Anxious-phobic disorders in patients with dyspnea

The examination included 35 patients (21 women, 14 men, mean age 47,2.+/-2, 4 years) with anxious-phobic disorders (APD) and dyspnea phenomena combined bronchial asthma (BA) and hyperventilation syndrome (HVS). There was estab lished that APD in these cases develops more frequently similarly to the pa nic attacks (PA) and HVS was PA component. Three PA types with dyspnea phen omena were recognized: cognitive ones ( with prevalence of cognitive anxiet y - 8 cases); somatized PA (with prevalence of somatized anxiety - 18 cases ) and PA with both cognitive and somatized anxiety (9 cases). PA of the fir st type amplifies BA attack (psychopathologic structure of PA was integrate d with manifestations of the acute bronchial obstruction). PA of the second type duplicates (because of the pronounced somatized anxiety associated wi th asphyxia) an acute bronchial obstruction between BA paroxysms. PA of the third type imitates somatic pathology forming without its participation (p olymorphic conversion disorders were found first of all). The link of sever ity of the anxious-phobic and pulmonary pathology can be interpreted in the ranges of psychosomatic conception of the "reciprocal correlations".