Psychological intervention in severe asthma: from theory to practice.

IF 1.8 Q3 RESPIRATORY SYSTEM

European Clinical Respiratory Journal Pub Date : 2025-05-20 eCollection Date: 2025-01-01 DOI:10.1080/20018525.2025.2506237

Cleofé Fernández Aracil, María José Zamora Muñoz, María Del Mar García Ródenas, María Rodríguez Aguilar, Carlos J van-der Hofstadt Román, Luis Hernández Blasco

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Abstract

Background: Severe asthma is frequently associated with psychological comorbidities that negatively affect disease control and quality of life. Despite clinical guideline recommendations, psychological care remains limited in multidisciplinary asthma units.

Objective: To evaluate the effectiveness of an online group psychological intervention in improving emotional well-being and disease control in patients with severe asthma.

Methods: A longitudinal study was conducted between 2021 and 2024 in a specialized severe asthma unit. The intervention consisted of eight weekly online sessions combining cognitive-behavioral techniques and emotional regulation strategies. Psychological and quality-of-life variables were assessed at baseline, post-intervention, and at 6 and 12 months of follow-up.

Results: A total of 41 patients completed the program. Significant and sustained improvements were observed in anxiety, depression, hyperventilation, and asthma-related quality of life up to 12 months after the intervention. No changes were found in alexithymia, perceived social support, or family functioning.

Conclusion: An online group psychological intervention is a feasible and effective approach to improving emotional health and quality of life in patients with severe asthma. Its integration into asthma care units may contribute to a more comprehensive and patient-centered management strategy.

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重度哮喘的心理干预：从理论到实践。

背景：严重哮喘常伴有心理合并症，对疾病控制和生活质量产生负面影响。尽管临床指南建议，心理护理在多学科哮喘单位仍然有限。目的：评价在线团体心理干预对改善重度哮喘患者情绪幸福感和疾病控制的效果。方法：在2021年至2024年期间在一个专门的严重哮喘病房进行了一项纵向研究。干预包括每周8次的在线会议，结合了认知行为技术和情绪调节策略。在基线、干预后以及随访6个月和12个月时评估心理和生活质量变量。结果：共有41例患者完成了该方案。干预后12个月，在焦虑、抑郁、过度通气和哮喘相关的生活质量方面观察到显著和持续的改善。在述情障碍、感知社会支持或家庭功能方面没有发现变化。结论：网络团体心理干预是改善重度哮喘患者情绪健康和生活质量的一种可行、有效的方法。将其整合到哮喘护理单位可能有助于更全面和以患者为中心的管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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