Stress and Allergic Rhinitis.

Accession number;03A0196687
Title;Stress and Allergic Rhinitis.
Author; OKUDA MINORU (Nippon Med. Sch.) ISHIDA YUKO (Nihon Rinsho Arerugi Kenkyusho) TANIMOTO HIDEJI (Tanimotojibiinkokaiin)
Journal Title;Prog Med
Journal Code:F0664B
ISSN:0287-3648
VOL.23;NO.2;PAGE.652-657(2003)
Figure&Table&Reference;FIG.4, TBL.7, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;Based on our own studies, we discussed the effects of stress on allergic rhinitis and its related nasal diseases as control. Overstress-like condition were revealed to be neurosis by the Cornnell Medical Index, impaired psychological, autonomic nerve disturbances and abnormal personality by the Okuda's psychometric questionnaire, anxiety by the Manifest Anxiety Scale, eccentric personality by the YG test and psycho-emotional disturbance by the Japan Rhinitis QOL Questionnaire in patients with allergic rhinitis as well as the control nasal diseases. Based on results, it is presumed that these changes in internal environment seem to be overstress but are not specific to allergic rhinitis. We also discussed the effects of stress such as cold warm stimulations to the skin, a physical stress, and mental arithmetic, a psychological stress, on nasal airway resistance, nasal blood flow and nasal allergen provocation reaction. Immediately after stress burdening, both nasal resistance and blood flow decreased and continued during the time of these treatments, and then, after stopping of the treatments, nasal resistance and blood flow and nasal provocation reaction increased and rebounded from baseline. Stress caused a distortion in the nasal mucosa leading to change in allergic reaction. In conclusion stress does not make allergic rhinitis itself but modifies the nasal response to allergen. (author abst.)