Psychiatric factors in asthma: Implications for diagnosis and therapy

摘要: Emotional factors are an obstacle in the diagnosis and management of asthma. This review discusses three problem patterns: negative emotions relatively normal patients with asthma; presenting possible functional symptoms and; asthma conjunction psychiatric deviations. Negative influence asthma, even patients. Psychogenic appear normal, but culminate a minority Diagnosing treating comorbid is very difficult. On one hand, may often be just emotions. other make treatment guesswork. Physicians should estimate emotional influences their patients’ for optimal evaluation medication efficacy. Assessment analysis surrounding exacerbations seems essential, e.g. precipitants asthma-evoked Moreover, informed about stress-induced breathlessness consequences overuse bronchodilators. When present atypical symptoms, or do not properly respond to medication, suspected. Psychiatric lead conclusion that have basis. In anxiety disorders, focus since difficult-to-control causes problems first place. panic-like related sudden onset exacerbations. However, depression, depression become treatment. The reason depressive asthmatics probably impossible. Special issues include specific children, compliance problems, physicians’ dilemmas regarding simultaneous symptoms.