Psychopathology and Personality Factors Modify the Perception of Dyspnea in Asthmatics

Nowobilski, Roman; Furgał, Mariusz; Czyż, Piotr; Barbaro, Bogdan de; Polczyk, Romuald; Bochenek, Grażyna; Niżankowska‐Mogilnicka, Ewa; Szczeklik, A

doi:10.1080/02770900701209772

Cited by 25 publications

(15 citation statements)

References 21 publications

(16 reference statements)

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“…NOWOBILSKI et al [65] reported that dyspnoea correlated with anxiety trait and anxiety state, neuroticism, and depression in asthmatic males but not in females. Furthermore, KATON et al [66] observed that youths with asthma have an almost two-fold higher prevalence of comorbid anxiety and depressive disorders compared with controls.…”

Section: Psychopathologiesmentioning

confidence: 99%

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Influence of comorbid conditions on asthma

Lp¹

2009

European Respiratory Journal

221

169

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Various conditions such as rhinosinusitis, gastro-oesophageal reflux disease, psychological disturbances, chronic infections and obstructive sleep apnoea are often observed in asthmatic patients and may affect asthma control and outcomes. These comorbidities may change the asthma phenotype, be part of the same pathophysiological process, act as confounding factors in the diagnosis or assessment of control of asthma, and/or result from specific environmental exposures. The influences of these conditions on asthma are variable and for many of them still uncertain; nevertheless, they may alter asthma responses to current therapy. A systematic evaluation and an appropriate treatment of asthma-associated comorbid conditions should be part of asthma management, particularly for severe disease. With regard to clinical research, associated conditions may influence the results of trials and should be taken into account in the subjects' inclusion criteria and analysis of data.

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Section: Psychopathologiesmentioning

confidence: 99%

“…Psychological factors may trigger asthma symptoms and affect patients' asthma symptom perception, but also may influence medication compliance and, thus, should be detected and treated promptly and appropriately [62][63][64][65][66]. These conditions are associated with an increased use of urgent care and hospital admissions [67,68].…”

Section: Psychopathologiesmentioning

confidence: 99%

Influence of comorbid conditions on asthma

Lp¹

2009

European Respiratory Journal

221

169

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“…Psychological conditions may affect asthma in modulating symptoms' report or perception, or in influencing medication compliance and follow-up, disease assessment and self-monitoring and they are associated with more frequent urgent care and hospitalizations [124][125][126][127]. Dyspnea correlates with anxietytrait and anxiety-state, neuroticism and depression in asthmatic men [128]. Katon et al observed that youths with asthma have an almost twofold higher prevalence of comorbid anxiety and depressive disorders compared with controls [129].…”

Section: Psychopathologiesmentioning

confidence: 99%

Asthma-related comorbidities

Boulet¹,

Boulay²

2011

Expert Review of Respiratory Medicine

220

147

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“…Comparable results were found in COPD subjects with and without panic attacks ( Livermore et al, 2008 ; Giardino et al, 2010) . In asthma, the perception of dyspnea is worse with more severe inflammation, older age, depression ( Foschino-Barbaro et al, 2010 ), and anxiety-trait ( Nowobilski et al, 2007) . These findings suggest that mechanism(s) of dyspnea in parenchymal lung diseases differ from CFS.…”

Section: Discussionmentioning

confidence: 99%

Dyspnea in Chronic Fatigue Syndrome (CFS): Comparison of Two Prospective Cross-Sectional Studies

Ravindran¹,

Adewuyi²,

Yin³

et al. 2012

GJHS

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Chronic Fatigue Syndrome (CFS) subjects have many systemic complaints including shortness of breath. Dyspnea was compared in two CFS and control cohorts to characterize pathophysiology. Cohort 1 of 257 CFS and 456 control subjects were compared using the Medical Research Council chronic Dyspnea Scale (MRC Score; range 0-5). Cohort 2 of 106 CFS and 90 controls answered a Dyspnea Severity Score (range 0-20) adapted from the MRC Score. Subsets of both cohorts completed CFS Severity Scores, fatigue, and other questionnaires. A subset had pulmonary function and total lung capacity measurements. Results show MRC Scores were equivalent between sexes in Cohort 1 CFS (1.92 [1.72-2.16]; mean [95% C.I.]) and controls (0.31 [0.23-0.39]; p<0.0001). Receiver-operator curves identified 2 as the threshold for positive MRC Scores in Cohort 1. This indicated 54% of CFS, but only 3% of controls, had significant dyspnea. In Cohort 2, Dyspnea Score threshold of 4 indicated shortness of breath in 67% of CFS and 23% of controls. Cohort 2 Dyspnea Scores were higher for CFS (7.80 [6.60-9.00]) than controls (2.40 [1.60-3.20]; p<0.0001). CFS had significantly worse fatigue and other complaints compared to controls. Pulmonary function was normal in CFS, but Borg scores and sensations of chest pain and dizziness were significantly greater during testing than controls. General linear model of Cohort 2 CFS responses linked Dyspnea with rapid heart rate, chest pain and dizziness. In conclusion, sensory hypersensitivity without airflow limitation contributed to dyspnea in CFS. Correlates of dyspnea in controls were distinct from CFS suggesting different mechanisms.

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Psychopathology and Personality Factors Modify the Perception of Dyspnea in Asthmatics

Cited by 25 publications

References 21 publications

Influence of comorbid conditions on asthma

Influence of comorbid conditions on asthma

Asthma-related comorbidities

Dyspnea in Chronic Fatigue Syndrome (CFS): Comparison of Two Prospective Cross-Sectional Studies

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