{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:59:44Z","timestamp":1781153984302,"version":"3.54.1"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Psychological characteristics significantly modify the impact of asthma on overall functioning. The emotional burden associated with the disease interacts with somatic symptoms, while individual differences in stress perception, self-esteem, and coping resources influence patients' adaptation to chronic illness. Therefore, systematic assessment of psychological factors is essential for planning therapeutic interventions and optimizing patient outcomes.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n The aim of this study was to examine the role of psychological traits in the functioning of patients with asthma and to identify its main predictors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The study included patients with asthma and a control group of healthy individuals. Participants were assessed using the Functioning in Chronic Illness Scale (FCIS), the Asthma Control Test (ACT), and standardized psychological instruments measuring variables such as self-esteem, illness acceptance, and depression. Correlation analyses and multiple linear regression models were performed to identify independent predictors of functioning.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall functioning in the asthma group was moderate. Regression analyses indicated that psychological variables were significant predictors of functioning outcomes. Illness acceptance and self-esteem emerged as key independent predictors, particularly in the emotional and social domains. Lower psychological resources and higher levels of depressive symptoms were associated with poorer functioning. Although no significant differences in general psychological measures were observed between the asthma and control groups, these variables significantly predicted functioning within the asthma group. A tendency toward poorer functioning was also observed among patients with lower levels of asthma control.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Psychological characteristics constitute important predictors of functioning in asthma. Their systematic assessment may improve identification of patients at risk of impaired functioning and support more targeted therapeutic interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1841610","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:36:15Z","timestamp":1781152575000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological predictors of functioning in patients with asthma"],"prefix":"10.3389","volume":"14","author":[{"given":"Milena","family":"Wojciechowska","sequence":"first","affiliation":[{"name":"Department of Law and Health Policy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, University of Nicolaus Copernicus in Toru\u0144","place":["Bydgoszcz, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarzyna","family":"Napi\u00f3rkowska-Baran","sequence":"additional","affiliation":[{"name":"Department of Allergology, Clinical Immunology and Internal Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, University of Nicolaus Copernicus in Toru\u0144","place":["Bydgoszcz, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Pilaczy\u0144ska-Cemel","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Diseases, Oncology and Tuberculosis, Ludwik Rydygier Collegium Medicum in Bydgoszcz, University of Nicolaus Copernicus in Toru\u0144","place":["Bydgoszcz, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Kalicka","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Diseases, Oncology and Tuberculosis, Ludwik Rydygier Collegium Medicum in Bydgoszcz, University of Nicolaus Copernicus in Toru\u0144","place":["Bydgoszcz, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz","family":"Przybylski","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Diseases, Oncology and Tuberculosis, Ludwik Rydygier Collegium Medicum in Bydgoszcz, University of Nicolaus Copernicus in Toru\u0144","place":["Bydgoszcz, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"B1","unstructured":"Global Strategy for Asthma Management and Prevention\n \n 2025"},{"key":"B2","doi-asserted-by":"publisher","first-page":"883784","DOI":"10.3389\/fpubh.2022.883784","article-title":"An assessment of quality of life in patients with asthma through physical, emotional, social, and occupational aspects. A cross-sectional study","volume":"10","author":"Kharaba","year":"2022","journal-title":"Front Public Health."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3892\/wasj.2025.355","article-title":"Factors affecting the quality of life of patients with bronchial asthma (Review)","volume":"7","author":"Mustafina","year":"2025","journal-title":"World Acad Sci J."},{"key":"B4","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1080\/02770903.2023.2248512","article-title":"Healthrelated quality of life, anxiety, depression, beliefs of medication, and self-efficacy in individuals with severe asthma \u2013 a population-based study","volume":"61","author":"R\u00f6nnebjerg","year":"2024","journal-title":"J Asthma."