A comparison of psychologic findings in variously defined asthmatic subgroups

Purcell, Kenneth; Muser, Joan; Miklich, Donald R.; Dietiker, K.Edward

doi:10.1016/0022-3999(69)90021-x

Cited by 23 publications

(8 citation statements)

References 7 publications

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“…It may be well to note that our findings are not necessarily in contrast to those relating to "rapidly remitting" vs "steroiddependent" children (4,5,8). As noted previously, Purcell and his coworkers have made it clear (8) that the emotional response, rather than personality or situational factors per se, is the important ingredient of their thesis.…”

Section: Sementioning

confidence: 44%

Observations on Patterns of Subjective Symptomatology of Acute Asthma

Kinsman

Spector

Shucard

et al. 1974

Psychosomatic Medicine

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Five symptom categories have previously been identified which described the subjective symptoms experienced during asthma attacks: These include 2 mood symptom categories, panic-fear and irritability, describing affective states concomitant with asthma; 2 somatic symptom categories, hyperventilation-hypocapnia and airway obstruction, describing reports of more specific bodily symptoms; and fatigue, describing the reduced energy level accompanying asthma attacks. In this study, 15 patterns of asthma symptomatology based on reported frequency of the 5 symptom categories during asthma attacks were identified within a group of 100 inpatients with asthma. The relationships between scores on the individual symptom categories within patterns showed that hyperventilation-hypocapnia symptoms were associated with generally high levels of the mood symptom categories, but not clearly related to the reported frequency of airway obstruction symptoms; high fatigue symptom scores accompanied both high mood symptom and airway obstruction symptom category scores; and high airway obstruction scores were not necessarily associated with high scores on the mood symptom categories. Patients who showed patterns with high mood symptom scores were prescribed higher steroid regimens upon discharge. Alternative explanations for the latter finding are discussed in some detail.

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Section: Sementioning

confidence: 44%

Observations on Patterns of Subjective Symptomatology of Acute Asthma

Kinsman

Spector

Shucard

et al. 1974

Psychosomatic Medicine

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“…In our view, such complex patterning of subjective symptomatology during asthma is highly probable. Considering the importance of the work of Purcell (21,22) and Block and Jennings (23,24) in defining subgroups within the asthma population, more specific delineation of subjective symptom typologies in asthma may provide important information concerning such aspects as the role of emotions in asthma and response to treatment.…”

Section: Subjective Symptomatology Of Asthmamentioning

confidence: 99%

Multidimensional Analysis of the Subjective Symptomatology of Asthma

Kinsman

Luparello

O'Banion

et al. 1973

Psychosomatic Medicine

212

107

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Characteristics of the subjective symptomatology of asthma were explored within a group of 100 asthma inpatients. Patients rated the relative frequency with which 77 symptom adjectives were associated with asthma attacks. Key cluster analysis of the full set of 77 adjectives identified 5 symptom clusters: Two Mood clusters, Panic-Fear and Irritability, describe affective states concomitant with asthma, while two Somatic clusters, Hyperventilation-Hypocapnia and Bronchoconstriction, describe reports of more specific bodily symptoms. The fifth symptom cluster, Fatigue, describes the reduced energy level accompanying acute asthma. For the Mood symptom clusters, an increase in Panic-Fear and Irritability was reported to occur frequently by 42% and 34% of the patients respectively. For the Somatic symptom clusters, 9% and 91% of the patients reported the frequent occurrence of Hyperventilation-Hypocapnia and Bronchoconstriction symptoms. Seventy-eight percent (78%) reported the frequent occurrence of Fatigue. Reports of Bronchoconstriction were almost independent of the Mood clusters, Panic-Fear (r = 0.20) and Irritability (r = 0.18), although associated with increased reports of Fatigue (r = 0.43). In contrast, Hyperventilation-Hypocapnia was more highly related to both reports of Panic-Fear (r = 0.38) and Irritability (r = 0.39) during acute asthma episodes. This study suggests that complex patterning of subjective symptomatology is common in asthma. Symptom patterns described across each of the 5 symptom clusters may help to define coping styles related to the role of emotions in asthma and the course of illness.Clinical descriptions of asthma only occasionally describe the subjective symptomatology associated •with episodes of bronchoconstriction, although dyspnea, syncope, fear, depression, and fatigue have been reported (1-4). While the importance of subjective symptoms for

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“…^ . ° Psychological aspects bronchial provocation testing one can also distinguish between different reaction types ( nality patterns have concerning asthma has There is the one type with immediate reac-been discussed in many papers (6,45,46,47). In tions and the one with slowly developing ob-this discussion a clear distinction has to be made struction.…”

Section: Immunological Aspectsmentioning

confidence: 99%

“…The very core of heterogeneity and subdivision of the asthma population is regularly touched upon in scientific papers reporting that certain characteristics under investigation are found in one proportion of the patients under study, but not in others. Clinical aspects of this have been discussed in several papers (6,9,11,17,21,38,44,46,48,54,58). Laros, using different combinations of clinical and laboratory data (31), classified 36 different sub-groups among patients with chronic lung disorders of different kinds, including several sub-groups of asthma.…”

mentioning

confidence: 99%