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[Autonomic and emotional disorders in chronic obstructive bronchitis]
Terapevticheskii Arkhiv
|January 1, 1985
Summary
Chronic obstructive bronchitis (COB) with emphysema and fibrosis involves autonomous and emotional syndromes. These symptoms are linked to low oxygen, breathing issues, and infections, potentially influenced by psychological factors.
Area of Science:
- Pulmonary Medicine
- Clinical Psychology
Context:
- Chronic obstructive bronchitis (COB) often co-occurs with lung emphysema and diffuse pulmonary fibrosis.
- A study examined 198 patients with these combined pulmonary conditions.
Purpose:
- To characterize the clinical presentation of patients with COB, emphysema, and fibrosis.
- To identify factors influencing the development of associated autonomous and emotional syndromes.
Summary:
- The clinical picture was dominated by an autonomous and emotional syndrome.
- This syndrome's severity correlated with arterial hypoxemia, abnormal lung ventilation, and bronchopulmonary infection activity.
- Childhood psychogenic issues, psychic trauma, and encephalopathy were implicated in syndrome formation.
- Somatoautonomic disintegration may contribute to COB development and progression.
Impact:
- Highlights the complex interplay between respiratory disease, physiological abnormalities, and psychological factors.
- Suggests potential targets for integrated treatment strategies in advanced COPD.
- Emphasizes the importance of considering psychological history in managing severe pulmonary conditions.