The role of psychological factors in the development and exacerbation of bronchial asthma
Keywords:
psychological factors, bronchial asthma, stress, anxiety, depression, respiratory diseases
Abstract
Introduction. Bronchial asthma is a chronic respiratory disease affecting millions of people worldwide, with a significant impact on quality of life and healthcare costs. While the biological and environmental causes of asthma have been extensively studied, the role of psychological factors in the development and exacerbation of asthma remains relatively understudied. This article aims to fill this gap by reviewing the existing literature on psychological factors and their influence on the onset and exacerbation of asthma symptoms. Methods. In this review, we analyzed a broad range of studies that investigated the link between psychological factors and asthma. The materials and methods involved a thorough search of various databases, including PubMed, Scopus, and PsycINFO, and a critical evaluation of the selected studies based on predetermined inclusion criteria. Results. The analysis of the literature revealed that psychological factors can contribute to the development and exacerbation of bronchial asthma through various mechanisms, such as immune dysregulation, altered airway physiology, and poor treatment adherence. The most commonly reported psychological factors associated with asthma were stress, anxiety, and depression. Conclusion. This review highlights the importance of considering psychological factors in the management of bronchial asthma. A holistic approach to asthma management that considers both physical and psychological factors is essential for effective treatment and improved quality of life of patients. Healthcare providers should be aware of the potential impact of psychological factors on asthma and consider incorporating psychological interventions as part of asthma management.
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References
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21. Turyk M.E., Hernandez E., Wright R.J. et al. Stressful life events and asthma in adolescents. Pediatric allergy and immunology. 2008;19(3):255–263. DOI: 10.1111/j.1399-3038.2007.00603.x
22. Liu L.Y., Coe C.L., Swenson C.A. et al. School examinations enhance airway inflammation to antigen challenge. American journal of respiratory and critical care medicine. 2002;165(8):1062–1067. DOI: 10.1164/ajrccm.165.8.2109065
23. Loerbroks A., Gadinger M.C., Bosch J.A. et al. Work-related stress, inability to relax after work and risk of adult asthma: a population-based cohort study. Allergy. 2010;65(10):1298–1305. DOI: 10.1111/j.1398-9995.2010.02375.x
24. Sandberg S., Järvenpää S., Penttinen A. et al. Asthma exacerbations in children immediately following stressful life events: a Coxs hierarchical regression. Thorax. 2004;59(12):1046–1051. DOI: 10.1136/thx.2004.024604
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27. DiMatteo M.R., Leppern H.S., Croghan T.W. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of internal medicine. 2000;160(14):2101–2107. DOI: 10.1001/archinte.160.14.2101
28. Ritz T., Meuret A.E., Trueba A.F. et al. Psychosocial factors and behavioral medicine interventions in asthma. Journal of Consulting and Clinical psychology. 2012;81:231–250. DOI: 10.1037/a0030187
29. Theoharides T.C., Enakuaa S., Sismanopoulos N. et al. Contribution of stress to asthma worsening through mast cell activation. Annals of allergy, asthma & immunology. 2012;109(1):14–19. DOI: 10.1016/j.anai.2012.03.003
30. Pateraki E., Vance Y., Morris P.G. The interaction between asthma and anxiety: an interpretative phenomenological analysis of young peoples experiences. Journal of Clinical Psychology in Medical Settings. 2018;25:20–31. DOI: 10.1007/s10880-017-9528-5
31. Cherepanova S.A., Meshcheryakov V.V. Influence of psychological factors on treatment adherence, control level and quality of life of children with bronchial asthma. Vestnik SurGU. Meditsina. 2022;2(52):59–64. (in Russ.). DOI: 10.34822/2304-9448-2022-2-59-64
32. Bronchial asthma as a psychosomatic disease. The current state of the problem] Psikhosomaticheskie i somatoformnye rasstroistva v klinicheskoi praktike [Psychosomatic and somatoform disorders in clinical practice]. Irkutsk. 2007:46–49. (in Russ.)
