Dyspnea is related to family functioning in adult asthmatics.
OBJECTIVE
The aim of the study was to assess links between family relationships and severity of dyspnea identified in asthmatic adults.


METHODS
A total of 131 consecutive, non-selected patients with asthma participated in the study: 88 women (67.18%) and 43 men (32.82%). The mean age of the studied patients was 49.87 years, SD = 13.73. The majority of the study population consisted of patients with grade II (37.74%) and IV (34.91%) of the disease in terms of severity (according to the GINA classification, 2006).


METHODS
All patients underwent functional respiratory tests. The subjective severity of dyspnea was assessed according to the ten-tier Borg scale. To evaluate family functioning values, the Family Assessment Questionnaire (FAQ) was used. Spouses of the asthmatic patients also completed questionnaires.


RESULTS
A significant relationship was identified between the values of the dimension: affective expression (assessment of the family performed by the asthmatic patient) and the severity of dyspnea (p = 0.03, r = -0.24) as well as between values of the dimensions: affective expression and affective involvement (as assessed by the spouse of the patient) and severity of dyspnea (p = 0.01, r = 0.39; p = 0.02, r = 0.34, respectively). The relationship between the severity of dyspnea declared by the patient and the FAQ dimension: Task accomplishment (as assessed by the spouse of the patient) was borderline (statistical significance [p = 0.06]).


CONCLUSIONS
(1) A relationship can be observed between the functioning of the asthmatic patient's family and the severity of the patient's declared dyspnea. Dyspnea constitutes a specific form of emotional communication in the inter-spouse relationships. (2) An analysis of the severity of dyspnea in asthmatic patients should take into account the context of the functioning of the patient's family.
Family Therapy Department, Jagiellonian University School of Medicine, Cracow, Poland.
M
M
Furgał
R
R
Nowobilski
G
G
Pulka
R
R
Polczyk
B
B
de Barbaro
E
E
Nizankowska-Mogilnicka
A
A
Szczeklik
D001249:Asthma / Q000150:complications / Q000523:psychology*; D003710:Demography; D004417:Dyspnea / Q000209:etiology / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012129:Respiratory Function Tests; D012720:Severity of Illness Index