Wöller W, Kruse J, Winter P, Mans E J, Alberti L
Department of Psychosomatic Medicine and Psychotherapy, Heinrich Heine University of Düsseldorf, FRG.
Psychother Psychosom. 1993;59(3-4):190-6. doi: 10.1159/000288663.
In a subgroup of patients with bronchial asthma, irrational fears of steroid medication can be observed beyond justified worries about side-effects. A cortisone image which involves overemphasizing the threatening aspects of cortisone often underlies non-compliant illness behaviour. In the present study, cortisone image and the relationship with a key figure was investigated in 62 patients with bronchial asthma, all of whom had participated in a structured asthma treatment and teaching programme (ATTP). The data show that (1) perceiving cortisone as threatening predicts poor adherence to ATTP guidelines how to manage severe attacks, and (2) patients having a supportive relationship with their key figure are less likely to experience threatening aspects of cortisone.
在支气管哮喘患者的一个亚组中，可以观察到除了对副作用的合理担忧之外，对类固醇药物存在非理性恐惧。一种过度强调可的松威胁性方面的可的松形象，往往是不遵医嘱疾病行为的潜在原因。在本研究中，对62名支气管哮喘患者的可的松形象及其与关键人物的关系进行了调查，所有这些患者都参加了一个结构化的哮喘治疗和教学计划（ATTP）。数据表明：（1）将可的松视为具有威胁性预示着对ATTP关于如何处理严重发作的指南依从性差；（2）与关键人物有支持性关系的患者不太可能体验到可的松的威胁性方面。
