Comorbid associations and risk factors for uncontrolled bronchial asthma in adolescents

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详细

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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作者简介

L. 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

俄罗斯联邦, Krasnoyarsk; Abakan

T. Potupchik

Prof. Voino-Yasenetsky Krasnoyarsk State Medical University

编辑信件的主要联系方式.
Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-1133-4447

Candidate of Medical Sciences

俄罗斯联邦, Krasnoyarsk

N. 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
俄罗斯联邦, Krasnoyarsk

E. 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
俄罗斯联邦, Krasnoyarsk

Yu. 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
俄罗斯联邦, Krasnoyarsk

参考

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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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