33. Petrov V.I., Shishimorov I.N., Perminov A.A., Shevtsova M.I. Optimizing the pharmacotherapy of bronchial asthma in children with autonomic and psychosomatic disorders. Profilakticheskaya meditsina = The Russian Journal of Preventive Medicine. 2014;17(2):59–64. (in Russ.)
34. Najjab A., Palka J.M., Brown E.S. Personality traits and risk of lifetime asthma diagnosis. Journal of Psychosomatic Research. 2020;131:109961. DOI: 10.1016/j.jpsychores.2020.10
35. Witusik, A., Kuna, P., Pietras, T., Mokros, L. Type A behavior pattern, risk propensity and empathy in young professionally active patients with bronchial asthma. Advances in Dermatology and Allergology. 2018;35(6):587–591. DOI: 10.5114/ada.2018.77610
36. Bogovin L.V., Perelman Yu.M., Kolosov V.P. Psikhologicheskie osobennosti bolnykh bronkhialoi astmoi [Psychological features of patients with bronchial asthma]. Vladivostok: Dalnauka. 2013:248. (in Russ.)
37. Bogovin L.V., Vodolazskaya A.S. The correaltion between personal motivation and types of attitude to the disease in asthmatics. Byulleten fiziologii i patologii dykhaniya = Bulletin of physiology and pathology of respiration. 2012;46:30–34. (in Russ.).
38. Jenkins C.R., Boulet L.P., Lavoie K.L. Personalized Treatment of Asthma: The Importance of Sex and Gender Differences. The journal of allergy and clinical immunology. In practice. 2022;10(4):963–971. DOI: 10.1016/j.jaip.2022.02.002
2. Masefield S., Edwards J., Hansen K., et al. The future of asthma research and development: a roadmap from the European Asthma Research and Innovation Partnership (EARIP). European Respiratory Journal. 2017;49:1602295. DOI: 10.1183/13993003.02295-2016.
3. Andrews K.L., Jones S.C., Mullan J. Stigma: Still an Important Issue for Adults vith Asthma. Journal of Asthma and Allergy Educators. 2013;4(4):165–171. DOI: 10.1177/21501297134812
4. Wittkower E. Studies on the Influence of Emotions on the Functions of the Organs: (Including Observations in Normals and Neurotics). Journal of Mental Science. 1935;81(334):533–682. DOI: 10.1192/bjp.81.334.533
5. Greenfield F. Healing Asthma with a Medicine of Meaning and Joy: A Holographic Approach. Alternative and Complementary Therapies. 2004;6(4):212–217. DOI: 10.1089/10762800050115185
6. Вассерман Л.И., Трифонова Е.А., Щелкова О.Ю. Психологическая диагностика и коррекция в соматической клинике. СПб.: речь, 2011. 270 с. [Vasserman L.I., Trifonova E.A., Shchelkova O.Yu. Psikhologicheskaya diagnostika i korrektsiya v somaticheskoi klinike [Psychological diagnosis and correction in the somatic clinic]. St. Petersburg: Rech, 2011:270. (in Russ.)]
7. Aleksander F. Psikhosomaticheskaya meditsina. Printsipy i primenenie [Psychosomatic medicine. Principles and application]. Moscow. Publ. Institut obshchegumanitarnykh issledovanii, 2017:352. (in Russ.)
