Attention as the basic component of cognitive functions of the brain and its features in children with bronchial asthma

Authors

  • S. M. Nedelska Zaporizhzhia State Medical University, Ukraine,
  • О. Yu. Akulova Zaporizhzhia State Medical University, Ukraine,
  • Т. Ye. Shumna Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2020.2.200614

Keywords:

attention, cognitive functions, cognitive impairment, bronchial asthma, children, Bourdon test

Abstract

 

Purpose. To study the characteristics of attention in children with bronchial asthma (BA) taking into account their sex differences, depending on the course, duration and control of the disease.

Materials and methods. A psychological test (the Bourdon correction test) was performed in 101 children (71 boys and 30 girls) with BA and 30 practically healthy children (17 boys and 13 girls) aged 10–17 years who represented a control group. The test results were evaluated by the indicator S (sustained attention), calculated by the formula 0,5 × N – 2,8 × n/t, where N – the total number of characters viewed by the child in 150 seconds; n – the number of errors; t – reaction time (150 seconds). The results obtained were processed using the software package Statistica for Windows 13 (StatSoft Inc., № JPZ804I382130ARCN10-J).

Results. It has been determined that BA patients demonstrated a significantly higher number of errors than healthy children: 10.1 ± 0.7 versus 7.6 ± 1.0, indicating a decrease in the sustained attention. It has been established that the uncontrolled course of the disease negatively affected the level of S that was lower than in healthy children (1.17 ± 0.05 vs. 1.32 ± 0.06) due to a decrease in attentional performance (404 ± 17 against 439 ± 19). Exacerbation and BA duration of more than 5 years led to a decrease in the level of S compared with the control group (1.24 ± 0.07 vs. 1.32 ± 0.06, P < 0.05). Depending on sex, the S score was lower in boys with BA than that in girls with BA and amounted to 1.23 ± 0.03 vs 1.39 ± 0.04 (P < 0.05) due to low attention span. However, in girls with a controlled course of BA, the S indicator even exceeded the similar indicator of healthy girls (1.52 ± 0.07 and 1.37 ± 0.09).

Conclusions. Bronchial asthma children, especially boys with uncontrolled course, exacerbation and disease duration of more than 5 years, displayed attention problems as a reduction in attention span and sustained attention that should be considered as moderate manifestations of cognitive impairments. Therefore, self-management education in bronchial asthma children needs to take into account the reduced attentional indicators, and medical correction of an underlying disease should be accompanied by social and psychological support for patients.

 

References

Boulet, L.-P., Reddel, H. K., Bateman, E., Pedersen, S., FitzGerald, J. M., & O’Byrne, P. M. (2019). The Global Initiative for Asthma (GINA): 25 years later. European Respiratory Journal, 54(2), Article 1900598. https://doi.org/10.1183/13993003.00598-2019

Solovyova, A. P., Goryachev, D. V., & Arkhipov, V. V. (2018). Kriterii otsenki kognitivnykh narushenii v klinicheskikh issledovaniyakh [Criteria for Assessment of Cognitive Impairment in Clinical Trials]. The Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products, 8(4), 218-230. https://doi.org/10.30895/1991-2919-2018-8-4-218-230

Párraga, J. L., Calleja Pérez, B., López-Martín, S., Albert, .J, Martín Fernández-Mayoralas, D., Fernández-Perrone, A. L., Jiménez de Domingo, A., Tirado, P., López-Arribas, S., Suárez-Guinea, R., & Fernández-Jaén, A. (2019). Attention-deficit/hyperactivity disorder and lifestyle habits in children and adolescents. Actas espanolas de psiquiatria, 47(4),158-164.

Banjari, M., Kano, Y., Almadani, S., Basakran, A., Al-Hindi, M., & Alahmadi, T. (2018). The Relation between Asthma Control and Quality of Life in Children. International Journal of Pediatrics, 2018, Article 6517329. https://doi.org/10.1155/2018/6517329

Schans, J. V., Çiçek, R., de Vries, T. W., Hak, E., & Hoekstra, P. J. (2017). Association of atopic diseases and attention-deficit/hyperactivity disorder: A systematic review and meta-analyses. Neuroscience & Biobehavioral Reviews, 74(Pt. A), 139-148. https://doi.org/10.1016/j.neubiorev.2017.01.011

World Health Organization. (2019). International statistical classification of diseases and related health problems (11th ed.). https://icd.who.int/.

Yang, C.-F., Yang, C.-C., & Wang, I.-J. (2018). Association between allergic diseases, allergic sensitization and attention-deficit/hyperactivity disorder in children: A large-scale, population-based study. Journal of the Chinese Medical Association, 81(3), 277-283. https://doi.org/10.1016/j.jcma.2017.07.016

Akulova, O. Y. (2012). Metodolohichni pytannia doslidzhennia osobystosti khvoroi na khronichnu patolohiiu dytyny shkilnoho viku (na prykladi bronkhialnoi astmy) [Methodological questions of research of personality of school’s age child by chronic pathology (on example of bronchial asthma)]. Aktualni pytannia medychnoi nauky ta praktyky, 1(79), 3-7. [in Ukrainian].

Dudeney, J., Sharpe, L., Sicouri, G., Lorimer, S., Dear, B. F., Jaffe, A., Selvadurai, H., & Hunt, C. (2017). Attentional Bias in Children with Asthma with and without Anxiety Disorders. Journal of Abnormal Child Psychology, 45(8), 1635-1646. https://doi.org/10.1007/s10802-017-0261-1

Baiardini, I., Sicuro, F., Balbi, F., Canonica, G. W., & 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

(1995). Al'manakh psikhologicheskikh testov [Almanac of psychological tests]. KSP. [in Russian].

Lizasoain, O. (2015). Siblings of a Child with a Serious Disease: Educational Family Guidelines for Developing the Emotional Health of This Minority Group. Open Journal of Social Sciences, 3(8), 56-60. https://doi.org/10.4236/jss.2015.38005

Walter, H., Sadeque-Iqbal, F., Ulysse, R., Castillo, D., Fitzpatrick, A., & Singleton, J. (2015). The effectiveness of school-based family asthma educational programs on the quality of life and number of asthma exacerbations of children aged five to 18 years diagnosed with asthma: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10), 69-81. https://doi.org/10.11124/jbisrir-2015-2335

Class, Q. A., Van Hulle, C. A., Rathouz, P. J., Applegate, B., Zald, D. H., & Lahey, B. B. (2019). Socioemotional dispositions of children and adolescents predict general and specific second-order factors of psychopathology in early adulthood: A 12-year prospective study. Journal of Abnormal Psychology, 128(6), 574-584. https://doi.org/10.1037/abn0000433

Ruiz-Goikoetxea, M., Cortese, S., Aznarez-Sanado, M., Magallón, S., Alvarez Zallo, N., Luis, E. O., de Castro-Manglano, P., Soutullo, C., & Arrondo, G. (2018). Risk of unintentional injuries in children and adolescents with ADHD and the impact of ADHD medications: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 84, 63-71. https://doi.org/10.1016/j.neubiorev.2017.11.007

Downloads

How to Cite

1.
Nedelska SM, Akulova ОY, Shumna ТY. Attention as the basic component of cognitive functions of the brain and its features in children with bronchial asthma. Zaporozhye Medical Journal [Internet]. 2020Apr.13 [cited 2024Nov.12];22(2). Available from: http://zmj.zsmu.edu.ua/article/view/200614

Issue

Section

Original research