Lehrer P M, Isenberg S, Hochron S M
Robert Wood Johnson Medical School, Piscataway, New Jersey.
J Asthma. 1993;30(1):5-21. doi: 10.3109/02770909309066375.
This review of the empirical literature on the relationship between asthma and emotion presents an explanatory model of the connection between them. Asthmatics tend to report and display a high level of negative emotion, and asthma exacerbations have been linked temporally to periods of heightened emotionality. Causality may be bidirectional. Hypothesized mediators for the relationship between asthma and emotionality include vagal and alpha-sympathetic hyperreactivity, predominant obstruction in the larger airways, individual response stereotypy, direct effects of emotion-related facial muscle tension on the airways, the emotional effects of asthma medications, heightened respiratory drive, and hyperventilation. Predictions are presented for research on this model of asthma and emotion, and for the psychological treatment of asthma.
这篇关于哮喘与情绪关系的实证文献综述提出了一个关于二者联系的解释模型。哮喘患者倾向于报告和表现出高水平的负面情绪，且哮喘发作在时间上与情绪高涨期有关联。因果关系可能是双向的。哮喘与情绪关系的假设中介因素包括迷走神经和α-交感神经反应过度、大气道的主要阻塞、个体反应刻板性、情绪相关面部肌肉紧张对气道的直接影响、哮喘药物的情绪效应、呼吸驱动增强和通气过度。针对该哮喘与情绪模型的研究以及哮喘的心理治疗提出了预测。
