Suárez IL, Huerta LJG, del Olmo TH

Language: Spanish
References: 10
Page: 18-22
PDF size: 377.01 Kb.

ABSTRACT

Several factors have been studied within the ones that trigger asthma. These factors may be infectious, allergic and produced by exercise; as well as exacerbating psychological factors, such as emotions, stress and psychological factors, such as depression, anxiety, and panic attacks. The objectives of the present article are to establish the relationship between the psychological factors and the exacerbations due to asthma, to describe the prevalence of depression and anxiety in patients suffering from asthma and its impact over morbidity and mortality. Emotions are observed to be a precipitating factor for the disease, as well as depression, which presents the highest prevalence. All the aforementioned situations have an impact on the course of the disease, the costs of treating the disease, mortality and prevention. There is a model of autonomic deregulation, called Miller’s model, which describes the relationship among psychological factors, their repercussion on the airways reactivity of asthmatic patients, and the clinical expression. The present paper proposes that, in the group of asthmatic patients with depression, the parasympathetic-mimetic route is stimulated through the vagus nerve, increasing the airway resistance. The significant social factors are the socio-economic status, violence, passive nicotinism (tobacco addiction), and family as a decisive element in the control of this mentioned disease.

REFERENCES

1. Marx D, Zofel C, Linden U, Bonner H, Franzen U, Florin I. Expression of emotion in asthmatic children and their mothers. J Psychosom Res 1986; 30: 609-616.

2. Bush T, Richardson L, Katon W et al. Anxiety and depressive disorders are associated with smoking in adolescents with asthma. J Adolesc Health 2007; 40(5): 425-32.

3. Waxmonky J, Wood B et al. Association of depressive symptoms and disease activity in children with asthma; methodological and clinical implications. J Am Acad Child Adolesc Psychiatr 2008; 45(8): 945-954.

4. Lehrer P, Isenberg S, Hochron S. Asthma and emotion: A review. Journal of Asthma 1993; 30(1): 5-21.

5. Flynn R, Kifuji K, Summergrand P. Medical conditions with psychiatric manifestations. Adolesc Med 2006; 17: 49-77.

6. Bruton L, Lazo J, Parker K. Goodman y Gilman. Las bases farmacológicas de la terapéutica. McGraw-Hill-Interamericana. Undécima Edición. Mexico 2007: 157-170.

7. Miller B, Wood B, Lim J, Ballow M. Depressed children with asthma evidence increased airway resistance «vagal vias» as a mechanism? J Allergy Clin Immunol 2009; 124(1): 66-73.

8. Shanmugam G, Bhutani S, Khan D, Brown S. Psychiatric considerations in pulmonary. Disease Psychiatr Clin N Am 2007; 30: 761-780.

9. McCualey E, Katon W, Russo J, Ricardson L, Lozano P. Impact of anxiety and depression on functional impairment in adolescents with asthma. General Hospital Psychiatry 2007; 29: 214-222.

10. Chen E, Schreier MC. Does the social environment contribute to asthma? Immunol Allergy Clin N Am 2008; 28: 649-664.