Disease severity, mental health, and quality of life of children and adolescents with asthma
Disease severity, mental health, and quality of life of children and adolescents with asthma
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DOI：
10.1002/ppul.20509
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发表时间：
2007-01-01
影响因子：
3.1
通讯作者：
Fegert, Joerg M.
中科院分区：
文献类型：
--
作者：
Goldbeck, Lutz;Koffmane, Katja;Fegert, Joerg M.
研究发现，哮喘与较高的心理问题风险有关。关于哮喘儿童的生活质量，已有不一致的结果报告。因此，哮喘的严重程度、生活质量和心理因素之间可能存在复杂的关系。本研究的目的是研究哮喘严重程度和情绪/行为问题对儿童和青少年的生活质量及其对支持需求的影响。81名患有哮喘的儿童和青少年（7-18岁，62名男孩，19名女孩）参加了不同的干预和康复方案，完成了乌尔姆儿童调查表，这是一种评估与健康有关的生活质量的工具。采用儿童行为量表（Child Behavior Checklist， CBCL）评定心理问题。护理人员判断患者因哮喘和心理社会问题而需要支持。根据GINA分级法评定哮喘严重程度。与规范样本相比，参与者表现出更高的照顾者报告的情绪和行为症状（平均CBCL总分T = 63）。生活质量和社会支持需求与心理症状显著相关。哮喘严重程度与生活质量和情绪/行为症状无关，但与哮喘引起的支持需求相关。因此，在我们的研究中，共病的情绪和行为症状而不是疾病严重程度预测儿童和青少年哮喘患者的生活质量。治疗应根据患有哮喘和共病精神健康问题的儿童的特殊需要进行调整。
Asthma has been found related to a higher risk of psychological problems. Inconsistent results have been reported with respect to the quality of life of children with asthma. So there may be a complex relationship between asthma severity, quality of life, and psychological factors. The aim of this study was to examine the impact of asthma severity and emotional/ behavioral problems on the quality of life of children and adolescents and on their need for support. Eighty-one children and adolescents (7-18 years old, 62 boys, 19 girls) with asthma participating in different intervention and rehabilitation programs completed the Ulm Inventory for Children, an instrument for assessing health-related quality of life. Psychological problems were rated using the Child Behavior Checklist (CBCL). Caregivers judged the patients' need for support due to asthma and due to psychosocial problems. Asthma severity was rated according to the GINA classification. The participants showed elevated caregiver-reported emotional and behavioral symptoms compared with the normative sample (mean CBCL total score T = 63). Quality of life and the need for social support were significantly correlated with psychological symptoms. Asthma severity was neither correlated with quality of life nor with emotional/behavioral symptoms, but it was associated with the need for support due to asthma. Therefore, in our study, comorbid emotional and behavioral symptoms rather than disease severity predicted quality of life of children and adolescents with asthma. Treatment should be adjusted to the special needs of children with asthma and comorbid mental health problems.