気管支喘息, 蕁麻疹症状に及ぼす神経質の影響

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Bronchial asthma can be caused by allergy, infection or psychological factors. Therefore such factors as conflict, suggestion, anxiety, anger, repression, frustration can be a direct or indirect trigger of the desease. Also asthma to patients are said to have tendencies of emotional unstability, introversion, nervousness etc. We paid our special attention to the nervousness indicated in Yatabe Guilford test (YG) and conducted a statistical study in bronchial asthma and chronic urticaria patients on the correlation among the scores of nervousness, neurotic tendency of the Cornell Medical Index (CMI), anxiety points of the Manifest Anxiety Scale (MAS) and the degree of Severity of asthma determined by Dr. Ohshima's Classification. Subjects were 132 patients with bronchial asthma and 45 with chronic urticaria who visited the Dept. of Clinical Immunology, Dokkyo Univ. School of Medicine for the past three years. The results are as follows : 1) The prtients weve grouped into two groups, normal and abnormal, in all these 3 tests. In YG, the normal group consisted of D, C, A and the abnormal B. E types; in CMI, areas I, II were considered normal and areas III, IV abnormal; in MAS, 0-20 points normal and, over 21 points abnormal. x^2 test was conducted between these normal and abnormal groups. No significant difference was found between asthma and urticaria. although they showed a higher incidence of abnormal groups when compared to the normal control as reported previously. 2) In asthmatic patients, correlations were studied with x^2 test among the scores of nervousness on YG (0-10,11-20), of anxiety on MAS (0-1,11-20,over 21) and the degree of asthma (mild, moderate, severe). As a result, nervous patients showed that the aggravation of disease coincided with the increase in anxiety (p<0.05). 3) D and C types of YG decreased in severe asthma. 4) A positive correlation was found between aggravation of asthma and neurotic tendencies (p<0.01). 5) In asthma and urticaria, nervous patients were liable to have neurotic tendencies. 6) A posititive correlation was detected between nervousness and anxiety (p<0.001 on asthma, p<0.01 on urticaria).
日本心身医学会の論文
1979-12-01

気管支喘息, 蕁麻疹症状に及ぼす神経質の影響

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