Una prospettiva cognitivo-comportamentale nell’asma infantile farmacoresistente

Titolo Rivista QUADERNI DI PSICOTERAPIA COGNITIVA
Autori/Curatori Alessandra Latrofa, Maria Grazia Foschino Barbaro
Anno di pubblicazione 2016 Fascicolo 2016/38 Lingua Italiano
Numero pagine 19 P. 53-71 Dimensione file 144 KB
DOI 10.3280/QPC2016-038005
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più clicca qui

Qui sotto puoi vedere in anteprima la prima pagina di questo articolo.

Se questo articolo ti interessa, lo puoi acquistare (e scaricare in formato pdf) seguendo le facili indicazioni per acquistare il download credit. Acquista Download Credits per scaricare questo Articolo in formato PDF

Anteprima articolo

FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

L’asma è una malattia cronica infiammatoria delle vie aeree, responsabile di una grande percentuale di morbilità e mortalità nel mondo. Coerentemente con le linee guida nazionali (GINA, 2010) che prevedono un protocollo di intervento basato su una attiva co-partecipazione e responsabilizzazione del paziente, in letteratura si ritrovano numerosi contributi su programmi di intervento di tipo educativo centrati sulla trasmissione di informazioni tali da mettere il paziente nelle condizioni di poter fronteggiare attivamente la malattia. Nonostante l’efficacia provata di tali programmi, molti sono i casi di asma considerata "difficile". L’obiettivo del presente lavoro è di analizzare alcuni studi presenti in letteratura il cui focus è volto agli aspetti psicologici implicati nel controllo della patologia asmatica. La presenza infatti di rappresentazioni mentali disfunzionali sulle sensazioni corporee e sulla malattia sembrerebbe incidere fortemente sulla qualità della percezione dei sintomi somatici, primo passo verso una corretta gestione della malattia. Allo stesso tempo la presenza di sintomi ansiosi e depressivi sembrerebbe invece influenzare negativamente il grado di funzionamento polmonare e quindi la gravità della patologia asmatica. Dall’analisi svolta si rileva l’importanza di prevedere la realizzazione di programmi di intervento integrati, al fine di promuovere alcuni aspetti centrali per un buon controllo della patologia, migliorando conseguentemente la qualità di vita e lo stato di salute così come inteso dal paradigma biopsicosociale.;

Keywords:Asma infantile, percezione dei sintomi, ansia, depressione, ristrutturazione cognitiva

