Psychosomatic Correlation in Respiratory Diseases : Bronchial Asthma and Chronic Obstructive Pulmonary Disease

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  • Mashima Ichiro
    Division of Psychosomatic Medicine, Department of Respiratory and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences Department of Internal Medicine and Psychosomatic Medicine, Kohdo Hospital
  • Kikuchi Toshiaki
    Division of Psychosomatic Medicine, Department of Respiratory and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences

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Other Title
  • 呼吸器疾患（気管支喘息・COPD）の心身相関
  • 呼吸器疾患(気管支喘息・COPD)の心身相関 : 心から身へ・身から心へ
  • コキュウキ シッカン(キカンシ ゼンソク ・ COPD)ノ シンシン ソウカン : ココロ カラ ミ エ ・ ミ カラ ココロ エ
  • ―From Mind to Body, Body to Mind―
  • ―心から身へ・身から心へ―

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Abstract

<p>Asthma and chronic obstructive pulmonary disease (COPD) are psychosomatic respiratory diseases. When physical factors impacting the disease are significant, a “body to mind” psychosomatic approach is needed. In the psychosomatic correlates of asthma, particularly in patients with severe refractory asthma, enhanced physical treatment may lead to psychological stability, reducing chronic stress reactions.</p><p>Bronchial thermoplasty and molecular targeted drug therapy have been shown to improve depression and quality of life in patients with severe asthma. However, since these therapies require invasive or expensive long-term treatment, evaluating the psychosocial burden will be vital in the future.</p><p>Holistic care, including respiratory rehabilitation and inhalers, is important for treating depression associated with COPD.</p><p>In the psychosomatic approach, it may be difficult to timeously intervene with a psychological approach when physical symptoms are prominent. In such cases, the “body to mind” approach may be practical.</p>

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