Parental criticism and treatment outcome in adolescents hospitalized for severe, chronic asthma.
Parental criticism and treatment outcome in adolescents hospitalized for severe, chronic asthma.
复制标题
因严重慢性哮喘住院的青少年的父母批评和治疗结果。
DOI：
10.1016/0022-3999(95)00507-2
复制
发表时间：
1995
影响因子：
4.7
通讯作者：
Brugman,SM
中科院分区：
文献类型：
--
作者：
Wamboldt,FS;Wamboldt,MZ;Gavin,LA;Roesler,TA;Brugman,SM
本研究调查了19名患有严重慢性哮喘的青少年住院期间父母批评与药物治疗结果之间的关系。父母对他们的哮喘青少年的批评进行了评估，使用五分钟语音样本技术（FMSS）的开始，青少年的住院时间在国家哮喘转诊中心。那些父母在FMSS上被评为高批评的青少年，他们的整体哮喘严重程度有更大的改善，他们的类固醇药物剂量减少，住院时间比那些父母被评为低批评的青少年短。父母被评为高批评的青少年在入院时对茶碱和口服类固醇药物的依从性也低于低批评组。这些发现似乎不是由于误诊继发于声带功能障碍的存在或过敏状态的儿童。这些发现的临床意义和可能的因果机制进行了讨论。
This pilot study investigated the relationship between parental criticism and medical treatment outcome across an inpatient hospitalization in 19 adolescents with severe, chronic asthma. Parental criticism toward their asthmatic adolescent was assessed using the Five Minute Speech Sample technique (FMSS) at the beginning of the adolescent's inpatient stay at a national asthma referral center. Those adolescents whose parents were rated as high in criticism on the FMSS were found to have greater improvement in their overall asthma severity, greater reduction in their steroid medication dose, and shorter lengths of stay in the hospital than those whose parents were rated as low in criticism. The adolescents whose parents were rated as high in criticism also showed lower compliance with their prescribed theophylline and oral steroid medication at admission than the low criticism group. These findings do not appear to be due to misdiagnosis secondary to the presence of vocal cord dysfunction or to the allergy status of the children. Clinical implications and possible causal mechanisms underlying these findings are discussed.