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    Asthma Patients Misunderstand Symptoms

    Thinking 'No Symptoms, No Asthma' May Wreck Self-Care, Study Shows
    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.

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