Comorbid associations and risk factors for uncontrolled bronchial asthma in adolescents

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Abstract

Improving the effectiveness of bronchial asthma (BA) treatment in adolescents through early diagnosis and correction of associated pathological conditions, including psychoemotional spectrum disorders, is a pressing issue in modern medicine.

Objective. To study disorders of the psychoemotional status in adolescents with uncontrolled BA.

Material and methods. Psychoemotional disorders associated with BA have been described, assesses their significance as risk factors for uncontrolled and partially controlled asthma in 212 adolescents aged 12–18 years – patients of the pulmonary allergology center. Using the R. Goodman questionnaire (Strengths and Difficulties Questionnaire, SDQ) we investigated the presence and severity of emotional disorders, determined the values of the total score of the scales and the correlation relationships of the analyzed indicators.

Results. The results of our own study revealed higher values of the total score of the scale of the questionnaire "Emotional symptoms" in adolescents with uncontrolled asthma, both boys and girls; the absence of deviations from the norm of the studied characteristics in the overwhelming majority of those examined, regardless of the controllability of asthma, gender and age of adolescents and a more significant contribution of borderline and deviating from the norm indicators in the partially controlled and uncontrolled course of asthma.

Conclusion. The authors conclude that the approach to the treatment of uncontrolled asthma should be comprehensive, including mandatory diagnostics and correction of asthma-associated diseases and existing socio-psychological problems in adolescents.

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About the authors

L. S. Evert

Research Institute of Medical Problems of the North of the Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences; Katanov Khakass State University

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-0665-7428

MD

Russian Federation, Krasnoyarsk; Abakan

T. V. Potupchik

Prof. Voino-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-1133-4447

Candidate of Medical Sciences

Russian Federation, Krasnoyarsk

N. G. Muravyova

Research Institute of Medical Problems of the North of the Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0002-3587-3341
Russian Federation, Krasnoyarsk

E. V. Kuvshinova

Research Institute of Medical Problems of the North of the Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences

Email: potupchik_tatyana@mail.ru
Russian Federation, Krasnoyarsk

Yu. R. Kostyuchenko

Research Institute of Medical Problems of the North of the Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0001-6233-6472
Russian Federation, Krasnoyarsk

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2. Fig. 1. Distribution of subjects by severity of asthma, presence of allergic rhinitis and atopic dermatitis in the study groups

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3. Fig. 2. Normal (A), borderline (B) and abnormal (C) scores on the “Emotional Symptoms” scale in the study groups

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