8. Rogerson C.H. Psychological Factors in Asthma. British medical journal. 1943;1(4291):406–407. DOI: 10.1136/bmj.1.4291.406
9. Peshkin M.M. Intractable Asthma of Childhood Rehabilitation at the Institutional Level with a Follow-up of 150 Cases. International Archives of Allergy and Immunology. 1959;15:91–112. DOI: 10.1159/000229036
10. Groen J.J. The Psychosomatic Theory of Bronchial Asthma. Psychotherapy and Psychosomatics. 1979;31(1-4):38–48. DOI: 10.1159/000287312
11. Prick J.J. A Psychosomatic Approach to Asthma. Acta Psychotherapeutica et Psychosomatica. 1963;11(2):81–112. DOI: 10.1159/000285667
12. Opolski M., Wilson I. Asthma and depression: a pragmatic review of the literature and recommendations for future research. Clinical Practice and Epidemiology in Mental Health. 2005;1:18. DOI: 10.1186/1745-0179-1-18.
13. Flanigan C., Sheikh A., DunnGalvin A. et al. Prenatal maternal psychosocial stress and offsprings asthma and allergic disease: A systematic review and meta-analysis. Clinical and experimental allergy. 2018;48(4):403–414. DOI: 10.1111/cea.13091
14. van de Loo K.F., van Gelder M.M., Roukema J. et al. Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis. European respiratory journal. 2016;47(1):133–146. DOI: 10.1183/13993003.00299-2015
15. Sternthal M.J., Jun H.J., Earls F., Wright R.J. Community violence and urban childhood asthma: a multilevel analysis. European respiratory journal. 2010;36(6):1400–1409. DOI: 10.1183/09031936.00003010
16. Marin T.J., Chen E., Munch J.A., Miller G.E. Double-exposure to acute stress and chronic family stress is associated with immune changes in children with asthma. Psychosomatic medicine. 2009;71(4):378–384. DOI: 10.1097/PSY.0b013e318199dbc3
17. Plaza-González S., Zabala-Baños M.D.C., Astasio-Picado Á., Jurado-Palomo J. Psychological and Sociocultural Determinants in Childhood Asthma Disease: Impact on Quality of Life. International journal of environmental research and public health. 2022;19(5):2652. DOI: 10.3390/ijerph19052652
18. Wood B.L., Miller B.D., Lim J. et al. Family relational factors in pediatric depression and asthma: pathways of effect. Journal of the American Academy of Child and Adolescent Psychiatry. 2006;45(12):1494–1502. DOI: 10.1097/01.chi.0000237711.81378.46
19. Ritz T, Steptoe A, Bobb C. et al. The Asthma Trigger Inventory: Validation of a Questionnaire for Perceived Triggers of Asthma. Psychosomatic Medicine. 2006;68(6):956–965. DOI: 10.1097/01.psy.0000248898.59557.74
20. Ritz T., Bobb C., Griffiths C. Predicting asthma control: The role of psychological triggers. Allergy and Asthma Proceedings. 2014;35(5):390–397. DOI: 10.2500/aap.2014.35.3779
21. Turyk M.E., Hernandez E., Wright R.J. et al. Stressful life events and asthma in adolescents. Pediatric allergy and immunology. 2008;19(3):255–263. DOI: 10.1111/j.1399-3038.2007.00603.x
22. Liu L.Y., Coe C.L., Swenson C.A. et al. School examinations enhance airway inflammation to antigen challenge. American journal of respiratory and critical care medicine. 2002;165(8):1062–1067. DOI: 10.1164/ajrccm.165.8.2109065
23. Loerbroks A., Gadinger M.C., Bosch J.A. et al. Work-related stress, inability to relax after work and risk of adult asthma: a population-based cohort study. Allergy. 2010;65(10):1298–1305. DOI: 10.1111/j.1398-9995.2010.02375.x
24. Sandberg S., Järvenpää S., Penttinen A. et al. Asthma exacerbations in children immediately following stressful life events: a Coxs hierarchical regression. Thorax. 2004;59(12):1046–1051. DOI: 10.1136/thx.2004.024604
25. Vasserman L.I., Shchelkova O.Yu., Dubinina E.A. et al. Social frustratedness as a psychogenesis factor of adjustment disorders. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V.M. Bekhtereva = V.M. Bekhterev review of psychiatry and medical psychology. 2021;55(3):8–18. (in Russ.). DOI: https://.org/10.31363/2313-7053-2021-56-3-8-18
26. Shchelkova O.Yu. The main areas of research activities in St. Petersburg school of medical (clinical) psychology. Vestnik Sankt-Peterburgskogo universiteta = Vestnik of Saint Petersburg University. Psychology. 2012;16(1):53–90. (in Russ.)
