Kinsman R A, Dirks J F, Jones N F, Dahlem N W
Psychosom Med. 1980 Jul;42(4):397-405. doi: 10.1097/00006842-198007000-00002.
Anxiety reduction procedures as adjuncts to medical treatment have almost invariably been reported to benefit asthmatic patients in individual case studies. However, the results of more systematically controlled studied are clearly inconsistent. This discrepancy is understandable in view of what is now known about anxiety in asthma. Four catches, each based on what has been reported about the roles and forms of anxiety in asthma, are presented. Each catch argues against general, across-the-board application of anxiety reduction procedures in asthma. Careful evaluation leading to more problem-oriented treatment is needed in view of the different roles of anxiety in asthma.
在个别案例研究中,几乎无一例外地报告称,焦虑缓解程序作为药物治疗的辅助手段,对哮喘患者有益。然而,更系统对照研究的结果显然并不一致。鉴于目前对哮喘焦虑的了解,这种差异是可以理解的。本文提出了四个要点,每个要点都基于已报道的哮喘焦虑的作用和形式。每个要点都反对在哮喘治疗中普遍、全面地应用焦虑缓解程序。鉴于焦虑在哮喘中的不同作用,需要进行仔细评估以实现更具针对性的治疗。