Relations entre alexithymie, dépression, anxiété et contrôle de l’asthme

IF 0.5 4区医学 Q4 PSYCHIATRY

Annales medico-psychologiques Pub Date : 2025-02-01 DOI:10.1016/j.amp.2023.03.007

Edith Barthélemy , Lydia Fernandez , Gilles Devouassoux , Pierre Pradat

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引用次数: 0

Abstract

Introduction and objectives

It is increasingly recognized today that certain psychological factors can influence somatic health and chronic disease control. The main objective of this study was to better understand the relationships and effects of psychological factors such as alexithymia, depression and anxiety on the occurrence of asthma symptoms and exacerbation.

Methods

In the context of this study, which is a mixed approach including quantitative and qualitative methods, 70 asthmatics (82% female, mean age 54 ± 13.7 years) responded to a series of questionnaires for the assessment of asthma (the Asthma Control Test: ACT), of alexithymia (the Twenty-Item Toronto Alexithymia Scale: TAS-20), of depression and anxiety (the Hospital Anxiety and Depression Scale: HADS). Two drawing tests (one of a tree and one of the person him/herself) were also given to them.

Results

The main results show a greater occurrence of anxiety and depressive disorders in asthmatics who are alexithymic, compared to those who have no difficulty expressing and verbalizing their emotions. In addition, asthma control is less satisfactory in alexithymic patients, as well as for those with a severe anxiety disorder.

Conclusions

The results of this study suggest that psychological and emotional factors should be given greater consideration in the care and management of asthma patients. They constitute real aggravating factors for asthma and can compromise the successful control of the disease.

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阅读障碍、抑郁、焦虑和哮喘控制的关系

前言与目的当今人们越来越认识到某些心理因素可以影响躯体健康和慢性疾病的控制。本研究的主要目的是为了更好地了解述情障碍、抑郁和焦虑等心理因素与哮喘症状发生和加重的关系和影响。方法本研究采用定量和定性相结合的方法，对70例哮喘患者（82%为女性，平均年龄54±13.7岁）进行了一系列哮喘（哮喘控制测试：ACT）、述情障碍（多伦多述情量表：TAS-20）、抑郁和焦虑（医院焦虑和抑郁量表：HADS）的评估问卷。他们还接受了两项绘画测试（一项是树，另一项是他/她自己）。结果主要结果显示，与表达和语言表达没有困难的哮喘患者相比，有述情障碍的哮喘患者焦虑和抑郁障碍的发生率更高。此外，在述情障碍患者以及患有严重焦虑症的患者中，哮喘控制不太令人满意。结论本研究结果提示在哮喘患者的护理和管理中应更多考虑心理和情绪因素。它们构成了哮喘的真正加重因素，并可能危及疾病的成功控制。

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

Annales medico-psychologiques 医学-精神病学

CiteScore

1.30

自引率

33.30%

发文量

196

审稿时长

4-8 weeks

期刊介绍： The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique. The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.