Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC54010.15690/vramn.v70.i5.1435PEDIATRICS: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ПЕДИАТРИИPsychosomatic Aspects of Bronchial Asthma in ChildrenПсихосоматические соотношения при бронхиальной астме у детейKrivonogovaT. S.КривоноговаТ. С.
Russian Federation

доктор медицинских наук, профессор кафедры педиатрии ФПК и ППС СибГМУ Адрес: 634050, Томск, Московский тракт, д. 4, тел.: +7 (3822) 53-10-12

eukon@inbox.ruShemyakinaT. A.ШемякинаТ. А.
Russian Federation

кандидат медицинских наук, доцент кафедры педиатрии ФПК и ППС СибГМУ Адрес: 634050, Томск, Московский тракт, д. 4, тел.: +7 (3822) 53-10-12

eukon@inbox.ruBabikovaYu. A.БабиковаЮ. А.
Russian Federation

аспирант кафедры педиатрии ФПК и ППС СибГМУ Адрес: 634050, Томск, Московский тракт, д. 4, тел.: +7 (3822) 53-10-12

flexn@mail.ruGavrilovaA. N.ГавриловаА. Н.
Russian Federation

старший воспитатель первой квалификационной категории МАДОУ ЦРР –ДС № 96 г. Томска Адрес: 634027, Томск, ул. Кошурникова, д. 11, тел.: +7 (3822) 46-62-65

nastik31285@mail.ruSiberian State Medical University, Tomsk, Russian FederationСибирский государственный медицинский университет, Томск, Российская ФедерацияChild Development Center – Kindergarten № 96, Tomsk, Russian FederationЦентр развития ребенка – детский сад № 96 г. Томска, Томск, Российская Федерация031220157055095120212201502122015Copyright ©; 2015, "Paediatrician" Publishers LLCCopyright ©; 2015, Издательство "Педиатръ"2015"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/540

Bronchial asthma is the most common chronic disease in children affecting 30% of the child population. The purpose of this review was to analyze and summarize the works of foreign and Russian authors who evaluated the impact of mental disorders on the course of asthma in children. The article presents the definition of asthma as a psychosomatic disease and relevance of the study against this background. The authors adduce the results of research studies which allow us to estimate the interaction between the degree of anxiety, accentuation of the nature, severity of asthma, and the duration of the disease. The existing publications demonstrate that the researchers' opinions are polarized regarding the cause-and-effect relationship between psychological disorders and controlled asthma. The authors came to a conclusion that early detection of psychopathological symptoms and appropriate psychotherapeutic administration would improve the efficacy of treatment in children with bronchial asthma and the social adaptation, adjust the system of family relations, and have a positive effect on the course of the disease.

Бронхиальная астма (БА) остается самой распространенной хронической болезнью среди детей, затрагивая 30% детского населения. Цель настоящего обзора — проанализировать и обобщить труды зарубежных и отечественных авторов, в которых оценивали влияние психических расстройств на течение БА у детей. Представлено определение понятия и актуальность изучения БА как психосоматического заболевания. Приведены итоги научных трудов, что позволяет оценить взаимосвязи между степенью тревожности, акцентуацией характера и тяжестью течения БА, а также длительностью заболевания. Показано, что в существующих публикациях поляризуются мнения исследователей относительно причинно-следственных отношений между психологическими сбоями и контролем БА. Дано заключение, что раннее выявление психопатологической симптоматики и своевременное оказание психотерапевтической помощи детям с БА позволит повысить эффективность лечения данной категории пациентов, улучшить социальную адаптацию, скорректировать систему внутрисемейных отношений, что в целом окажет положительное влияние на течение основного заболевания.

