Introduction: Comorbidity between asthma and psychiatric disorders is reported to have a significant impact upon illness management factors such as asthma control, functional status, and utilization of medical services. Both anxiety sensitivity and psychological acceptance are a…
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Background: Asthma morbidity in women is increasing. Women report greater severity of asthma symptoms and their utilisation of acute health services is high. Asthma prevalence is high in the Middle East region. In Gulf countries, and Oman in particular, there is a dearth of data…
Expertise is undoubtedly a feature of policy areas in contemporary societies; inputs of formal knowledge are important components of the policy process. The post- 1945 period, in Britain, has witnessed a proliferation and diversification in both the number and type of expert, an…
Exercise-induced bronchoconstriction (EIB) is the most common chronic medical condition affecting elite athletes; our understanding of the condition remains however incomplete. The over-arching aim of this thesis was therefore to investigate the underlying mechanisms of EIB in a…
Asthma is the most common chronic disease in children and the effects of air pollution exposure on asthma and respiratory health in children have been a growing concern over recent decades. Although a number of epidemiological studies have been carried out in this field, these h…
This thesis follows the paper based format in that Papers One and Two are stand-alone papers prepared for submission for Clinical Child and Family Psychology Review and the Journal of Clinical Child and Adolescent Psychology respectively. The relevant submission guidelines are i…
The Self-Regulation Model (Leventhal, Nerenz & Steele, 1984) highlights the roles of patients' illness representations, coping, emotional reactions and appraisal of coping in the progression of chronic disease. This thesis incorporates previous literature on adherence, panic-fea…
There is evidence to suggest that inspiratory muscle training (IMT) may influence the functional properties of the muscles of the upper (UA) and lower (LA) airway. However, the nature and functional relevance of this influence is currently unclear. This thesis examined the effec…
Immigrant populations provide a unique opportunity to explore the intersection of cultural and environmental risk factors implicated in asthma etiology and exacerbation. As an underserved, low-income ethnic minority group living in an urban area with high levels of industrial po…
Exercise-induced anaphylaxis (EIA) is a rare severe disease in which patients express asthmatic and allergic symptoms. Little is known about EIA and its pathology. This manuscript presents an hypothesis that combined hormonal (estrogen and progesterone) contraceptive use and str…
Youth with asthma are at an increased risk for depressive symptoms. Religious coping has been linked to decreased psychological difficulties among several pediatric populations. There is limited data on the stability of depression and religious coping among youth with asthma; fu…
Introduction and Objective: Asthma and cardiovascular disease (CVD) are two of the most burdensome chronic diseases worldwide, yet rapidly-growing Asian and Pacific Islander (API) populations are underrepresented in current literature, including in Hawai‘i. Prior research sugges…
Many pediatric patients requiring admission are otherwise healthy children with self-limited illnesses, making them ideal candidates for care in a pediatric observation unit. Differences in outcomes of admission to a pediatric observation versus a pediatric inpatient unit have n…
Asthma is a heterogeneous condition characterised by variable airflow obstruction, airway inflammation and hyper-responsiveness. Fungal sensitisation has been associated with asthma severity; and airways colonisation by the pathogenic fungus Aspergillus fumigatus has been associ…
Recent changes in legislation and access to information, through sources such as themedia, may have influenced peoples' expectations for information about their prescribedmedication. As a result, health care professionals may perceive an increased pressure toprovide information.…