  1. Bonaldi A., Salmoiraghi M. (1998). La gestione integrata delle malattie. Prospettive Sociali e Sanitarie, 4: 1-5
  2. Bronfenbreener U. (1979). The Ecology of Human Development: Experiments and Design and Nature. Massachusetts: Harvard University.
  3. Campbell D.A., Yellowlees P.M., McLennan G., Coates J.R., Frith P.A., Gluyas P.A., Latimer K.M., Luke C.G., Martin A.J., Ruffin R.E. (1995). Psychiatric and medical features of near fatal asthma. Thorax, 50(3): 254-259.
  4. Carloni I., Omenetti S., Fabbri B., Pietroni L., de Benedictis F.M. (2012). L’asma difficile nel bambino e nell’adolescente. Allergologia Respiratoria, 42(166): 98-105.
  5. Centanni S., Di Marco F., Castagna F., Boveri B., Casanova F., Piazzini A. (2000).
  6. Psychological issues in the treatment of asthmatic patients. Respiratory Medicine, 94(8): 742-749.
  7. Ciccone D.S., Chandler H.K., Pate-Carolan L., Janal M.N., Lavietes M.H. (2007). A test of the symptom amplification hypothesis in patients with asthma. The Journal of Nervous and Mental Disease, 195(2): 119-124.
  8. Cooke L., Myers L.B., Derakshan N. (2003). Lung function, adherence and denial in asthma patients who exhibit a repressive coping style. Psychology, Health & Medicine, 8(1): 35-44. DOI: 10.1080/135485002100005924
  9. Cousino M.K., Hazen R.A. (2013). Parenting stress among caregivers of children with chronic illness: a systematic review. Journal of Pediatric Psychology, 38(8): 809-828.
  10. Dahl J., Wilson K.G., Nilsson A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35(4): 785-801. DOI: 10.1016/S0005-7894(04)80020-
  11. Dal Negro R., Rossi A., Cerveri I. (2003). The burden of COPD in Italy: results from the Confronting COPD survey. Respiratory Medicine, 97: S43-S50. DOI: 10.1016/S0954-6111(03)80024-
  12. De Peuter S., Lemaigre V., Van Diest I., Verleden G., Demedts M., Van den Bergh O. (2007).
  13. Differentiation between the sensory and affective aspects of histamine-induced bronchoconstriction in asthma. Respiratory Medicine, 101(5): 925-932.
  14. De Peuter S., Lemaigre V., Van Diest I., Van den Bergh O. (2008). Illness-specific catastrophic thinking and overperception in asthma. Health Psychology, 27(1): 93. DOI: 10.1037/0278-6133.27.1.9
  15. Derakshan N., Eysenck M.W., Myers L.B. (2007). Emotional information processing in repressors: The vigilance-avoidance theory. Cognition and Emotion, 21(8): 1585-1614.
  16. D’Zurilla T.J., Nezu (1982). Social problem solving in adults. In: Kendall P.C., editor, Advances in Cognitive-Behavioral Research and Therapy. New York: Academic Press, pp. 202-74.
  17. Eccleston C., Palermo T.M., Fisher E., Law E. (2012). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 8. DOI: 10.1002/14651858.CD00966
  18. Engel (1977). The need for a new medical model, a challenge for biomedicine. Science, 196: 129-136.
  19. Folkman S., Lazarus R.S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54(3): 466. DOI: 10.1037//0022-3514.54.3.46
  20. Fritz G.K., McQuaid E.L., Spirito A., Klein R.B. (1996). Symptom perception in pediatric asthma: relationship to functional morbidity and psychological factors. Journal of the American Academy of Child & Adolescent Psychiatry, 35(8): 1033-1041. DOI: 10.1097/00004583-199608000-0001
  21. Garcia G., Adler M., Humbert M. (2003). Difficult asthma. Allergy, 58(2): 114-121.
  22. Global Iniziative for Asthma (GINA, 2009). Guida tascabile per il trattamento e la prevenzione dell’asma per bambini di età inferiore ai 5 Anni. Una guida per medici pediatri ed il personale sanitario. -- Testo disponibile sul sito http://www.ginasthma.com/Committees.asp?l1=7&l2=2
  23. Global Iniziative for Asthma (GINA, 2010). Guida tascabile per il trattamento e la prevenzione dell’asma per adulti e bambini di età superiore o uguale a 5 anni. Una guida per medici e personale sanitario. --Testo disponibile sul sito http://www.ginasthma.com/Committees.asp?l1=7&l2=2
  24. Goodwin R.D., Bandiera F.C., Steinberg D., Ortega A.N., Feldman J.M. (2012). Asthma and mental health among youth: etiology, current knowledge and future directions. Expert Review of Respiratory Medicine, 6(4): 397-406.
