Posttraumatic stress disorder following asthma attack (post-asthma attack PTSD) and psychiatric co-morbidity: the impact of alexithymia and coping

Psychiatry Res. 2012 May 30;197(3):246-52. doi: 10.1016/j.psychres.2012.01.008. Epub 2012 Mar 14.

Abstract

This study investigated the prevalence of post-asthma attack posttraumatic stress disorder (PTSD) and the severity of psychiatric co-morbidity among a group of college students and whether alexithymia and coping strategies would relate to health outcomes. This is a cross-sectional study in which 156 college students who had previously experienced asthma attack were recruited. They completed a demographic page, Asthma Symptom Checklist, PTSD Checklist, General Health Questionnaire-28, Toronto Alexithymia Scale and the COPE. They were also matched with 141 students without asthma. The results showed that 3% met the criteria for full-PTSD, 44% for partial and 53% for no-PTSD. There were no significant differences between the asthma and control groups in severity of psychiatric co-morbid symptoms. Path analyses showed that asthma severity was significantly correlated with PTSD and psychiatric co-morbidity. It was also correlated with alexithymia which was in turn associated with psychiatric co-morbidity but not PTSD. Coping strategies were not correlated with health outcomes. To conclude, people can develop PTSD symptoms and degrees of psychiatric co-morbid symptoms after suffering asthma attack. The severity of these symptoms relates to people's perceptions of asthma severity and alexithymia.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Affective Symptoms / epidemiology*
  • Affective Symptoms / psychology*
  • Asthma / epidemiology*
  • Asthma / psychology*
  • Case-Control Studies
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Models, Psychological
  • Prevalence
  • Risk Factors
  • Severity of Illness Index
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / psychology*
  • United Kingdom / epidemiology