抄録
It is well documented that psychologic stimulation has been implicated in the occurrence and pathophysiology of bronchial asthma. Psychological factors are considered to be highly connected with social backgrounds, however those relation with symptoms seemed to be complicated in patients with asthma. We have therefore studied the relationship of asthmatic attacks and emotions in daily life using a revised Diary of Asthmatic Attack and Emotion (Asthma-Kokoro Diary). Since many patients complained of feelings of fatigue and workload as their main emotions in the asthma diary, we have also investigated each relationship of these complaints and asthmatic attacks. Also several psychological tests were conducted. 28 male and 22 female asthma patients with a mean age of 53 years ranging from 19-79,were selected, all of whom were known to have asthma as defined by the American Thoracic Society. A positive relationship between asthmatic symptoms adn emotions was observed in approximately 30% of patients, and more than 40% of patients complained of workload (feeling) or fatigue (feeling) suggesting that these emotional factors might induce asthmatic attacks. Drug dependency was found in the positive group according to the Comprehensive Asthma Inventory (CAI), and decreased motivation towards therapy was found in the negative rgoup. No significant correlation between other psychological tests and asthma sympromatic condition was found in all patients. We conclude taht the Diary of Asthmatic Attack and Emotion would be a useful psychomatic appruoach to evaluate emotional factors in patientas with esthma.
