RESEARCH PAPER
Psychological features and emotional frustrations of chronic obstructive pulmonary diseases and asthma patients
More details
Hide details
1
Belarusian Medical Academy of Postgraduate Education, The Republican Scientifically-Practical Centre of Mental Health in Minsk, Belarus
Submission date: 2012-02-09
Acceptance date: 2013-05-23
Publication date: 2020-04-10
Corresponding author
Tatsiana Zhukava
Belarusian Medical Academy of Postgraduate Education, Brovki 3, 220013 Minsk, Belarus. Tel./fax: +375 17 292 25 49.
Pol. Ann. Med. 2012;19(2):94-97
KEYWORDS
ABSTRACT
Introduction:
Research concerning the psychological effects of living with chronic obstructive pulmonary disease (COPD) and asthma demonstrates that patients with respiratory diseases are frequently in a far worse condition than patients with cancer. Studying such patients’ psychological features is an extremely important problem of modern public healthcare. Results of further research in this area will help to conceive new methods of treatment in order to improve patients’ quality of life.
Aim:
This work aimed at the studying of emotional frustrations and psychological features concerning patients with COPD and asthma.
Material and methods:
By means of the MMPI technique we surveyed 30 mild and moderate COPD patients and 38 mild and moderate asthma patients. Practically healthy 30 individuals, comparable with reference to age and sex with surveyed patients, served as the control group.
Results and discussion:
Asthma patients revealed the following character features: the presence of proof disturbing-depressive frustration with cenestopathy and the tendency to form restrictive behavior. The received results enable us to conclude that the revealed psychological and emotional infringements demonstrated by asthma patients become more expressed as their disease progresses, whereas this progression reduces the degree of patients’ social adaptation. A list of standardized symptoms and syndromes of the unified estimation of patients’ mental status was employed to assess the emotional frustration of COPD and asthma patients. With reference to asthma patients, emotional frustration was revealed in 22 individuals (65.8% of cases). The research demonstrated that emotional infringements were observed in 19 COPD patients (63.4% of cases from the total number of patients).
Conclusions:
The obtained data with respect to the presence of psychological features and emotional frustration of COPD and asthma patients indicate that it is necessary to consider the creation of programs involving individual psychological rehabilitation.
CONFLICT OF INTEREST
None declared.
REFERENCES (18)
1.
British Thoracic Society and Scottish Intercollegiate Guidelines Network. British guidelines on the management of asthma. Thorax. 2008;63(suppl IV):iv1–iv121.
2.
De Godoy D, de Godoy RF. A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2003;84:1154–1157.
3.
Dudley DL, Glaser EM, Jorgenson BN, Logan DL. Psychosocial concomitants to rehabilitation in chronic obstructive pulmonary disease. Part 1. Psychosocial and psychological considerations. Chest. 1980;77(3):413–420.
4.
Elkington H, White P, Addington-Hall J, Higgs R, Edmonds P. The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life. Palliat Med. 2005;19(6):485–491.
5.
Fraser DD, Knee CC, Minick P. Living with COPD: insiders’ perspectives. J Adv Nurs. 2006;55(5):550–558.
6.
Fulton RA, Moore CM. Psychological and psychiatric investigation of chronic obstructive pulmonary disease. Eur Respir J. 2005;10(4):715–721.
7.
Greenberg GD, Ryan JJ, Bourlier PF. Psychological and neuropsychological aspects of COPD. Psychosomatics. 1998;26(1):29–33.
8.
Heslop K, Rao S. Cognitive behavioural therapy for patients with respiratory disease. Airways J. 2003;1(3):139–141.
9.
Hornsveld H, Garssen B, Dop MF, van Spiegel P. Symptom reporting during voluntary hyperventilation and mental load: implications for diagnosing hyperventilation syndrome. J Psychosom Res. 1990;34(6):687–697.
10.
Jones PW, Quirk FH, Baveystock CM. Why Quality of Life measures should be used in the treatment of patients with respiratory diseases. Monaldi Arch Chest Dis. 1994;49:79–82.
11.
Kaptein AA, Brand PL, Dekker FW, Kerstjens HA, Postma DS, Sluiter HJ. Quality of life in long-term multicentre trial in chronic nonspecific lung disease: assessment at baseline. Eur Respir J. 1993;6(10):1479–1484.
12.
Kass I, Updegraff K, Muffly RB. Sex in chronic obstructive pulmonary disease. Med Aspects Hum Sex. 1971;6:33–42.
13.
Kim HF, Kunik ME, Molinari VA, Hillman SL, Lalani S, Orengo CA, et al. Functional impairment in COPD patients. The impact of anxiety and depression. Psychosomatics. 2000;41(6):465–471.
14.
Labuhn KT, McSweeny AJ. A causal modeling study of determinants of depressed mood in chronic obstructive pulmonary disease. Am Rev Respir Dis. 1995;146:1511–1517.
15.
Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006;173(12):1390–1413.
16.
Sansone RA, Hendricks CM, Sellbom M, Reddington A. Anxiety symptoms and healthcare utilization among a sample of outpatients in an internal medicine clinic. Int J Psychiatry Med. 2003;33(2):133–139.
17.
Wang Q, Bourbeau J. Outcomes and health-related quality-of-life following hospitalisation for an acute exacerbation of COPD. Respirology. 2005;10(3):334–340.
18.
Zhukava T. Psychological changes in patients with COPD. Pol Ann Med. 2009;16(1):11–15.