Asthma Management Handbook
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Table. Interrelated psychosocial risk factors for poor asthma control in adolescents

Poor adherence to treatment

Denying or disregarding asthma symptoms

Avoiding regular review appointments

Life events (new school, moving house, family disruption, absent parent)

Family problems (e.g. family conflict, family dysfunction)

Psychological distress (e.g. feelings of hopelessness, bereavement or recent loss)

Mental health problems (e.g. depression, emerging mood disorders)

Risky use of alcohol/other substances

Communication problems

Risk behaviours or disregard of symptoms may indicate emerging mental health problems. Poor adherence can be an indicator of family problems, life events and psychological distress.

Source: Bender BG. Risk taking, depression, adherence, and symptom control in adolescents and young adults with asthma. Am J Respir Crit Care Med 2006; 173: 953-957. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16424441

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