Skip to content

Asthma Health Center

Asthma Patients Misunderstand Symptoms

Thinking 'No Symptoms, No Asthma' May Wreck Self-Care, Study Shows
Font Size
A
A
A
By
WebMD Health News
Reviewed by Louise Chang, MD

March 13, 2006 -- Focusing too much on asthma symptoms may be a problem for some asthma patients, researchers report in Chest.

Here are some of the views voiced in a yearlong study of nearly 200 adults hospitalized with asthma:

  • I only have asthma when I have asthma symptoms: 53% agreed.
  • I won't always have asthma: 20% agreed.
  • My lungs are always a bit inflamed or irritated: 54% agreed.

The researchers included Ethan Halm, MD, MPH, an associate professor of medicine at Mount Sinai medical school in New York City.

"Our findings suggest that there may be a fundamental disconnect between how patients and physicians think about and manage asthma," Halm says in a news release.

Temporary Asthma?

Asthma is a big problem in inner cities. That's why Halm's team focused on asthma patients at an inner-city hospital in New York City.

In interviews, the researchers asked participants four questions:

  • Do you think you have asthma all of the time or only when you are having symptoms?
  • Do you think you will always have asthma?
  • Do you think you have asthma because your lungs are always a bit inflamed or irritated?
  • Do you expect the doctor to cure you of your asthma?

Participants could answer "Definitely," Probably," "Possibly," or "No." They also reported how regularly they cared for their asthma by using treatments such as inhaled corticosteroids.

'No Symptoms, No Asthma' Belief

More than half of the patients indicated that they thought they didn't have asthma when they didn't have asthma symptoms. Halm's team dubbed that misunderstanding the "no symptoms, no asthma" belief.

Patients expressing that belief stated that it was important to treat asthma symptoms. But they were less likely to emphasize treatment when asthma symptoms weren't present.

Those patients were also more likely to agree that they wouldn't always have asthma; that their lungs weren't always a bit inflamed or irritated, and that they expected doctors to cure their asthma.

Men, elderly patients, and those without a regular place of medical care were more likely to voice those views, write the researchers. This study only looked at inner-city people who were hospitalized for asthma. The researchers add that more studies are needed to see if the findings apply to other groups of asthma patients.

When Is Your Asthma Worse?

When Is Your Asthma Worse?

Take the WebMD Asthma assessment to get Personalized Action Plan

Start Now

Today on WebMD

Lung and bronchial tube graphic
5 common triggers.
group jogging in park
Should you avoid fitness activities?
 
asthma inhaler
Learn about your options.
man feeling faint
What’s the difference?
 
Madison Wisconsin Capitol
Slideshow
woman wearing cpap mask
Article
 
red wine pouring into glass
Slideshow
Woman holding inhaler
Quiz
 

Pollen counts, treatment tips, and more.

It's nothing to sneeze at.

Loading ...

Sending your email...

This feature is temporarily unavailable. Please try again later.

Thanks!

Now check your email account on your mobile phone to download your new app.

Man outdoors coughing
Article
Lung and bronchial tube graphic
Article
 
10 Worst Asthma Cities
Slideshow
runner
Article
 

WebMD Special Sections