WHAT FAMILY PROCESSES AFFECT ADOLESCENT ASTHMA OUTCOME?

这项试点研究调查了特定的家庭过程对 60例患者的心理社会适应和药物治疗反应 严重哮喘住院的青少年。 一个横截面，多个 代理人、多种方法、学科内研究策略与谨慎 选择最先进的措施将用于实现四个具体 目标。 首先，收集的数据将有助于澄清重要的衡量标准， 有关青少年心理社会适应、家庭进程和 重症哮喘患者的药物治疗结果。 二是 确定了先前的调查结果， 严重哮喘患者和对标准医疗反应较差的患者 治疗那些有较大心理问题的青少年， 复制和推广，特别是通过收集可靠和 符合DSM-III/R精神病诊断标准。第三，这项研究将利用 家庭概念化和计量方面的最新进展 审查在何种程度上和机制， 家庭过程变量，通过全面审查确定的 现有的文献，可以直接和间接（通过 对青少年心理社会适应的影响）决定了青少年 哮喘的药物治疗反应。 四、多元数据 将允许检查不同的家庭因素是否 似乎影响不同亚组的医学和心理社会结局 哮喘青少年。 这项研究是一项研究的初步努力， 正在制定的计划，以确定具体的家庭过程， 影响医疗保健实践，医疗结果和心理社会 对患有慢性疾病的儿童和青少年进行调整。 的 这项研究计划的长期目标是开发新的， 基于医疗的个人和家庭干预措施， 医疗反应和预防青少年的心理社会障碍 患有严重疾病的人

This pilot study investigates the effects of specific family processes on the psychosocial adjustment and medical treatment response of 60 adolescents hospitalized with severe asthma. A cross-sectional, multiple agent, multiple method, within subjects research strategy with carefully chosen state-of-the-art measures will be used to accomplish four specific aims. First, data gathered will help to clarify important measurement issues concerning adolescent psychosocial adjustment, family processes and medical treatment outcome in severely ill asthmatics. Second, the established prior findings of high rates of psychosocial problems in severely ill asthmatics and of poorer response to standard medical treatment in those adolescents with greater psychosocial problems will be replicated and extended, particularly through the gathering of reliable and valid DSM-III/R psychiatric diagnoses. Third, this study will capitalize on recent advances in the conceptualization and measurement of family processes to examine the extent to which and the mechanism whereby specific family process variables, identified through a thorough review of the existing literature, can be shown to directly and indirectly (through influences on adolescent psychosocial adjustment) determine the adolescent asthmatic's medical treatment response. Fourth, the multivariate data collected will permit an examination of whether different family factors appear to influence medical and psychosocial outcome in different subgroups of asthmatic adolescents. This study is the initial effort of a research program being developed to identify specific family processes that influence the health care practices, medical outcomes, and psychosocial adjustment of children and adolescents with chronic medical illnesses. The long term goal of this research program is to develop novel, empirically-based individual and family interventions that improve the medical treatment response and prevent psychosocial impairments in young people afflicted with serious medical problems.