  25. Goubert L., Crombez G., Eccleston C., Devulder J. (2004). Distraction from chronic pain during a pain-inducing activity is associated with greater post-activity pain. Pain, 110(1): 220-227.
  26. Gregg J.A., Callaghan G.M., Hayes S.C., Glenn-Lawson J.L. (2007). Improving diabetes self-management through acceptance, mindfulness, and values: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 75(2): 336. DOI: 10.1037/0022-006X.75.2.33
  27. Haley J. (1976). Problem Solving Therapy. San Francisco: Jossey-Bass.
  28. Hayes S.C., Strosahl K.D., Wilson K.G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
  29. Isenberg S., Lehrer P., Hochron S. (1997). Defensiveness and perception of external inspiratory resistive loads in asthma. Journal of Behavioral Medicine, 20(5): 461-472. DOI: 10.1023/A:102555153275
  30. Janssens T., Verleden G., De Peuter S., Van Diest I., Van den Bergh O. (2009). Inaccurate perception of asthma symptoms: A cognitive-affective framework and implications for asthma treatment. Clinical Psychology Review, 29(4): 317-327.
  31. 2009.02.006 Janssens T., Verleden G., De Peuter S., Petersen S., Van den Bergh O. (2011). The influence of fear of symptoms and perceived control on asthma symptom perception. Journal of Psychosomatic Research, 71(3): 154-159.
  32. Kabat-Zinn J. (1982). An outpatient program in behavioural medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical consideration and preliminary results. General Hospital Psychiatry, 4: 33-47. DOI: 10.1016/0163-8343(82)90026-
  33. Kahana S., Drotar D., Frazier T. (2008). Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. Journal of Pediatric
  34. Psychology, 33(6): 590-611.
  35. Katz P.P., Yelin E.H., Eisner M.D., Blanc P.D. (2002). Perceived control of asthma and quality of life among adults with asthma. Annals of Allergy, Asthma & Immunology, 89(3): 251-258. DOI: 10.1016/S1081-1206(10)61951-
  36. Kaugars A.S., Klinnert M.D., Bender B.G. (2004). Family influences on pediatric asthma.
  37. Journal of Pediatric Psychology, 29(7): 475-491.
  38. Keeley D., Osman L. (2001). Dysfunctional breathing and asthma: it is important to tell the
  39. difference. British Medical Journal, 322(7294): 1075.
  40. Klein R.B., Walders N., McQuaid E.L., Adams S., Yaros D., Fritz G.K. (2004). Symposium:
  41. The Asthma Risk Grid: Clinical Interpretation of Symptom Perception. Allergy &
  42. Asthma Proceedings, 25: 1. ISSN 1088-5412
  43. Koinis-Mitchell D., McQuaid E.L., Seifer R., Kopel S.J., Nassau J.H., Klein R.B., Fritz G.K.
  44. (2009). Symptom perception in children with asthma: cognitive and psychological factors. Health Psychology, 28(2): 226.
  45. Kopf S., Oikonomou D., Hartmann M. (2014). Effects of stress reduction on cardiovascular risk factors in type 2 diabetes patients with early kidney disease – results of a randomized controlled trial (HEIDIS). Experimental and Clinical Endocrinology & Diabetes, 122: 341-9.
  46. Lehrer P., Feldman J., Giardino N., Song H.S., Schmaling K. (2002). Psychological aspects of asthma. Journal of Consulting and Clinical Psychology, 70(3): 691. DOI: 10.1037//0022-006X.70.3.69
  47. Lundgren T., Dahl J., Melin L., Kies B. (2006). Evaluation of acceptance and commitment therapy for drug refractory epilepsy: A randomized controlled trial in South Africa – A pilot study. Epilepsia, 47(12): 2173-2179.
  48. Lundgren T., Dahl J., Yardi N., Melin L. (2008). Acceptance and Commitment Therapy and yoga for drug-refractory epilepsy: A randomized controlled trial. Epilepsy & Behavior, 13(1): 102-108.
  49. Magadle R., Berar-Yanay N., Weiner P. (2002). The risk of hospitalization and near-fatal and fatal asthma in relation to the perception of dyspnea. CHEST Journal, 121(2): 329-333.
  50. Mancuso C.A., Rincon M., McCulloch C.E., Charlson M.E. (2001). Self-efficacy, depressive symptoms, and patients’ expectations predict outcomes in asthma. Medical Care, 39(12): 1326-1338. DOI: 10.1097/00005650-200112000-0000
  51. McClafferty H. (2014). An Overview of Integrative Therapies in Asthma Treatment. Curren