27. DiMatteo M.R., Leppern H.S., Croghan T.W. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of internal medicine. 2000;160(14):2101–2107. DOI: 10.1001/archinte.160.14.2101
28. Ritz T., Meuret A.E., Trueba A.F. et al. Psychosocial factors and behavioral medicine interventions in asthma. Journal of Consulting and Clinical psychology. 2012;81:231–250. DOI: 10.1037/a0030187
29. Theoharides T.C., Enakuaa S., Sismanopoulos N. et al. Contribution of stress to asthma worsening through mast cell activation. Annals of allergy, asthma & immunology. 2012;109(1):14–19. DOI: 10.1016/j.anai.2012.03.003
30. Pateraki E., Vance Y., Morris P.G. The interaction between asthma and anxiety: an interpretative phenomenological analysis of young peoples experiences. Journal of Clinical Psychology in Medical Settings. 2018;25:20–31. DOI: 10.1007/s10880-017-9528-5
31. Cherepanova S.A., Meshcheryakov V.V. Influence of psychological factors on treatment adherence, control level and quality of life of children with bronchial asthma. Vestnik SurGU. Meditsina. 2022;2(52):59–64. (in Russ.). DOI: 10.34822/2304-9448-2022-2-59-64
32. Bronchial asthma as a psychosomatic disease. The current state of the problem] Psikhosomaticheskie i somatoformnye rasstroistva v klinicheskoi praktike [Psychosomatic and somatoform disorders in clinical practice]. Irkutsk. 2007:46–49. (in Russ.)
33. Petrov V.I., Shishimorov I.N., Perminov A.A., Shevtsova M.I. Optimizing the pharmacotherapy of bronchial asthma in children with autonomic and psychosomatic disorders. Profilakticheskaya meditsina = The Russian Journal of Preventive Medicine. 2014;17(2):59–64. (in Russ.)
34. Najjab A., Palka J.M., Brown E.S. Personality traits and risk of lifetime asthma diagnosis. Journal of Psychosomatic Research. 2020;131:109961. DOI: 10.1016/j.jpsychores.2020.10
35. Witusik, A., Kuna, P., Pietras, T., Mokros, L. Type A behavior pattern, risk propensity and empathy in young professionally active patients with bronchial asthma. Advances in Dermatology and Allergology. 2018;35(6):587–591. DOI: 10.5114/ada.2018.77610
36. Bogovin L.V., Perelman Yu.M., Kolosov V.P. Psikhologicheskie osobennosti bolnykh bronkhialoi astmoi [Psychological features of patients with bronchial asthma]. Vladivostok: Dalnauka. 2013:248. (in Russ.)
37. Bogovin L.V., Vodolazskaya A.S. The correaltion between personal motivation and types of attitude to the disease in asthmatics. Byulleten fiziologii i patologii dykhaniya = Bulletin of physiology and pathology of respiration. 2012;46:30–34. (in Russ.).
38. Jenkins C.R., Boulet L.P., Lavoie K.L. Personalized Treatment of Asthma: The Importance of Sex and Gender Differences. The journal of allergy and clinical immunology. In practice. 2022;10(4):963–971. DOI: 10.1016/j.jaip.2022.02.002
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Published
2023-10-02
How to Cite
Yeremyan, Z., & Olga, S. (2023). The role of psychological factors in the development and exacerbation of bronchial asthma. Psychology. Psychophysiology, 16(3), 75-87. https://doi.org/10.14529/jpps230307
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Section
Medical (clinical) psychology
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