気管支喘息の心身医学的治療 : 外来レベルの治療(気管支喘息と心身医学)(第32回日本心身医学会総会)

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The pathophysiology of bronchial asthma is quite complex. So it is often unavoidable to depend on steroids to treat intractable asthma despite many types of treatment. Nevertheless, some reports have demonstrated that severe asthma improve by means of psychosomatic approach. This finding suggests the importance of psychosomatic approach to the treatment of bronchial asthma. For this reason, we reported the assessment of quality of life, actual treatment of an outpatient, effectiveness of autogenic training, and outcome of a kind of consultation approach to asthmatic patients. The results were as follows : 1. The more frequently asthmatic attacks occur, the more impaired quality of life patients have. Such a tendency was intensely observed especially in the psychological factors such as anxiety, depression or hypochondriacal tendency among ten items of quality of life. 2. It seems useful to apply psychosomatic approach including brief psychotherapy to asthmatic outpatients in order to improve their quality of life. 3. Autogenic training is also useful for the treatment of bronchial asthma. It is occasionally observed that mild asthmatic attacks are improved or cured by this procedure. So we might expect autogenic training can bring an immediate effect on asthmatic attack. 4. It is worth while for the psychosomaticist to make a kind of consultation approach cormplying with a physician's request. This maneuver contains two meanings : one finds it easy to carry out the holistic approach in this manner and the other is that education can be given to a physician as to psychosomatic approach. The practice of psychosomatic approach to an asthmatic outpatient composes the basic part of his treatment, that is, to perform a brief psychotherapy based on good patient-doctor relationship along with physical treatment. The advantage of psychosomatic approach to asthmatic patients at the outpatient department includes, first, that they can maintain their daily life to some degree ; i.e., they can receive treatment while keeping their quality of life going on. Secondly, it is easier for both patient and doctor to become aware of the mind-body relationship of the disease.
日本心身医学会の論文
1992-03-01

気管支喘息の心身医学的治療 : 外来レベルの治療(気管支喘息と心身医学)(第32回日本心身医学会総会)

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