Association of anxiety with perception of histamine induced bronchoconstriction in patients with asthma
Open accessAbstract
BACKGROUND: The perception of bronchoconstriction varies among patients with asthma and this perception may be related to the covariation of sensory and affective aspects of dyspnoea. A study was performed to evaluate whether there are differences in the perception of histamine induced bronchoconstriction between anxious and non-anxious perceivers and whether anxious perception of bronchoconstriction can be predicted by higher levels of baseline anxiety. METHODS: Seventy eight asthmatic subjects referred for a histamine challenge test undertook baseline measures for anxiety symptomatology and forced expiratory volume in one second (FEV1) followed by perceived breathlessness (Borg scale), anxiety (SUDS), and FEV1 measurement before and during induced bronchoconstriction. Based on the correlation between Borg and SUDS scores, the patients were divided into anxious and non-anxious perceivers. RESULTS: Forty one patients reported no anxiety during the challenge test. The anxious perceivers (n = 20) had higher levels of perceived breathlessness and anxiety at 20% fall in FEV1 and were more accurate in their perception of airways obstruction than non-anxious perceivers (n = 58). However, they did not report higher baseline levels of anxiety symptomatology. CONCLUSIONS: Anxiety experienced during bronchial challenge testing may result from the accurate perception of physiological changes and further direct attention to airways obstruction.
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The HADS has sufficient to high internal consistency for the total scale and both subscales.
“The internal consistency for the total scale and both subscales is sufficient to high (Cronbach’s alpha ranging from .71 to .90).”
From A blended psychosocial support program for partners of patients with amyotrophic lateral sclerosis and progressive muscular atrophy: Protocol of a randomized controlled trial (2018) · cites this paper as [44]
The Results passages list the anxiety and depression measures used, including STAI and SDS, but do not mention HADS or its internal consistency. Searches for HADS, Cronbach’s alpha, and the .71–.90 range found no relevant passage in our copy. (LLM, conf=0.77)
Experimental — accuracy not yet measuredThe HADS has high test-retest reliability for the total scale and both subscales.
“The test-retest reliability for the total scale and both subscales proved to be high (correlation coefficient ranging from .86 to .91) [42, 44].”
From A blended psychosocial support program for partners of patients with amyotrophic lateral sclerosis and progressive muscular atrophy: Protocol of a randomized controlled trial (2018) · cites this paper as [44]
The baseline-anxiety assessment passage (indexed under Results; page unavailable) lists the instruments used, including the STAI and Self-Rating Depression Scale, but does not mention the HADS. Searches for HADS, test–retest reliability, and the reported .86–.91 correlations found no passage addressing the claim. (LLM, conf=0.76)
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Effective omalizumab treatment influenced eosinophil function in severe allergic asthmatics
Yan, H., Sun, L., Ni, Y., Du, J., Liu, D., Wang, P., Cao, J. T., Xu, G., Tao, Y., Dai, R., et al. (2023) · Journal of Thoracic Disease · doi:10.21037/jtd-22-1818 · Cited by 4 · see citing works
“Asthmatics with anxiety have enhanced perception of bronchoconstriction, and accurate perception, in turn, increases anxiety (37).”
BackgroundHadise, H., Behrooz, D., Alireza, M., & Alireza, E. (2015) · Practice in Clinical Psychology · Cited by 4 · see citing works
Psychological Factors in Asthma and Psychoeducational Interventions
Fernandes, L. P. N. S. (2012) · InTech eBooks · doi:10.5772/26632 · Cited by 3 · see citing works
“These results agree with others, who argue that high anxiety leads to poor discrimination between anxiety symptoms and breathing symptoms, thus leading to an overuse of medical care (Spinhoven et al., 1997; Cluley & Cochrane, 2001).”
ResultCortical processing of breathing perceptions in the athletic brainPreprint
Harrison, O. K., Cox, P. J., & Pattinson, K. T. S. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/174052 · Cited by 2 · see citing works
Malinovsky, J. M., VERVLOET, D., & Laxenaire, M. C. (2002) · Revue Française d Allergologie et d Immunologie Clinique · doi:10.1016/s0335-7457(02)00190-9 · Cited by 1 · see citing works
Shared Decision-Making and Strategies to Optimize Adherence in Older Asthmatics
Bukstein, D. A., & Ledford, D. K. (2019) · Springer eBooks · doi:10.1007/978-3-030-20554-6_8 · Cited by 1 · see citing works
Exposure Therapy when Patients Present with Asthma
Kroll, J. L., & Meuret, A. E. (2022) · Springer eBooks · doi:10.1007/978-3-031-04927-9_10 · Cited by 1 · see citing works
Bellucci, S., & Sébahoun, G. (2009) · Hématologie · doi:10.1684/hma.2009.0315
Validering van de Catastoferen over Astma (CAS) vragenlijst
Peuter, S. D., Victoir, A., Lemaigre, V., Diest, I. V., & den Bergh, O. V. (2007) · Psychologie & gezondheid · doi:10.1007/bf03071780
Asthma in Anxiety and Its Disorders: Overview and Synthesis
Elwood, L. S., & Olatunji, B. O. (2007) · Springer eBooks · doi:10.1007/978-0-387-74753-8_10
“Furthermore, no significant relationship has been observed between self-reported (both questionnaire and diagnostic interview) baseline anxiety and respiratory symptom severity perception during histamine induced bronchoconstriction in patients with asthma (Spinhoven et al., 1997).”
BackgroundInfluence of effective omalizumab treatment on eosinophils in allergic asthma with comorbiditiesPreprint
Yan, H., Sun, L., Ni, Y., Du, J., Liu, D., Wang, P., Cao, J. T., Xu, G., Yi, T., Dai, R., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2216961/v1
- Authors
- Spinhoven, P., van Peski-Oosterbaan, A. S., Van der Does, A. J., Willems, L. N., & Sterk, P. J.
- Affiliations
- Leiden University (NL)
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 1997-02-01
- Volume
- 52
- Issue
- 2
- Pages
- 149-152
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC1758479
- OpenAlex
- W2164174910
- Cited by
- 70
- References
- 30
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 4
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- anxiety, asthma, histamine challenge, bronchoconstriction, perceived breathlessness, Borg scale
- MeSH terms
- Adult, Anxiety, Asthma, Bronchial Provocation Tests, Female, Forced Expiratory Volume, Histamine, Humans, Male, Perception, Bronchoconstriction, Statistics, Nonparametric
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