Self-hypnosis for anxiety associated with severe asthma a case report 英文参考文献.docVIP

BMC Pediatrics BioMedCentral Case report Open Access Self-hypnosis for anxiety associated with severe asthma: a case report Ran D Anbar* Address: Department of Pediatrics, State University of New York Upstate Medical University, 750 E. Adams St, Syracuse, NY 13210, United States Email: Ran D Anbar* - Anbarr@ * Corresponding author Published: 22 July 2003 Received: 06 June 2003 Accepted: 22 July 2003 BMC Pediatrics 2003, 3:7 This article is available from: /1471-2431/3/7 ? 2003 Anbar; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the articles original URL. anxietyasthmadyspneahypnosisvocal cord dysfunction Abstract Background: Management of asthma can be complicated by both medical and psychiatric conditions, such as gastroesophageal reflux, chronic sinusitis, and anxiety. When symptoms of asthma are interpreted without regard to such conditions treatment may yield a suboptimal outcome. For example, anxiety-associated dyspnea, tachypnea, and chest tightness can be mistakenly interpreted as resulting from an exacerbation of asthma. Medical treatment directed only for asthma may thus lead to overuse of asthma medications and increased hospitalizations. Case Presentation: The described case illustrates how a systemic steroid-dependent patient with asthma benefited from receiving care from a pediatric pulmonologist who also was well versed in the diagnosis and treatment of anxiety. By using self-hypnosis, the patient was able to reduce her dependence on bronchodilators. Following modification of her medical therapy under supervision of the pulmonologist, and regular use of hypnosis, the patient ultimately was weaned off her systemic steroid therapy. Conclusions: This report emphasizes that anxiety must be considered as a comor