The object of this study is to facilitate the detection of cases of bronchial asthma aggravated by psychological factors. The patients subjected to the study was 254 cases in age groups ranging from 15 to 80, 115 male cases and 139 female, having chronic, all year-round type, mixed-type asthma. Using a questionnaire containing 22 questions designed to revela the involvement in psychological factors in onset triggering pressence asthma, percentage scores were assigned to such categories of mental state as"extent of conditioning", "suggestibility", "expected anxiety", "dependency", "frustration", "flight into illness", "distorted life habits", "negative attitudes towards prognosis", "decreased motivation towards therapy", and"lack of understanding of mind-body relationship", and CAI-Cram curves plotted. Further, CAI-scores were derived from the CAI-Gram curves by calculating averaged of total percentages, and assessments were made on the basis of the CAI-score. Scale 1, of less than 20 points; Scale 2, of 20 to 40 points; and Scale 3, of more than 40 points. According to this scoring system, the answeres to the questionnaire are considered to reveal such that patients making a score of less than 20 points are considered normal or slightly positive (symple) for psychosomatic disease; those making a score of 20 to 40 points, positive for psychosomatic disease or neurosis; and those making a score of more than 40 points, positive for neurosis (including depression). Patients with dependency, negative attitudes towards prognosis or decreased motivation towards therapy made relatively high scores, and the patients who fell into one or both of the latter two categories of mental state were found to be experienced considerable depression. The CAI which was originated by the Society of Psychosomatic Respiratory Disease, is not yet completed, but has already been in practical use for nearly 10 years. This communication is an interim report on the use of the CAI.
View full abstract