  52. Allergy and Asthma Reports, 14(10): 1-8.
  53. McCracken L.M., MacKichan F., Eccleston C. (2007). Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change. European Journal of Pain, 11(3): 314-322.
  54. McCracken L.M., Turk D.C. (2002). Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process. Spine, 27(22): 2564-2573. DOI: 10.1097/00007632-200211150-0003
  55. McCracken L.M., Vowles K.E., Eccleston C. (2005). Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour Research and Therapy, 43(10): 1335-1346.
  56. McQuaid E.L., Mitchell D.K., Walders N., Nassau J.H., Kopel S.J., Klein R.B., Fritz G.K. (2007). Pediatric asthma morbidity: The importance of symptom perception and family response to symptoms. Journal of Pediatric Psychology, 32(2): 167-177.
  57. Merkes M. (2010). Mindfulness-based stress reduction for people with chronic diseases. Australian Journal of Primary Health, 16: 200-10. DOI: 10.1071/PY0906
  58. Middleton E.Jr., Ellis E.F., Yunginger J.W., Reed C.E., Adkinson N.F.Jr., Busse W.W. et al. (1998). Allergy principles and practice (5th ed.). St. Louis: Mosby.
  59. Miller B.D., Wood B.L. (2003). Emotions and Family Factors in Childhood Asthma: Psychobiologic Mechanisms and Pathways of Effect. Advances in Psychosomatic Medicine, 24: 131-160. DOI: 10.1159/00007378
  60. Miller B.D., Wood B.L., Lim J., Ballow M., Hsu C. (2009). Depressed children with asthma evidence increased airway resistance:“Vagal bias” as a mechanism? Journal of Allergy and Clinical Immunology, 124(1): 66-73.
  61. Miller G.E., Gaudin A., Zysk E., Chen E. (2009). Parental support and cytokine activity in childhood asthma: the role of glucocorticoid sensitivity. Journal of Allergy and Clinical Immunology, 123(4): 824-830.
  62. Minor H.G., Carlson L.E., Mackenzie M.J., Zernicke K., Jones L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43(1): 91-109.
  63. Minuchin S. (1974). Families & Family Therapy. Massachusetts: Harvard University.
  64. Muris P., Merckelbach H., Meesters C. (2001). Learning experiences and anxiety sensitivity in normal adolescents. Journal of Psychopathology and Behavioral Assessment, 23(4): 279-283. DOI: 10.1023/A:101278350485
  65. Pauwels R.A., Pedersen S., Busse W.W., Tan W.C., Chen Y.Z., Ohlsson S.V., O’Byrne P. M. (2003). Early intervention with budesonide in mild persistent asthma: a randomised, double-blind trial. The Lancet, 361(9363): 1071-1076. DOI: 10.1016/S0140-6736(03)12891-
  66. Pbert L., Madison J.M., Druker S., Olendzki N., Magner R., Reed G., Carmody J. (2012). Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial. Thorax, 67: 769-76.
  67. Prevedini A.B., Presti G., Rabitti E., Miselli G., Moderato P. (2011). Acceptance and Commitment Therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 33(1 Suppl. A): A53-A63.
  68. Put C., Van den Bergh O., Van Ongeval E., De Peuter S., Demedts M., Verleden G. (2004). Negative affectivity and the influence of suggestion on asthma symptoms. Journal of Psychosomatic Research, 57(3): 249-255. DOI: 10.1016/S0022-3999(03)00541-
  69. Rabe K.F., Vermeire P.A., Soriano J.B., Maier W.C. (2000). Clinical management of asthma in 1999: the Asthma Insights and Reality in Europe (AIRE) study. European Respiratory Journal, 16(5): 802-807.
  70. Sales J., Fivush R., Teague G.W. (2008). The role of parental coping in children with asthma’s psychological well-being and asthma-related quality of life. Journal of Pediatric Psychology, 33(2): 208-219. doi.: 10.1093/jpepsy/jsm068
  71. Scarupa M.D., Mori N., Canning B.J. (2005). Gastroesophageal Reflux Disease in Children with Asthma. Pediatric Drugs, 7(3): 177-186. DOI: 10.2165/00148581-200507030-0000
  72. Scholten L., Willemen A.M., Last B.F., Maurice-Stam H., van Dijk E.M., Ensink E., Grootenhuis M.A. (2013). Efficacy of psychosocial group intervention for children with chronic illness and their parents. Pediatrics, 131(4): e1196-e1203.
  73. Sherwood Brown E., Khan D.A., Nejtek V.A., Rajan Thomas N., Mahadi S.F. (2000). Depressive symptoms and functioning in asthmatic patients. Prim. Care Psychiatry, 6: 155-61.
