Psychosomatic functional disorders in pulmonary practice

Q4 Medicine

Pulmonologiya Pub Date : 2023-06-08 DOI:10.18093/0869-0189-2023-33-3-386-392

S. Ovcharenko, D. V. Troshina, P. S. Sokolova, B. A. Volel

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Abstract

The relevance of studying psychosomatic disorders in somatic clinical practice (including pulmonary practice) stems from the significant prevalence of these disorders, as well as the difficulties in making a differential diagnosis and choosing the most effective tactics for patient management.The aim of this review was to analyze the available publications on the problem of psychosomatic functional disorders in pulmonary practice, such as hyperventilation syndrome (HVS), including HVS associated with Severe Acute Respiratory Syndrome-related CoronaVirus 2 (SARS-CoV-2) infection, vocal cord dysfunction, and psychogenic cough. The article discusses clinical features of different variants of functional disorders and accompanying psychopathological symptoms (panic attacks, generalized anxiety, etc.), as well as psychogenic factors of their manifestation and changes in the clinical features over time. The corresponding section briefly summarizes current ideas about approaches to effective treatment of this group of disorders and prevention of their chronification.Conclusion. The clinical heterogeneity of psychosomatic functional disorders in pulmonological practice has been demonstrated, as have important aspects of the diagnosis and treatment of these disorders.

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肺科实践中的心身功能障碍

在躯体临床实践(包括肺实践)中研究心身疾病的相关性源于这些疾病的显著患病率，以及在做出鉴别诊断和选择最有效的患者管理策略方面的困难。本综述的目的是分析现有的关于肺部实践中心身功能障碍问题的出版物，如过度通气综合征(HVS)，包括与严重急性呼吸综合征相关的冠状病毒2 (SARS-CoV-2)感染、声带功能障碍和心因性咳嗽相关的HVS。本文讨论了不同类型功能障碍及其伴随的精神病理症状(惊恐发作、广泛性焦虑等)的临床特征，以及其表现的心因因素和临床特征随时间的变化。相应的部分简要总结了目前关于有效治疗这类疾病和预防其慢性化的方法的观点。肺科实践中心身功能障碍的临床异质性已经得到证实，这些疾病的诊断和治疗也具有重要的方面。

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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来源期刊

Pulmonologiya Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： The aim of this journal is to state a scientific position of the Russian Respiratory Society (RRS) on diagnosis and treatment of respiratory diseases based on recent evidence-based clinical trial publications and international consensuses. The most important tasks of the journal are: -improvement proficiency qualifications of respiratory specialists; -education in pulmonology; -prompt publication of original studies on diagnosis and treatment of respiratory diseases; -sharing clinical experience and information about pulmonology service organization in different regions of Russia; -information on current protocols, standards and recommendations of international respiratory societies; -discussion and consequent publication Russian consensus documents and announcement of RRS activities; -publication and comments of regulatory documents of Russian Ministry of Health; -historical review of Russian pulmonology development. The scientific concept of the journal includes publication of current evidence-based studies on respiratory medicine and their discussion with the participation of Russian and foreign experts and development of national consensus documents on respiratory medicine. Russian and foreign respiratory specialists including pneumologists, TB specialists, thoracic surgeons, allergists, clinical immunologists, pediatricians, oncologists, physiologists, and therapeutists are invited to publish article in the journal.