Panek Michał, Kuna Piotr, Witusik Andrzej, Wujcik Radosław, Antczak Adam, Pietras Tadeusz
Department of Internal Medicine, Asthma and Allergy, Medical University of Lodz, Lodz, Poland.
Sub-Department of Psychology, Institute of Pedagogical Sciences, Faculty of Social Science, Piotrków Trybunalski Branch, Jan Kochanowski University in Kielce, Kielce, Poland.
Postepy Dermatol Alergol. 2016 Dec;33(6):469-474. doi: 10.5114/ada.2016.63886. Epub 2016 Dec 2.
Temperament, defined as the formal characteristics of behavior, is a personality trait which can influence the clinical presentation and course of bronchial asthma. It determines susceptibility to stress as well as stress coping styles.
The aim of the study was to assess whether healthy subjects differ from bronchial asthma patients with regard to temperamental variables and stress coping styles, and whether these factors may also differentiate patients with severe asthma from those with the milder form. The study also assesses whether the results of flow volume curve analysis correlate with temperamental traits and stress coping styles.
The study was conducted in a group of 65 asthma patients and 62 healthy controls. All underwent flow volume curve examination and psychological tests: Formal Characteristics of Behavior - Temperament Inventory (FCB-TI) and Coping in Stress Situations (CISS) questionnaire.
Bronchial asthma patients were characterized by a lower level of briskness ("agility") than healthy subjects (13.35 ±4.48 vs. 14.97 ±3.98, = 0.031). The remaining temperamental traits and stress coping styles did not differ between the groups. Additionally, the forced expiratory volume in 1 s (FEV) value was found to correlate negatively with the intensity of the emotion-oriented stress coping style, whereas FEV and forced vital capacity (FVC) were found to positively correlate with briskness, emotional reactivity and endurance, while a negative correlation was found with activity.
Briskness differentiates healthy subjects from bronchial asthma patients. The values obtained in FEV and FVC pulmonary function tests were also found to correlate with some temperamental variables.
气质被定义为行为的形式特征，是一种人格特质，可影响支气管哮喘的临床表现和病程。它决定了对应激的易感性以及应激应对方式。
本研究的目的是评估健康受试者与支气管哮喘患者在气质变量和应激应对方式方面是否存在差异，以及这些因素是否也能区分重度哮喘患者和轻度哮喘患者。该研究还评估了流量容积曲线分析结果是否与气质特征和应激应对方式相关。
本研究对65例哮喘患者和62例健康对照者进行。所有受试者均接受了流量容积曲线检查和心理测试：行为形式特征 - 气质量表（FCB-TI）和应激情况下的应对方式（CISS）问卷。
支气管哮喘患者的活力水平（“敏捷性”）低于健康受试者（13.35±4.48对14.97±3.98，P = 0.031）。其余气质特征和应激应对方式在两组之间没有差异。此外，发现第1秒用力呼气量（FEV）值与以情绪为导向的应激应对方式的强度呈负相关，而FEV和用力肺活量（FVC）与活力、情绪反应性和耐力呈正相关，与活动呈负相关。
活力可区分健康受试者与支气管哮喘患者。还发现FEV和FVC肺功能测试获得的值与一些气质变量相关。
