The impact of psychological health in African American young adults on asthma control: why is phenotyping still an unmet need? Suggestions from a multidisciplinary 'Stress-Asthma Working Group'.

The letter to the editor discusses the association between psychological health and asthma control in African American young adults. The authors of the letter agree with a previous study that found a high rate of psychological disorders in young adults with poorly controlled asthma. They suggest that the relationship between psychological health and asthma control may be bidirectional and propose that the parasympathetic system may play a role in triggering bronchial obstruction in asthmatic individuals. The authors also recommend considering the use of long-acting muscarinic antagonists (LAMAs) in patients with increased basal cholinergic activity. They conclude by emphasizing the need for further research to better understand the complex relationship between anxiety and asthma. [Extracted from the article]