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On the other hand, clinically significant depression is not a prevalent problem in adult patients with asthma , although this may not be the case in children . Good family support may be protective particularly against the adverse effects of life events , while poor family support and abnormal family function have been suggested as risk factors for morbidity and mortality. Forty per cent of patients with asthma with SLTA or hospital admission had inadequate disease-specific social support despite otherwise adequate support for more general matters (in more than 90% of cases) . Total life events in the previous 12 months were high, and certain specific life events were more frequent in those hospitalized . To what extent these differences may reflect differences in severity of disease or differences in socioeconomic or demographic features is unknown, but these patients are not only more likely to come from a difficult environment but also to have challenging stresses with which to deal.