Berezin F B, Kulikova E M, Shatalov N N, Charova N A
Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(4):35-8.
Combination of somatic symptoms with neurotic manifestations and personality's disturbances in clinical picture of bronchial asthma was established during clinical and psychological observation of 89 patients with bronchial asthma. It was shown that increase of the number of frustrating situations (when psychical vulnerability was elevated), strengthening of both anxiety and emotional tension, as well as rigidity of negative emotions, hypochondriac and anxious-depressive tendencies composed the whole correlational system with alterations in functions of external respiration, changes in blood immunoglobulins levels just as with clinical indices of bronchial asthma. This system represented different levels of psychosomatic correlations' regulation. The complex psychophysiological factor of frustration and emotional tension was described, moreover the increase of its value was accompanied by strengthening of both psychical alterations and somatic disorders which were quite characteristic for prevalence of either trophotropic activation or ergotropic one when beta-adrenoceptors were blocked.
在对89例支气管哮喘患者的临床和心理观察中，发现支气管哮喘临床症状中存在躯体症状与神经症表现及人格障碍的组合。结果表明，挫折情境数量增加（此时心理易损性升高）、焦虑和情绪紧张加剧，以及负面情绪的僵化、疑病和焦虑抑郁倾向，与外呼吸功能改变、血液免疫球蛋白水平变化以及支气管哮喘临床指标构成了整个相关系统。该系统代表了心身相关性调节的不同水平。此外，还描述了挫折和情绪紧张这一复杂的心理生理因素，其值的增加伴随着心理改变和躯体障碍的加剧，这在β-肾上腺素能受体阻断时，无论是营养性激活还是促肾上腺能激活占优势的情况下都很典型。