bronchial asthmachildrenmental disordersбронхиальная астмадетипсихические расстройства1. Golubev N.A. Optimizatsiya farmakoterapii bronkhial'noi astmy u bol'nykh s affektivnymi rasstroistvami. Avtoref. dis. … kand. med. nauk [Optimization of Pharmacotherapy of Bronchial Asthma in Patients with Affective Disorders. Author’s abstract]. Volgograd, 2012. 35 p.2. Psikhologicheskie osobennosti detei i podrostkov s bronkhial'noi astmoi. Uch. pos. Pod red. E.B. Romantsova, A.F. Babtseva, E.L. Chupak, O.B. Prikhod'ko, A.G. Fomina [Psychological Characteristics of Children and Adolescents with Asthma. Textbook. Ed. by E.B. Romantsov, A.F. Babtsev, E.L. Chupak, O.B. Prikhod'ko, A.G. Fomin]. Blagoveshchensk, Polisfera, 2009. 25 p.3. Brehm J.M., Ramratnam S.K., Tse S.M., Croteaci-Chonka D.S., Pino-Yanes, M., Rosas-Salazar, C., Litonjua A.A., Raby B.A., Boutaoui N., Han Y.Y., Chen W., Forno E., Marsland A.L., Nugent N.R., Eng C., Colón-Semidey A., Alvarez M., Acosta-Pérez E., Spear M.L., Martinez F.D., Avila L., Weiss S.T., Soto-Quiros M., Ober C., Nicolae D.L., Barnes K.C., Lemanske R.F. Jr., Strunk R.C., Liu A., London S.J., Gilliland F., Sleiman P., March M., Hakonarson H., Duan Q.L., Kolls J.K., Fritz G.K., Hu D., Fani N., Stevens J.S., Almli L.M., Burchard E.G., Shin J., McQuaid E.L., Ressler K., Canino G., Celedón J.C. Stress and bronchodilator response in children with astma. Am. J. Respir. Crit. Care Med. 2015; 192 (1): 47–56.4. Berdnikova L.V. Kachestvo zhizni i trevozhno-depressivnye rasstroistva u bol'nykh bronkhial'noi astmoi v sochetanii s arterial'noi gipertenziei. Avtoref. dis. … kand. med. nauk [Quality of Life and Anxiety-Depressive Disorders in Patients with Bronchial Asthma in Combination with Hypertension. Author’s abstract]. N. Novgorod, 2012. 27 p.5. Leander M., Lampa E., Rask-Andersen A., Franklin K., Gislason T., Oudin A., Svanes C., Torén K., Janson C. Impact of anxiety and depression on respiratory symptoms. Respir. Med. 2014; 108 (11): 1594–600.6. Berezin F.B., Kulikova E.M., Shatalov N.N., Charova N.A. Psychosomatic correlations with bronchial asthma. Zhurnal nevrologii i psikhiatrii = Journal of neurology and psychiatry. 1997;97(4):35–38.7. Nekam K. Epidemiology of allergic diseases in Central and Eastern Europe. Astma = Asthma. 2009;10(1):43–44.8. Natsional'naya programma «Bronkhial'naya astma u detei. Strategiya lecheniya i profilaktiki» [National Program "Bronchial Asthma in Children. The Strategy of Treatment and Prevention"]. Moscow, 2012. 183 p.9. Geppe N.A. Effect of interval hypoxic training on the quality of life for children with asthma. Meditsinskaya pomoshch' = Health care. 2003;3:29–33.10. Markelova T.N. Osobennosti tsitokinovogo profilya, farmakoterapii i pokazatelei kachestva zhizni u detei doshkol'nogo vozrasta s bronkhial'noi astmoi. Avtoref. dis. ... kand. med. nauk [Features of Cytokine Profile, Medication and Quality of Life in Preschool Children with Asthma. Author’s abstract]. Samara, 2011. 24 p.11. Esteban C., Quintana J.M., Aburto M., Moraza J., Egurrola M., Perez-Izguierdo J., Aispiri S., Aguirre U., Capelastegui A. Impact of changes in physical activity on health related quality of life among patients with COPD. Eur. Respir. J. 2010; 36 (2): 292–300.12. Goodwin R.D. Asthma and the risk of panic attacks among adults in the community. Psychol. Med. 2003; 33 (5): 879–885.13. Nagorova A.Yu., Prilepskikh O.S., Nestova A.V., Zotova M.A., Smirnova T.G., Dan'shina A.E. The study of character traits of children with asthma. Sovremennye problemy nauki i obrazovaniya = Modern problems of science and education. 2012;6. Available at: www.science-education.ru/106-7596 (accessed: 06.05.2015).14. Goremykin V.I., Protopopov A.A., Korolev K.A. Psikhologicheskie osobennosti detei s razlichnym techeniem bronPsikhosomaticheskie rasstroistva v akusherstve, ginekologii, pediatrii i terapii. Tezisy dokladov Vserossiiskoi konferentsii [Psychological characteristics of children with different disorders over bronPsihosomaticheskie in obstetrics, gynecology, pediatrics and therapy. Abstracts of the All-Russian Conference]. Ivanovo, 2001. P. 272–274.15. Voronina S.N., Maskova G.S. Analysis of the medical, social and psychological status of preschoolers at risk for the formation of bronchial asthma. Meditsinskaya psikhologiya v Rossii. Elektronnyi nauchnyi zhurnal = Medical psychology in Russia. Electronic scientific journal. 