The personality profile of patients with moderate to severe bronchial asthma includes high level of depression, anxiety and health preoccupation. Many patients with severe bronchial asthma possess pessimistic feelings toward their prognosis and manifest flight into the illness. Some negative aspects of mood correlate with chronic hypoxia and degree of dysfunction. Dyspnoea and anxiety are chief complaints of patients with moderate and severe bronchial asthma.
The author framed the following hypothesis: "Modern, complex rehabilitation, including emotions of patient with bronchial asthma, based on relaxation and long-term contact with therapist, gives better therapeutic effect than standard rehabilitation".
Studies involved 60 consecutive and unselected outpatients between the ages of 21 and 75 with bronchial asthma from light to severe. These patients were assembled into two groups on the basis of pulmonary rehabilitation program.
The study included a structural interview, spirometry, peak flow diary, pulse oximetry, level of dyspnea (expressed with Borg scale and visual analogue scale). The psychological status was assessed by Spielberger Questionnaire (index of anxiety) and Beck Depression Inventory BDI-Long Form (index of anxiety).
These medical and psychological parameters were measured before and after the rehabilitation. A level of neuroticism and a level of introversion-extraversion were measured by Eysenck Inventorty (Maudsley Personality Inventory MPI).
The patients underwent a rehabilitation program for 10 days in two variants; first group underwent a standard pulmonary rehabilitation (45 min. daily), second group underwent a pulmonary rehabilitation with elements of relaxation (1,25 hr daily).
The final results were significantly associated with asthma severity (F=9.08; df=1.56; p=0.004) and personality traits of extroversion in combination with high levels of anxiety (F=4.28; df=1.52; p=0.04).
Alergia Astma Immunol 2000; 5(2): 129-135
keywords: rehabilitacja pulmonologiczna, astma oskrzelowa, lęk, depresja, relaksacja, psychologia kliniczna, pulmonary rehabilitation, bronchial asthma, anxiety, depression, relaxation, clinical psychology
pages: from 129 to 135
|estimated time of download (122 kB)|