WHAT FAMILY PROCESSES AFFECT ADOLESCENT ASTHMA OUTCOME?

这项初步研究调查了特定的家庭过程对 60例老年人的心理社会适应与就医反应 患有严重哮喘的青少年住院治疗。一个横截面的，多个的 代理人，多种方法，在主题内仔细研究策略 选定的最先进的措施将用于实现四个具体的 目标。首先，收集的数据将有助于澄清重要的衡量标准 关于青少年心理社会适应、家庭进程和 重症哮喘患者的内科治疗结果。第二， 先前确定的心理社会问题发生率较高的研究结果 严重哮喘患者，对标准医疗反应较差 对那些有较大心理社会问题的青少年的治疗将是 复制和扩展，特别是通过收集可靠和 有效的DSM-III/R精神病诊断。第三，这项研究将利用 关于家庭概念和测量的最新进展 审查具体情况的程度和机制的进程 家庭流程变量，通过对 现有的文献，可以直接和间接地(通过 对青少年心理社会适应的影响)决定了青少年 哮喘患者的药物治疗反应。第四，多变量数据 收集的数据将允许检查不同的家庭因素 似乎会影响不同亚群的医疗和心理社会结局 患有哮喘的青少年。这项研究是一项研究的初步努力 正在开发的计划，以确定特定的家庭过程， 影响卫生保健实践、医疗结果和心理社会 对患有慢性病的儿童和青少年的适应。这个 这项研究计划的长期目标是开发新的、 基于经验的个人和家庭干预措施，改善 青少年的医疗反应和心理社会障碍的预防 饱受严重健康问题折磨的人们。

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.