Extrapulmonary symptoms of patients with asthma treated in specialist pulmonary care
| Autor: | Hans-Ulrich Wittchen, Jens Klotsche, Hannah O. Nordberg, Oliver Riedel, Margot L. Salsman, Thomas Ritz, Stephan Mühlig |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Anxiety Pulmonary function testing 03 medical and health sciences 0302 clinical medicine Quality of life Internal medicine Surveys and Questionnaires Medicine Humans Respiratory function 030212 general & internal medicine Depression (differential diagnoses) Fatigue Asthma business.industry medicine.disease respiratory tract diseases Psychiatry and Mental health Clinical Psychology Mood Cross-Sectional Studies Quality of Life medicine.symptom business 030217 neurology & neurosurgery Psychopathology |
| Zdroj: | Journal of psychosomatic research. 148 |
| ISSN: | 1879-1360 |
| Popis: | Objective Patients seeking treatment for their asthma are most likely motivated by a change in their experience of symptoms, but primary complaints are not always related to the pulmonary system. This study aimed to determine the frequency of such extrapulmonary symptoms in asthma outpatients and their association with psychopathology and asthma outcomes. Methods This cross-sectional study utilized data collected as part of a nationwide, clinical-epidemiological study. The final sample of 572 asthma patients represented all levels of asthma control and severity. Information on demographics and respiratory function was obtained from physicians' documentation. Symptoms were explored using a standardized checklist. Results Primary symptoms reported by asthma patients were not necessarily airway-related. Patients reported feeling at least occasionally “tired” (72.1%) and “exhausted” (66.8%) more than any other asthma symptom. Hyperventilation and mood symptoms were experienced by 34.4–42.6% of patients. Anxiety or depression diagnoses indicated higher scores in all symptom domains. Controlling for asthma-related factors and psychopathology, fatigue had a small but significant effect on both asthma-related quality of life (AQLQ) (rsp2 = 0.02, P Conclusion Findings suggest that extrapulmonary symptoms are endorsed more frequently than previously reported. Symptoms nonspecific to asthma can play a substantial role in clinical presentation and exclusive focus on airway symptoms may miss important information related to patients' well-being. Surveillance of extrapulmonary symptoms alongside pulmonary function is warranted for an integrated medicine approach to asthma management. |
| Databáze: | OpenAIRE |
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