Childhood asthma, behavior problems, and family functioning
Childhood asthma, behavior problems, and family functioning
复制标题
DOI：
10.1067/mai.2003.1639
复制
发表时间：
2003-09-01
影响因子：
14.2
通讯作者：
Custovic, A
中科院分区：
文献类型：
--
作者：
Calam, R;Gregg, L;Custovic, A
背景：对哮喘儿童家庭的研究表明心理因素与哮喘症状有关。目的：在一项大型前瞻性队列研究中，我们调查了心理社会因素与呼吸道症状发生的关系。方法：根据父母过敏性疾病和过敏性疾病家族史，将儿童分为高、中、低三个风险组。在孩子3岁时，父母完成艾伯格儿童行为问卷(ECBI)、家庭关系指数(FRI)、医院焦虑抑郁量表(HAD)和一般健康问卷(GHQ)。结果：分析了663名参与者的数据。父母报告有呼吸道症状的儿童的ECBI强度得分显著高于父母报告的儿童。有症状的低风险儿童(父母双方都不过敏，没有过敏性疾病家族史)特别可能有更高的行为问题评级。其他的家庭心理社会变量都没有表现出这种模式。然而，儿童行为问题与其他家庭心理社会变量呈显著正相关。Logistic回归分析显示，行为问题得分与哮喘发作3次或3次以上有关(P=.03，OR=1.023)，与危险组无关。结论：3岁有哮喘症状的儿童行为问题的风险较高。来自没有哮喘和过敏性疾病病史的家庭的儿童可能特别容易受到行为障碍的影响。家庭可能会受益于对孩子行为管理的额外建议，特别是如果父母自己没有患病的经历。
Background: Studies of families of asthmatic children indicate associations between psychological factors and asthma symptoms.Objective: We investigated relations between psychosocial factors and the development of respiratory symptoms within a large prospective cohort study.Methods: The children were prenatally assigned to high, medium, or low risk for asthma development on the basis of parental atopy and family history of allergic disease. When the children were 3 years of age, parents completed the Eyberg Child Behavior Inventory (ECBI), Family Relationships Index (FRI), Hospital Anxiety and Depression Scale (HAD), and General Health Questionnaire (GHQ).Results: Data from 663 participants were analyzed. ECBI intensity scores were significantly higher for children with parentally reported respiratory symptoms. Symptomatic low-risk children (both parents nonatopic, no family history of allergic disease) were particularly likely to have elevated behavior problem ratings. None of the other family psychosocial variables showed this pattern. Child behavior problems were, however, significantly positively correlated with the other family psychosocial variables. Logistic regression indicated that behavior problem scores were associated with 3 or more attacks of wheeze (P = .03, OR = 1.023), irrespective of risk group.Conclusions: Children at 3 years of age with symptoms suggestive of asthma are at elevated risk of behavior problems. Children from families without a history of asthma and allergic diseases may be particularly vulnerable to behavioral disturbance. Families may benefit from additional advice on management of their child's behavior, particularly if parents do not have the experience of having the illness themselves.