Carr R E
Brief Treatment Services, University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare, Newark, USA.
J Asthma. 1999;36(2):143-52. doi: 10.3109/02770909909056310.
The presence of asthma is a risk factor for the development of panic disorder. The co-occurrence of panic disorder and asthma is greater than would be expected based on their individual prevalence rates. This may be due in part to the important role of respiratory factors in panic disorder. Panic and anxiety can directly exacerbate asthma symptoms through hyperventilation, and are associated with patients' overuse of as-needed asthma medications, with more frequent hospital admissions and longer hospital stays, and with more frequent steroid treatment, all of which are independent of degree of objective pulmonary impairment. This paper reviews the literature on the relationship between panic and anxiety on the one hand, and the experience and management of asthma on the other.
哮喘的存在是惊恐障碍发生的一个风险因素。惊恐障碍和哮喘的共病情况比基于它们各自患病率所预期的更为常见。这可能部分归因于呼吸因素在惊恐障碍中所起的重要作用。惊恐和焦虑可通过过度换气直接加重哮喘症状，并且与患者按需使用哮喘药物的过度行为、更频繁的住院治疗和更长的住院时间以及更频繁的类固醇治疗相关，所有这些均与客观肺功能损害程度无关。本文综述了一方面关于惊恐和焦虑，另一方面关于哮喘的经验与管理之间关系的文献。
