PT  - JOURNAL ARTICLE
AU  - Anastasiya S. Vodolazskaya
AU  - Larisa V. Bogovin
AU  - Viktor P. Kolosov
TI  - Psychopathology in patients with bronchial asthma
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P2132
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P2132.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P2132.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Background: Psychological and emotional factors quite often accompany somatic manifestations of bronchial asthma (BA). It is necessary to take into account the psychopathologic profile to choose the correct treatment of asthmatics.Aim: to study the structure of psychopathologic symptoms in asthmatics.Methods: 137 patients with mild-to-severe BA (35 men and 102 women), aged 19-69 took part in the research. The initial estimation of symptoms was carried out with the help of the questionnaire Symptom Checklist-90-Revised by L.R. Derogatis (SCL-90-R).Results: The characteristics of symptoms intensity in the groups of mild, moderate or severe BA turned out to be the same (p>0.05). The symptoms of psychopathologic level were observed in more than 36% cases (till 68% by the SOM scale). The mean values of all the scales were higher than the norm. 68% of patients had high characteristics of positive symptom total (PST), indicating a diverse psychopathologic symptoms (an average of 1.49±0.04). 54% of the patients had a high global severity index (GSI), the mean value was 0.76±0.04. High levels of positive symptom distress index (PSDI) were found in 68% of patients (the mean value was 41.6±0.003). According to the obtained data BA patients tend to have somatization (SOM), they are anxious (ANX, PHOB, O-C), depressed (DEP, I-S), and irritable (HOS, PAR, PSY).Conclusion: BA patients have a great number of diverse psychopathologic symptoms, psychic distress, psycho-emotional overstrain, the decrease of life activity and worsening of health. The application of SCL-90-R questionnaire allows to choose the right tactic in defining the psychosomatic profile of asthmatics taking into account the clinical picture of the disease.