{"id":2037,"date":"2018-01-10T12:44:43","date_gmt":"2018-01-10T11:44:43","guid":{"rendered":"http:\/\/www.alpha1-deutschland.org\/?p=2037"},"modified":"2022-02-28T16:29:36","modified_gmt":"2022-02-28T15:29:36","slug":"wenn-einer-keine-angst-hat-hat-er-keine-phantasie","status":"publish","type":"post","link":"https:\/\/alpha1-deutschland.org\/en\/wenn-einer-keine-angst-hat-hat-er-keine-phantasie","title":{"rendered":"\u201e&quot;If someone has no fear, he has no imagination.&quot;\u201c"},"content":{"rendered":"<div id=\"fws_6a8f314091f99\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"3%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.03); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h1><span style=\"color: #004267;\">\u201e&quot;If someone has no fear, he has no imagination.&quot;\u201c<\/span><\/h1>\n<p>This quote from Erich K\u00e4stner opens an introduction to illness-related anxieties. Anxiety has many faces \u2013 including in patients with alpha-1 antitrypsin deficiency. Often, anxieties remain unspoken in routine treatment. But it is precisely repressed anxieties that unleash their destructive power. Confronting them courageously is all the more worthwhile.<\/p>\n<h2><span style=\"color: #004267;\">Common anxieties in patients with chronic lung diseases<\/span><\/h2>\n<p><a href=\"https:\/\/alpha1-deutschland.org\/en\/alpha-1-antitrypsinmangel\/\">Alpha-1-antitrypsin deficiency (AATM)<\/a>\u00a0shows similar lung changes to a\u00a0<a href=\"https:\/\/alpha1-deutschland.org\/en\/copd\/\">\u201eclassic\u201c COPD<\/a>. For COPD patients, there are now not only studies on typical anxieties, but also a valid (reliable) assessment tool \u2013 the COPD Anxiety Questionnaire (CAF). It lists the most common disease-related anxieties:<\/p>\n<ul>\n<li>Fear of dyspnea (shortness of breath)<\/li>\n<li>Fear of physical activity<\/li>\n<li>Fear of social exclusion<\/li>\n<li>Progression anxiety (fear of the disease progressing) and end-of-life anxiety (fear of dying and death)<\/li>\n<li>Fear regarding partnership<\/li>\n<li>Anxiety regarding LTOT (long-term oxygen therapy)<\/li>\n<\/ul>\n<p>These disease-related anxieties are interconnected and affect the psychological well-being, quality of life, and disease progression of COPD patients. It is reasonable to assume that the similar lung symptoms lead to comparable anxieties in AATD patients. A vast field for research! However, this and the following articles will focus on the significance of these anxieties for daily life with AATD. The commonalities as well as the specific characteristics of each anxieties will be examined in turn.<\/p>\n<h2><span style=\"color: #004267;\">First section: Anxiety about shortness of breath<\/span><\/h2>\n<p>For example, one patient describes their fear of shortness of breath like this: &quot;When I can&#039;t breathe anymore. Pure panic \u2013 that&#039;s something that sticks in your memory. It&#039;s difficult to manage on your own.&quot; Those who have experienced fear during shortness of breath often subsequently develop a fear of shortness of breath and, as a result, fears related to shortness of breath triggered by situations such as physical or emotional stress. Psychopneumology uses established psychological concepts to address shortness of breath anxiety and adapts them to the specific situation of patients with chronic lung diseases.<\/p>\n<\/div>\n\n\n\n<div id=\"fws_6a8f314092ec9\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row\"  style=\"\"><div class=\"row-bg-wrap\"> <div class=\"row-bg\" ><\/div> <\/div><div class=\"row_col_wrap_12_inner col span_12  left\">\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col child_column no-extra-padding\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-8 wpb_column column_container vc_column_container col child_column no-extra-padding\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"nectar_cascading_images\" data-border-radius=\"none\" data-parallax=\"\" data-parallax-intensity=\"subtle\" data-animation-timing=\"175\"><div class=\"cascading-image\" data-has-img=\"false\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div class=\"bg-color\" style=\" -webkit-transform:translateX(0%) translateY(0%) ; -ms-transform:translateX(0%) translateY(0%) ; transform: translateX(0%) translateY(0%) ; background-color: #004267;\" data-has-bg-color=\"true\"><\/div><\/div><\/div><\/div><div class=\"cascading-image\" data-has-img=\"true\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div