},{"key":"B5","doi-asserted-by":"publisher","first-page":"63","DOI":"10.5603\/MRJ.2018.0011","article-title":"Validation of the functioning in chronic illness scale (FCIS)","volume":"3","author":"Buszko","year":"2018","journal-title":"Med Res J."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/08870446.2025.2527071","article-title":"Interpersonal psychological factors and asthma outcomes in romantic relationships: a systematic review","volume":"8","author":"Wei","year":"2025","journal-title":"Psych Health."},{"key":"B7","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1186\/s12931-024-02937-5","article-title":"Small airway dysfunction links asthma exacerbations with asthma control and health-related quality of life","volume":"25","author":"Gao","year":"2024","journal-title":"Respirator Res."},{"key":"B8","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1080\/02770903.2024.2409997","article-title":"Emotion regulation among adults with asthma: Links with short-acting inhaler medication overuse and utilization of acute medical care","volume":"62","author":"Kollin","year":"2025","journal-title":"J Asthma."},{"key":"B9","doi-asserted-by":"publisher","first-page":"117","DOI":"10.30574\/ijsra.2024.12.2.1219","article-title":"Psychosocial factors in chronic disease management: Implications for health psychology","volume":"12","author":"Jiakponna","year":"2024","journal-title":"Int J Sci Res Arch."},{"key":"B10","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1080\/07448481.2015.1057146","article-title":"Self-esteem, self-focused attention, and the mediating role of fear of negative evaluation in college students with and without asthma","volume":"63","author":"Junghans-Rutelonis","year":"2015","journal-title":"J Am Colleg Health."},{"key":"B11","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/5584_2019_386","article-title":"Acceptance of illness associates with better quality of life in patients with nonmalignant pulmonary diseases","volume":"1176","author":"Chabowski","year":"2019","journal-title":"Adv Exp Med Biol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1186\/s40359-023-01097-3","article-title":"Effect of illness perceptions on asthma control and quality of life amongst adult outpatients with asthma in China","volume":"11","author":"Cai","year":"2023","journal-title":"BMC Psych."},{"key":"B13","doi-asserted-by":"publisher","first-page":"420","DOI":"10.3389\/fpubh.2019.00420","article-title":"Assessment of self-stigma, self-esteem, and asthma control: a preliminary cross-sectional study among adult asthmatic patients in Selangor, Malaysia","volume":"7","author":"Ahmad","year":"2020","journal-title":"Front Pub Health."},{"key":"B14","doi-asserted-by":"publisher","first-page":"4305","DOI":"10.4103\/jfmpc.jfmpc_301_25","article-title":"Association of sleep quality with asthma control and asthma quality of life","volume":"14","author":"Garg","year":"2025","journal-title":"J Family Med Prim Care."},{"key":"B15","doi-asserted-by":"publisher","first-page":"e8967","DOI":"10.48101\/ujms.v127.8967","article-title":"Health-related quality of life as associated with asthma control, psychological status and insomnia","volume":"127","author":"Rask-Andersena","year":"2022","journal-title":"Upsala J Med Sci."},{"key":"B16","doi-asserted-by":"publisher","first-page":"00174","DOI":"10.1183\/23120541.00174-2025","article-title":"Association between asthma control and healthrelated quality of life in severe asthma:a cross-sectional study from KoSAR","volume":"11","author":"Kang","year":"2025","journal-title":"ERJ Open Res."},{"key":"B17","doi-asserted-by":"publisher","first-page":"274","DOI":"10.32725\/kont.2025.034","article-title":"The relationship between illness acceptance, psychological well-being, and anxiety in individuals with chronic diseases: a cross-sectional study","volume":"27","author":"Sigirci","year":"2025","journal-title":"Kontakt J Nur Soc Sci Rel Health Ill."},{"key":"B18","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1007\/5584_2016_192","article-title":"Relationships between quality of life in the psychological domain, acceptance of illness, and healthcare services in patients with asthma","volume":"968","author":"Mroczek","year":"2017","journal-title":"Adv Exp Med Biol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1080\/02770903.2018.1556687","article-title":"The role of self-efficacy and locus of control in asthma-related needs and outcomes: a cross-sectional study","volume":"57","author":"Schreitmuller","year":"2020","journal-title":"J Asthma."},{"key":"B20","doi-asserted-by":"publisher","first-page":"2711","DOI":"10.4081\/monaldi.2023.2711","article-title":"Stigma and self-esteem in patients with bronchial asthma","volume":"94","author":"Sidhu","year":"2024","journal-title":"Mon Arch Chest Dis."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1841610\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:36:19Z","timestamp":1781152579000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1841610\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,11]]},"references-count":20,"alternative-id":["10.3389\/fpubh.2026.1841610"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1841610","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,11]]},"article-number":"1841610"}}