  74. Stegen K., Van Diest, I. Van de Woestijne K.P., Van den Bergh O. (2000). Negative affectivity and bodily sensations induced by 5.5% CO2 enriched air inhalation: Is there a bias to interpret bodily sensations negatively in persons with negative affect? Psychology and Health, 15(4): 513-525. DOI: 10.1080/0887044000840201
  75. Stegen K., Van Diest I., Van De Woestijne K.P., De Bergh O.V. (2001). Do persons with negative affect have an attentional bias to bodily sensations? Cognition & Emotion, 15(6): 813-829. DOI: 10.1080/0269993014300021
  76. Sturdy P.M., Victor C.R., Anderson H.R., Bland J.M., Butland B.K., Harrison B.D., Peckitt C., Taylor J.C. (2002). Mortality and severe Morbidity Working Group of the National Asthma Task Force. Psychological, social, and health behaviour risk factors for deaths certified as asthma: a national case-control study. Thorax, 57(12): 1034-1039.
  77. Szefler S.J., Martin R.J., King T.S., Boushey H.A., Cherniack R.M., Chinchilli V.M., Sorknes C.A. (2002). Significant variability in response to inhaled corticosteroids for persistent asthma. Journal of Allergy and Clinical Immunology, 109(3): 410-418.
  78. Taylor S.E. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. New York: Lawrence Erlbaum Associates Publishers.
  79. Thayer J.F., Lane R.D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61: 201-216. DOI: 10.1016/S0165-0327(00)00338-
  80. Theofilou P., Saborit A.R. (2012). Predictors of asthma treatment adherence. J. Psychol. Psychother. S, 3: 2161-0487.
  81. Tsao J.C., Myers C.D., Craske M.G., Bursch B., Kim S.C., Zeltzer L.K. (2005). Parent and child anxiety sensitivity: Relationship in a nonclinical sample. Journal of Psychopathology and Behavioral Assessment, 27(4): 259-268.
  82. Tsao J.C., Lu Q., Myers C.D., Kim S.C., Turk N., Zeltzer L.K. (2006). Parent and child anxiety sensitivity: relationship to children’s experimental pain responsivity. The Journal of Pain, 7(5): 319-326.
  83. Turyk M., Hernandez E., Wright R.J., Freels S., Slezak J., Contraras A., Piorkowski J., Persky V. (2008). Stressful life events and asthma in adolescents. Pediatric Allergy and Immunology, 19(3): 255-263.
  84. Van Damme S., Crombez G., Eccleston C., Roelofs J. (2004). The role of hypervigilance in the experience of pain. Understanding and treating fear of pain, 71-90.-- http://hdl.handle.net/1854/LU-209114
  85. Watson D., Clark L.A. (1984). Negative Affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96: 465-490. DOI: 10.1037//0033-2909.96.3.46
  86. Waxmonsky J., Wood B.L., Stern T., Ballow M., Lillis K., Cramer-Benjamin D., Miller B.D. (2006). Association of depressive symptoms and disease activity in children with asthma: methodological and clinical implications. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8): 945-954.
  87. Wetherell J.L., Afari N., Rutledge T., Sorrell J.T., Stoddard J.A., Petkus A.J., Atkinson J.H. (2011). Arandomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152(9): 2098-2107
  88. Wood B.L., Lim J., Miller B.D., Cheah P.A., Simmens S., Stern T., Ballow M. (2007). Family emotional climate, depression, emotional triggering of asthma, and disease severity in pediatric asthma: Examination of pathways of effect. Journal of Pediatric Psychology, 32(5): 542-551.
  89. Wright R.J., Rodriguez M., Cohen S. (1998). Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax, 53(12): 1066-1074.
  90. Yorke J., Fleming S.L., Shuldham C. (2005). Psychological interventions for children with asthma. The Cochrane library.
  91. WHO (1986) Ottawa charter for health promotion: an International Conference on Health Promotion, the move towards a new public health. 17-21 November, World Health Organization, Ottawa, Geneva, Canada.
  92. WHOQoL Group (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(03): 551-558. DOI: 10.1017/S003329179800666

Alessandra Latrofa, Maria Grazia Foschino Barbaro, Una prospettiva cognitivo-comportamentale nell’asma infantile farmacoresistente in "QUADERNI DI PSICOTERAPIA COGNITIVA" 38/2016, pp 53-71, DOI: 10.3280/QPC2016-038005