style=\" -webkit-transform:translateX(10%) translateY(10%) ; transform:translateX(10%) translateY(10%) ;\" class=\"img-wrap\"> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/L\u00f6sungskoffer.png\" srcset=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/L\u00f6sungskoffer.png 771w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/L\u00f6sungskoffer-300x206.png 300w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/L\u00f6sungskoffer-768x528.png 768w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/L\u00f6sungskoffer-580x399.png 580w\" sizes=\"auto, (min-width: 1000px) 55vw, 100vw\" height=\"530\" width=\"771\" class=\"skip-lazy\" alt=\"Grafik: Der L\u00f6sungskoffer bei Atemnot-\u00c4ngsten\" \/> <\/div><\/div><\/div><\/div><\/div>\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col child_column no-extra-padding\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8f314094ff1\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h2><span style=\"color: #004267;\">What helps with anxiety related to shortness of breath?<\/span><\/h2>\n<p>The following resources comprise the &quot;solution kit&quot; for patients with anxiety related to shortness of breath. Patients should be familiar with all the resources and use their personal &quot;favorites&quot; as needed. Let&#039;s look at the individual elements of the &quot;solution kit&quot; one by one.<\/p>\n<h2><span style=\"color: #004267;\">Psychoeducation<\/span><\/h2>\n<p>Behind this unwieldy term lies the communication of a disorder concept, e.g., the vicious cycle model of shortness of breath-related anxiety (see Figure 1). This model can also be used to explain how to break out of the vicious cycle \u2013 see Figure 2.<\/p>\n<h2><span style=\"color: #004267;\">Behavioral medicine<\/span><\/h2>\n<p>This includes, for example, behavioral therapy methods such as changing automatic thoughts and misinterpretations of bodily sensations (see Table 1).<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8f314095e75\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"3%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.03); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"img-with-aniamtion-wrap\" data-max-width=\"100%\" data-max-width-mobile=\"default\" data-shadow=\"none\" data-animation=\"fade-in\" >\n      <div class=\"inner\">\n        <div class=\"hover-wrap\"> \n          <div class=\"hover-wrap-inner\">\n            <a href=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst.png\" class=\"pp\">\n              <img loading=\"lazy\" decoding=\"async\" class=\"img-with-animation skip-lazy\" data-delay=\"0\" height=\"618\" width=\"1317\" data-animation=\"fade-in\" src=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst.png\" alt=\"Grafiken zur Atemnot\" srcset=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst.png 1317w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-300x141.png 300w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-768x360.png 768w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-1024x481.png 1024w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-580x272.png 580w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-820x385.png 820w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Grafik-Atemnot-Angst-1160x544.png 1160w\" sizes=\"auto, (max-width: 1317px) 100vw, 1317px\" \/>\n            <\/a>\n          <\/div>\n        <\/div>\n         \n      <\/div>\n      <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8f31409750e\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<p>Behavioral medicine takes the most effective approach to treating anxiety through exposure therapy. This involves diminishing the power of anxiety by redirecting attention. Interventions from mindfulness-based therapy, such as the following, have proven effective:<\/p>\n<ul>\n<li>observe one&#039;s own thinking<\/li>\n<li>Develop composure<\/li>\n<li>consciously perceive the present moment<\/li>\n<li>know what is truly important to me<\/li>\n<\/ul>\n<p>Short-term distraction strategies are also helpful, e.g. the 5-4-3-2-1 method:<\/p>\n<ul>\n<li>Carefully observe and name 5 objects in the surroundings.<\/li>\n<li>5. Attentively perceive and name sounds\/noises<\/li>\n<li>Discover and name 5 colors in the surroundings<\/li>\n<\/ul>\n<p>then:<\/p>\n<ul>\n<li>Observe and name 4 objects (they can be the same as above or different ones)<\/li>\n<li>4 noises\/sounds \u2026<\/li>\n<li>4 colors\u2026<\/li>\n<\/ul>\n<p>thereafter:<\/p>\n<ul>\n<li>3 items\u2026<\/li>\n<li>3 noises\/sounds<\/li>\n<li>3 colors\u2026<\/li>\n<\/ul>\n<p>etc\u2026 You&#039;ve already understood the principle, haven&#039;t you?!