[Anxiety, depression, panic disorder and bronchial asthma].
The Research purpose was studying anxiety and depression, and also the disturbing attacks in bronchial asthma (BA) patients. Research problems included: specification of prevalence of anxiety, depression, and also panic frustration of BA patients; an establishment of psychosomatic parities between anxiety, depression, panic frustration and BA. The study included the analysis of a mental condition, subjective and objective anamnestic information and medical documentation. 50 patients with BA are examined - 32 women, 18 men (average age of the patients was 38,7 ± 2,1). In 40% of cases the anxiety and depression is revealed. Subclinical expressed anxiety and depression is observed in 15 (39%) cases. Clinically expressed anxiety and depression is observed in 25 (50%) patients. During emotional and physical activities the phenomena of hypersthenic weaknesses is revealed in 45% of patients, short-term disturbance of falling asleep in 53%, propensity to revealing of polymorphic pathological corporal sensations (cephalgia, cardialgia, abdominalgia) is found out in 85% of cases. In all observation the beginning of mental frustration concerns to the second decade of life. In intervals between panic attacks are registered anxiety of expectation (fear of development of repeated panic attacks) and nosophobia (fear of development of myocardial heart attack, a stroke etc.). In all observation the beginning of mental frustration was revealed at the second decade of life. Symptoms of type "behavioral apnea (wind)" (breath dissatisfaction, feeling short of breath, arrhythmias and respiratory regularity of cycles) developed long before the manifestation of asthma (BA) and persist in its remission. The clinical manifestation of BA is extended by signs of panic attacks. Symptoms of anxiety and recurrent panic attacks worsen duration and outcome of BA. Hence, psychological and psychopharmacological therapy for anxiety disorders in addition to standard anti-asthma therapy could be suggested as one of the affective methods for treatment of BA patients with symptoms of anxiety and depression.
Batumi State University after Sh. Rustaveli, Georgia.
Sh
Sh
Vashadze
D000328:Adult; D001007:Anxiety / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D001249:Asthma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D003863:Depression / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000150:complications / Q000175:diagnosis* / Q000628:therapy