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Denial and Compliance in Adults With Asthma

Author

Listed:
  • Elizabeth F. McGann

    (Department of Nursing, Quinnipiac University, Hamden, Connecticut, Elizabeth.mcgann@quinnipiac.edu)

  • Dorothy Sexton

    (College of Nursing, New York University, New York)

  • Deborah A. Chyun

    (College of Nursing, New York University, New York)

Abstract

A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores ( M = 1.88; p = .02). Affective denial is inversely correlated with compliance ( r = —.31; p = .05) and is significantly higher in the suboptimal compliance group ( M = 11.51; p =.05). These study findings suggest that affective denial may be a contributor to suboptimal compliance.

Suggested Citation

  • Elizabeth F. McGann & Dorothy Sexton & Deborah A. Chyun, 2008. "Denial and Compliance in Adults With Asthma," Clinical Nursing Research, , vol. 17(3), pages 151-170, August.
    • Handle: RePEc:sae:clnure:v:17:y:2008:i:3:p:151-170
    DOI: 10.1177/1054773808320273
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    References listed on IDEAS

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    1. Dracup, Kathleen & Moser, Debra K. & Eisenberg, Mickey & Meischke, Hendrika & Alonzo, Angelo A. & Braslow, Allan, 1995. "Causes of delay in seeking treatment for heart attack symptoms," Social Science & Medicine, Elsevier, vol. 40(3), pages 379-392, February.
    2. Donovan, Jenny L. & Blake, David R., 1992. "Patient non-compliance: Deviance or reasoned decision-making?," Social Science & Medicine, Elsevier, vol. 34(5), pages 507-513, March.
    3. Ford, Frances M. & Hunter, M. & Hensley, M. J. & Gillies, A. & Carney, S. & Smith, A. J. & Bamford, J. & Lenzer, M. & Lister, G. & Ravazdy, S. & Steyn, M., 1989. "Hypertension and asthma: Psychological aspects," Social Science & Medicine, Elsevier, vol. 29(1), pages 79-84, January.
    4. Ridley, Barbara, 1989. "Family response in head injury: Denial ... or hope for the future?," Social Science & Medicine, Elsevier, vol. 29(4), pages 555-561, January.
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