<\/p>\n<h2><span style=\"color: #004267;\">Mind-body medicine<\/span><\/h2>\n<p>This area encompasses all methods for strengthening self-efficacy, where patients learn to influence their physical symptoms through regular practice, such as breathing techniques, relaxation methods (progressive muscle relaxation), biofeedback, functional relaxation, yoga, Tai Chi, Qi Gong, etc. Unfortunately, when I suggest these methods to patients, I repeatedly encounter skepticism and rejection. However, studies have shown that mind-body medicine approaches, in particular, have positive effects on self-efficacy beliefs. This increased competence is, in turn, crucial for coping with anxiety related to shortness of breath.<\/p>\n<h2><span style=\"color: #004267;\">Medications<\/span><\/h2>\n<p>Despite skepticism towards &quot;psychotropic drugs,&quot; anxiety-relieving medications can sometimes be helpful after careful consideration. Sometimes they even pave the way for psychological treatment.<br \/>\nOffers. You can learn more about the individual elements in the &quot;solution kit&quot; for patients with shortness of breath anxiety in\u00a0<a href=\"https:\/\/irp.cdn-website.com\/ab372704\/files\/uploaded\/AtemnotAngst_Broschuere.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The brochure \u201eAnxiety during shortness of breath \u2013 ways out of the vicious cycle\u201c is available for free download.<\/a>.<\/p>\n<h2><span style=\"color: #004267;\">outlook<\/span><\/h2>\n<p>Closely related to the fear of shortness of breath is the fear of physical activity. This &quot;exercise anxiety&quot; leads to withdrawal and, in turn, intensifies the fear of relationship problems and social isolation. Finally, the fears of worsening symptoms and life-threatening situations cannot be separated from the other experiences of the illness. The various fears are closely intertwined \u2013 yet they manifest in different forms. The following articles will examine other fears associated with AATD, including fears of the social consequences and the progression of the disease. Not easy reading! But engaging with these topics is worthwhile \u2013 true to the saying...<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8f314098447\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"3%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.03); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"img-with-aniamtion-wrap\" data-max-width=\"100%\" data-max-width-mobile=\"default\" data-shadow=\"none\" data-animation=\"fade-in\" >\n      <div class=\"inner\">\n        <div class=\"hover-wrap\"> \n          <div class=\"hover-wrap-inner\">\n            <a href=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen.png\" class=\"pp\">\n              <img loading=\"lazy\" decoding=\"async\" class=\"img-with-animation skip-lazy\" data-delay=\"0\" height=\"519\" width=\"1186\" data-animation=\"fade-in\" src=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen.png\" alt=\"Tabelle 1: Die Ver\u00e4nderung von automatischen Gedanken und Fehldeutungen k\u00f6rperlicher Empfindungen\" srcset=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen.png 1186w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-300x131.png 300w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-768x336.png 768w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-1024x448.png 1024w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-580x254.png 580w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-820x359.png 820w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Tabelle-Fehldeutungen-1160x508.png 1160w\" sizes=\"auto, (max-width: 1186px) 100vw, 1186px\" \/>\n            <\/a>\n          <\/div>\n        <\/div>\n         \n      <\/div>\n      <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"\u201eWenn einer keine Angst hat, hat er keine Phantasie\u201c Mit diesem Zitat von Erich K\u00e4stner startet eine Einf\u00fchrung \u00fcber krankheitsbezogene \u00c4ngste. Angst hat viele Gesichter \u2013 auch bei Patienten mit...","protected":false},"author":1,"featured_media":3759,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,24,34],"tags":[],"class_list":["post-2037","post","type-post","status-publish","format-standard","has-post-thumbnail","category-allgemein","category-alpha1-journal","category-psyche"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Der Teufelskreis bei Atemnot-Angst und wie Sie ihn verlassen<\/title>\n<meta name=\"description\" content=\"Zur Atemnot-Angst gibt es inzwischen Studien zu den typischen \u00c4ngsten und valides (verl\u00e4ssliches) Erfassungsinstrument \u2013 den COPD-Angst-Fragebogen (CAF).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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