Does Psychotherapy Affect FeNO？

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  • 心理療法は呼気一酸化窒素濃度（FeNO）に影響を与えるか？
  • シンリ リョウホウ ワ コキ イッサンカ チッソ ノウド(FeNO)ニ エイキョウ オ アタエル カ?

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Abstract

<p>Introduction : The involvement of psychological factors in bronchial asthma has been pointed out since the time of Hippocrates.</p><p>At present, the possibility of the involvement of various emotions such as anxiety, apathy, depression, lack of confidence, anger, conflict, loss of motivation and hopelessness in bronchial asthma is strongly recognized, but in reality a universal psychotherapy based on EBM has not yet been established.</p><p>The “Parentectomy” advocated by Peshkin was regarded as the standard therapy for severe and intractable childhood asthma in Japan, and has a history of being practiced as a long-term inpatient therapy (institutional therapy). Among various reports of the time, there were some reports showing that the control of emotions such as anxiety, dissatisfaction, indulgence, jealousy, and apathy was more effective than systemic steroids in childhood asthma. Here, improving emotions such as anxiety and naivety may itself be a potential psychotherapy.</p><p>Objectives : To examine the possibility that parenting guidance (psychotherapy) may affect the exhaled nitric oxide concentrations (FeNO) in childhood asthma.</p><p>Methods : Children with asthma were given standard medication, allergic and training therapy, while parents were given parenting guidance to help their children grow up with “toughness and reliability”.</p><p>Thirty-four children (20 boys and 14 girls), aged 4-12 years at the time of the first visit, were cross-sectionally examined for treatment steps, improvements, FeNO and personality traits.</p><p>FeNO was measured by Bedfont Scientific’s NO Breath, and personality traits were assessed using the TS Style Personality Test for Preschool Children and Preteen.</p><p>Results : (1) Including significant trends, neuroticism (p<0.05), dependence (p<0.05), and emotional instability (p<0.1) were associated with FeNO in childhood asthma.</p><p> (2) Children with better personality in above mentioned traits had a higher probability of having a low FeNO concentration.</p><p>Considerations : (1) Parenting guidance to grow their children up to “toughness and reliability” could be a useful psychological therapy in childhood asthma.</p><p> (2) This report is only the result of a small number of cross-sectional surveys, and further longitudinal surveys and multifaceted verification are needed.</p>

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