased understanding of the complex cellular and molecular basis of asthma as a chronic inflammatory disorder. 4 Finally, hypotheses about the substantial role of the social environment and social integration in health and disease in general have gained significant emphasis over the last decade. 5 6 In particular, prospective epidemiological studies have demonstrated associations between life stress, social position or status, and quality of social relationships-that is, social networks, an individual's ties to friends, family, work, and community through social and religious groups-and health. 6 7 All have led to a paradigm shift that reconsiders the overlap between biological determinates and psychosocial factors in understanding the rising asthma burden. 8 This review highlights significant insights into this field from a multidisciplinary (psychoanalytical, behavioural, psychosocial, epidemiological, and immunological) perspective rather than being an exhaustive overview of the subject.

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Collaboration types
Domestic collaboration
Web of Science research areas
Respiratory System
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