The Sisyphean breath: role of anxiety sensitivity and distress tolerance in dyspnea among adults with asthma and COPD.

J Asthma

Pulmonary, Critical Care, Sleep and Rehabilitation, SAANS Foundation and SAKSHAM foundation, New Delhi, India.

Published: January 2025

Introduction: Asthma and COPD are among the leading causes of morbidity and mortality, impacting over 260 million people and causing over 3 million deaths globally (Momtaz-Manesh, S. et al., 2023). Pulmonary symptoms can impair tolerance and increase the negative attribution of anxiety sensations. Reciprocally, anxiety associated with dyspnea can induce hyperventilation. This perpetuates a cycle of symptom exacerbation and poor treatment adherence. Managing labored breathing is challenging due to its subjective nature. Dyspnea is a sufferer's endless pursuit to breathe, rendering its experience as truly, "Sisyphean."

Aim: This study explored the role of anxiety sensitivity and distress tolerance in dyspnea among adults with asthma and COPD ( = 107). A single-group cross-sectional research design was used. Data from pulmonologist-diagnosed adults with asthma and COPD were collected across various clinics in Delhi-NCR.

Results: It was found that anxiety sensitivity, distress tolerance and dyspnea were strongly correlated. Also, an increase in anxiety sensitivity was strongly predictive of dyspnea severity. Further, distress tolerance acted as a partial mediator between anxiety sensitivity and dyspnea.

Conclusions: Improving distress tolerance can act as an adjuvant in effective dyspnea management.

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Source
http://dx.doi.org/10.1080/02770903.2024.2387739DOI Listing

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