Psychological characteristics of children with bronchial asthma depending on the level of control and therapeutic strategy
Keywords:bronchial asthma, children, character
The aim of this work – to investigate the psychological peculiarities of children and adolescents with bronchial asthma (BA) depending on the disease severity and therapeutic strategy.
Materials and methods. In total, 133 children with BA were examined (mean age 12.2 ± 0.35 years) and divided into three groups. The first group – 28 patients with long-term controlled BA after allergen-specific immunotherapy (ASIT); the second – 60 children with controlled asthma receiving a basic treatment (low-medium doses); the third group – 45 persons with uncontrolled BA. A control group consisted of 30 healthy children. T. Leary test modified version by L. M. Sobchik and Lüscher color test were used. Statistical analysis was performed using program Statistica (version 13.0).
Results. The prevalence of certain types of interpersonal relationships was revealed in different groups (χ2 = 152.9; P < 0.01). The first group children demonstrated predominately cooperative, friendly VII (28.6 %) and altruistic VIII (64.3 %) types. Nearly all eight types of interpersonal relationships characterized the second group. Subordinate V and docile dependent VI types dominated in the 3rd group (35.6 % and 60.0 %, respectively) with a tendency to hostility and alienation. Children differed significantly in mother (χ2 = 37.7; P < 0.01) and self-association (χ2 = 111.7; P < 0.01) by the structure of chosen color. The first group patients chose red, green and blue colors, children with BA were characterized by passive behavior without activity and initiative in need of heightened protection and attention. They chose grey and brown (55 % in the 2nd and 80 % in the 3rd group). Choice instability was more typical for the second and third groups (45 % and 51 %, respectively) than for children after ASIT (10.7 %) and healthy children (6.7 %) OR=9.17, CI 95 % 2.1–40.04. Marker of emotional instability was higher in children with uncontrolled BA (53.3 %) than in stable BA (33.3 %; P < 0.05) and after ASIT (7.1 %; P < 0.05).
Conclusions. Types of psychological and emotional changes in children with BA depend on the level of disease control as well as on the remission duration. Allergen-specific immunotherapy improves emotional wellbeing of patients with asthma, increases their activity and working ability, improves the level of control. It is recommended to identify a high-risk group for psychological and emotional impairments.
Maidannyk, V. H., Smiian, O. I., Sichnenko, P. I., Popov, S. V., Romaniuk, O. K., & Horbas, V. A. (2017). Bronkhialna astma u ditei [Bronchial asthma in children]. Sumy. [in Ukrainian].
Steiß, J., Lindemann, H., Brosig, B., & Zimmer, K. (2013). Important aspects in pediatric care of children and adolescents with chronic disease using the example of bronchial asthma. Deutsche Medizinische Wochenschrift, 138(50), 2613 2618. https://doi.org/10.1055/s-0033-1349640 [in German].
Miyasaka, T., Dobashi-Okuyama, K., Takahashi, T., Takayanagi, M., & Ohno, I. (2018). The interplay between neuroendocrine activity and psychological stress-induced exacerbation of allergic asthma. Allergology International, 67(1), 32 42. https://doi.org/10.1016/j.alit.2017.04.013
Baiardini, I., Sicuro, F., Balbi, F., Canonica, G., & Braido, F. (2015). Psychological aspects in asthma: do psychological factors affect asthma management? Asthma Research And Practice, 1(7). https://doi.org/10.1186/s40733-015-0007-1
Minina, E. S., & Novikova, V. I. (2017). Bronhialnaja astma u detej: osobennosti lechenija i reabilitacii [Bronchial asthma in children: features of treatment and rehabilitation]. Vitebsk: VGMU. [in Russian].
Ohno, I. (2017). Neuropsychiatry phenotype in asthma: Psychological stress-induced alterations of the neuroendocrine-immune system in allergic airway inflammation. Allergology International, 66, Article S2 S8. https://doi.org/10.1016/j.alit.2017.06.005
Van Lieshout, R. J., & MacQueen, G. (2008). Psychological Factors in Asthma. Allergy, Asthma & Clinical Immunology, 4(1), 12 27. https://doi.org/10.1186/1710-1492-4-1-12
Kolosov, G. A., Magsarzhav, Ts., & Kanesiro, K. V. (2018). Bronkhial'naya astma: psikhosomaticheskii kontsept v pol'zu personalizirovannogo podkhoda [Bronchial asthma: a psychosomatic concept in favor of a personalized approach]. Psychology: Traditions and Innovations: Proceedings of the 3rd International Scientific Conference. (pp. 39 41). Samara. [in Russian]. https://moluch.ru/conf/psy/archive/255/13721/.
Asymov, M. A., Kurbanova, A. O., Choi, S. V., Ramazanova, S. H., & Davletgildeyeva Z. G. (2014). Uroven' trevogi i depressii u detei s bronkhial'noi astmoi v g. Almaty [Anxiety level and depression in children with asthma in Almaty]. Vestnik KazNMU, (1), 100 103. [in Russian].
Tunde-Ayinmode, M. (2015). Children with bronchial asthma assessed for psychosocial problems in a teaching hospital in Nigeria. African Health Sciences, 15(2), 690 700. https://doi.org/10.4314/ahs.v15i2.49
Smirnova, S. V., & Salevski, G. V. (2009). Psikhologicheskie osobennosti materi kak faktor formirovaniya psikhosomaticheskogo zabolevaniya (na primere bronkhial'noi astmy) [Psychological features of parents as the factor of formation psychosomatical of disease of the child]. Siberian Journal of Psychology, (32), 78 81. [in Russian].
Rodríguez, J. C. F. (2017). State of the Relationship between Bronchial Asthma and Psychological Factors. Annals of Clinical and Laboratory Research, 5(4). https://doi.org/10.21767/2386-5180.1000204
Galitsyna, Ye. Yu. (2014). Osobennosti lichnosti i psikhologicheskoi zashchity detei, stradayushchikh bronkhial'noi astmoi [The children diagnosed with bronchial asthma: personal particularities and methods of psychological defense]. Pediatrician, 5(1), 119 125. [in Russian].
Oland, A., Booster, G., & Bender, B. (2017). Psychological and lifestyle risk factors for asthma exacerbations and morbidity in children. World Allergy Organization Journal, 10, 35. https://doi.org/10.1186/s40413-017-0169-9
Chiang, L., Ma, W., Huang, J., Tseng, L., & Hsueh, K. (2009). Effect of relaxation-breathing training on anxiety and asthma signs/symptoms of children with moderate-to-severe asthma: A randomized controlled trial. International Journal Of Nursing Studies, 46(8), 1061 1070. https://doi.org/10.1016/j.ijnurstu.2009.01.013
Przybyszowski, M., Polczyk, R., Sliwka, A., Pilinski, R., Wloch, T., Nowobilski, R., Bochenek, G., & Sladek, K. (2017). Psychological factors influencing results of Asthma Control Test (ACT). European Respiratory Journal, 50(suppl. 61), Article PA1122. https://doi.org/10.1183/1393003.congress-2017.PA1122
Rajesh, T. V., Krishnakumar, P., & Mathews, L. (2008). Temperamental traits and psychological problems of children with bronchial asthma. Indian Pediatrics, 45(9), 772 774.
How to Cite
LicenseAuthors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)