Do family mealtime interactions mediate the association between asthma symptoms and separation anxiety?
Do family mealtime interactions mediate the association between asthma symptoms and separation anxiety?
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DOI：
10.1111/j.1469-7610.2009.02138.x
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发表时间：
2010-02-01
影响因子：
7.6
通讯作者：
Wamboldt, Marianne Z.
中科院分区：
文献类型：
--
作者：
Fiese, Barbara H.;Winter, Marcia A.;Wamboldt, Marianne Z.
背景：呼吸问题已被证明与恐慌性焦虑的发展有关。家庭成员在儿童情绪管理症状方面发挥着至关重要的作用。本研究旨在探讨哮喘儿童呼吸道症状严重程度与分离焦虑的关系。依赖于在进餐时间的家庭互动的直接观察，一个模型被测试，其中家庭互动介导哮喘严重程度和分离焦虑症状之间的关系。（9-12岁）持续性哮喘患者通过儿童诊断访谈计划IV进行访谈;通过直接观察进餐时间评估家庭互动;主要照顾者完成儿童哮喘严重程度量表;青年肺功能确定与前和后支气管扩张剂肺量计;坚持哮喘药物客观地跟踪了六weeks.Results：POSTANE肺功能和较高的功能性哮喘严重程度与较高数量的分离焦虑症状。控制药物的依从性，家庭互动模式介导的肺功能较差和儿童分离焦虑symptoms.Conclusions：家庭进餐时间的相互作用可能是一种机制，呼吸系统疾病与分离焦虑症状的儿童，可能通过增加儿童的认知框架哮喘症状的威胁较小的能力，或通过增加儿童的安全感在他们的家庭关系。
Background:Respiratory problems have been shown to be associated with the development of panic anxiety. Family members play an essential role for children to emotionally manage their symptoms. This study aimed to examine the relation between severity of respiratory symptoms in children with asthma and separation anxiety. Relying on direct observation of family interactions during a mealtime, a model is tested whereby family interactions mediate the relation between asthma severity and separation anxiety symptoms.Methods:Sixty-three children (ages 9-12 years) with persistent asthma were interviewed via the Diagnostic Interview Schedule for Children IV; family interactions were assessed via direct observation of a mealtime; primary caregivers completed the Childhood Asthma Severity Scale; youth pulmonary function was ascertained with pre- and post-bronchodilator spirometry; adherence to asthma medications was objectively tracked for six weeks.Results:Poorer pulmonary function and higher functional asthma severity were related to higher numbers of separation anxiety symptoms. Controlling for medication adherence, family interaction patterns mediated the relationship between poorer pulmonary function and child separation anxiety symptoms.Conclusions:Family mealtime interactions may be a mechanism by which respiratory disorders are associated with separation anxiety symptoms in children, potentially through increasing the child's capacity to cognitively frame asthma symptoms as less threatening, or through increasing the child's sense of security within their family relationships.