Despite the regular treatment with inhaled corticosteroids (ICS) or ICS plus long-acting beta2-agonists, permits to control de majority of asthmatics, a significant proportion of patients does not respond to this treatment. This review was aimed to explore the role of psychological factors associated to the unsuccessful fulfilment of optimal levels of asthma control, especially in patients suffering from severe asthma. The results of a Medline search were 5510 articles addressed to different psychological key concepts, constructs and variables. This review will highlight how some selected psychological factors may have a burden on asthma management. Evidences are now available about the link between asthma (in terms of severity and control), some psychological aspects (subjective perception, alexithymia, coping style) and mental health (anxiety, depression). Taking into account this most probably bidirectional influence, a screening of mental symptoms and psychological aspects related to asthma, could lead to plan appropriate interventions to better control asthma and to improve the patient’s well-being. Ilaria Baiardini, Francesca Sicuro, Giorgio Walter Canonica and Fulvio Braido contributed equally to this work.
展开▼
机译：尽管使用吸入性糖皮质激素（ICS）或ICS加长效β2受体激动剂进行常规治疗，仍可控制大多数哮喘患者，但仍有相当一部分患者对该治疗无反应。这篇综述旨在探讨与未能成功达到最佳哮喘控制水平有关的心理因素的作用，尤其是在患有严重哮喘的患者中。 Medline搜索的结果是5510篇文章，涉及不同的心理关键概念，构造和变量。这篇综述将着重介绍某些选定的心理因素可能对哮喘管理产生负担。现在可以得到有关哮喘（在严重程度和控制方面），某些心理方面（主观知觉，智力低下，应对方式）和心理健康（焦虑，抑郁）之间的联系的证据。考虑到这种最可能的双向影响，对与哮喘有关的精神症状和心理方面进行筛查可能会导致制定适当的干预措施，以更好地控制哮喘并改善患者的健康状况。 Ilaria Baiardini，Francesca Sicuro，Giorgio Walter Canonica和Fulvio Braido同样为这项工作做出了贡献。
展开▼
