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How the Asthmatic Patients Handle During War?

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Wartime stress significantly worsened asthma control and psychological health in Ukrainian patients. Anxiety, not depression, was a key factor linked to poorer asthma outcomes, emphasizing the need for mental health support in conflict zones.

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Area of Science:

  • Pulmonary Medicine
  • Psychiatry
  • Global Health

Background:

  • Psychological stress is a known factor influencing asthma severity and control.
  • Limited objective data exists on asthma outcomes during prolonged armed conflict.
  • This study investigates asthma patients in a frontline region of Ukraine during varying military intensity.

Purpose of the Study:

  • To evaluate changes in anxiety, depression, lung function, and asthma control in persistent asthma patients during conflict.
  • To examine the associations between psychological factors, clinical parameters, and controller therapy access.
  • To understand the impact of prolonged wartime stress on asthma management.

Main Methods:

  • Prospective observational study of 49 adult persistent asthma patients and 21 healthy controls in Sumy, Ukraine.
  • Assessed anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).
  • Measured lung function (FEV₁), Asthma Control Test (ACT) scores, blood eosinophils, and total IgE levels; analyzed correlations and logistic regression.

Main Results:

  • Increased psychological distress observed in both asthma patients and controls during intensified hostilities.
  • Asthma patients showed significant declines in FEV₁ and ACT scores with worsening security.
  • Higher anxiety levels were independently associated with poor asthma control (ACT < 20).

Conclusions:

  • Prolonged wartime stress led to psychological deterioration and worsened asthma control.
  • Anxiety consistently predicted impaired asthma outcomes, unlike depressive symptoms.
  • Integrating mental health screening into asthma management is crucial for conflict-affected populations.