2010;4. Available at: http://medpsy.ru (accessed: 15.04.2015).16. Leongard K. Aktsentuirovannye lichnosti [Accentuated Personality]. Rostov-on-Don, Feniks, 1997. 544 p.17. Ovcharenko S.I. Control of bronchial asthma: psychosomatic relations and personality disorders. Atmosfera. Pul'monologiya i allergologiya = Atmosphere. Pulmonology and Allergology. 2009;1:22–25.18. Potoczek A., Nizankowska-Mogilnicka E., Bochenek G., Szczeklik A. Astma ciezka i plec chorych a obecnosc doznanych urazow psychicznych. Psychiatr. Pol. 2006; 6: 1081–1096.19. Solov'eva E.Yu. Osobennosti mekhanizmov psikhologicheskoi zashchity u detei s bronkhial'noi astmoi. Kongress po detskoi psikhiatrii. Tezisy dokladov [Features of Psychological Defense Mechanisms in Children with Asthma. Congress of Child Psychiatry. Abstracts]. Moscow, 2001 P. 23–26.20. Kuraeva D.A. Influence of parent-child relations in relation to the disease of adolescents with asthma. Byulleten' meditsinskikh internet-konferentsii = Bulletin of Medical internet conferences. 2013;3(2):195.21. Adams R.J. Wilson D.H., Daly A.W., Tursan d,Espaignet E., Del Grande E., Ruffin R.E. Psychological factors and asthma quality of life: a population based study. Thorax. 2004; 59 (11): 930–935.22. Lu Y., Ho R., Lim T.K., Kuan W.S., Goh. D.Y., Mahadevan M., Sim T.B., Ng T.P., van Bever H.P. Psychiatric comorbidities in Asian adolescent asthma patients and the contributions of neuroticism and perceived stress. J. Adolesc. Health. 2014; 55 (2): 267–275.23. Kolbe J., Fergusson W., Vamos M., Garrett J. Case control study of severe life-threatening asthma (SLTA) in adults: psychological factors. Thorax. 2002; 57: 317–322.24. Belyalov F.I., Tsirenova A.D. Bronkhial'naya astma kak psikhosomaticheskoe zabolevanie. Sovremennoe sostoyanie problemy. V sb. nauchnykh statei: Psikhosomaticheskie i somatoformnye rasstroistva v klinicheskoi praktike [Asthma as a Psychosomatic Illness. Current State of the Problem. In Proc. of scientific articles: Psychosomatic and Somatoform Disorders in Clinical Practice]. Irkutsk, 2007. P. 46–49.25. Gladkova K.I., Parshikova I.V., Zaitseva O.G., Ageev M.I., Lozhnikova L.E., Koroteeva V.V., Shapkarin V.O. Individually psychological features of patients with bronchial asthma in the process of social adaptation. Kubanskii nauchno-meditsinskii vestnik = Cuban medical scientific bulletin. 2009;4:76–78.26. Letitre S.L., de Groot E.P., Draaisma E., Brand P.L. Anxiety, depression and self esteem in children with well controlled asthma: case control study. Arch. Dis. Child. 2014; 99 (8): 744–748.27. Valenca A.M., Falcao R., Freire R.C., Nascimento I., Nascentes R., Zin W.A., Nardi A.E. The relationship between the severity of asthma and comorbidities with anxiety and depressive disorders. Rev. Bras. Psiquiatr. 2006; 28 (3): 206–208.28. Lu Y., Mak K.K., van Bever H.P., Ng T.P., Mak A., Ho R.C. Prevalence of anxiety and depressive symptoms in adolescents with asthma: a meta-analysis and meta-regression. Pediatr. Allergy Immunol. 2012; 23 (8): 707–715.29. Feldman J.M., Siddique M.I., Thompson N.S., Lehrer P.M. The role of panic fear in comorbid asthma and panic disorder. J. Anxiety. Disord. 2009; 23 (2): 178–184.30. Ruslyakova E.E. Psikhologicheskie osobennosti lichnosti podrostkov, stradayushchikh bronkhial'noi astmoi i metody psikhologicheskoi korrektsii. Avtoref. dis. … kand. psikhol. nauk [Psychological Features of the Person of Teenagers Suffering from Bronchial Asthma and Methods of Psychological Correction. Author’s abstract]. St. Petersburg, 2004. 18 p.31. Ruban A.P., Vasilevskii I.V. Personal character traits in children with asthma and their relationship with lung function. Meditsinskaya panorama = Medical panorama. 2013;3:26–28.