Irrational beliefs and emotionality in adolescents with and without bronchial asthma.

Asthmatic adolescents (N = 129) between the ages of 12 and 18 were assembled into three groups on the basis of severity of illness and were compared with each other and with a fourth group of 74 healthy, nonasthmatic adolescents. Differences in selective cognitive (irrational beliefs) and emotional (anxiety, depression, and hostility) characteristics were examined. Multivariate analysis indicated that irrational beliefs in the importance of approval and the lack of control of emotions, along with self-reported anxiety, depression, or hostility, were strongly associated with disease severity. Whereas adolescents with mild asthma closely resembled the physically healthy comparison group, adolescents with moderate and severe asthma exhibited a cognitive-emotional complex that can be described as maladaptive or dysfunctional. Implications of these results for the treatment of asthma are discussed.