Behmanesh Fatemeh, Moharreri Fatemeh, Soltanifar Atefeh, Hamzeh Mahdis, Heidari Elahe
MD., Associate Professor, Allergy Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Associate Professor, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2017 Dec 25;9(12):6058-6062. doi: 10.19082/6058. eCollection 2017 Dec.
Asthma is the most common chronic disease in childhood. Parents have an important role in managing asthma in children. Studies have shown a higher degree of depression and anxiety and lower family performance in mothers of asthmatic children in comparison with the control group.
The aim of this study was to evaluate the parenting styles and also depression, anxiety and stress parameters in mothers of children with asthma.
This case-control study was performed on 45 mothers of 3 to 15 years old asthmatic children in the allergy clinic of Mashhad University of Medical Sciences, Mashhad, Iran, during the years of 2014 to 2016. The control group was 45 mothers of non-asthmatic children who were matched for the age of their children with the case group in the same population. The parenting styles, as well as depression and anxiety of mothers were evaluated using parenting scales, and the depression-anxiety-stress scales (DASS). The mothers were also asked to fill a strengths and difficulties questionnaire (SDQ) for their children. Furthermore, parenting styles in the case group were compared to mothers of children without asthma as the control group. The data were then analyzed by SPSS 11.5, using Chi-square, ANOVA, and independent-samples t-test.
The results of this study showed that 21 mothers (74.6%) were normal, but 12 mothers (26.7%) had a mild -, 9 (20%) a moderate - and 3 (6.7%) a severe degree of abnormality according to DASS. Independent-samples t-test showed a significant difference between the case and control groups regarding depression in mothers and laxness (p<0.001), over reactivity (p<0.013) and verbosity (p<0.031) in children with asthma.
The results of this study demonstrated that anxiety and depression are partially frequent in mothers of children with asthma, and parenting styles are less affective in these families.
哮喘是儿童期最常见的慢性疾病。父母在儿童哮喘管理中起着重要作用。研究表明，与对照组相比，哮喘儿童母亲的抑郁和焦虑程度更高，家庭功能更低。
本研究旨在评估哮喘儿童母亲的养育方式以及抑郁、焦虑和压力参数。
本病例对照研究于2014年至2016年期间在伊朗马什哈德医科大学过敏诊所对45名3至15岁哮喘儿童的母亲进行。对照组为45名非哮喘儿童的母亲，其孩子年龄与同人群中的病例组相匹配。使用养育量表以及抑郁-焦虑-压力量表（DASS）评估母亲的养育方式、抑郁和焦虑情况。还要求母亲为其孩子填写一份长处与困难问卷（SDQ）。此外，将病例组的养育方式与无哮喘儿童的母亲作为对照组进行比较。然后使用SPSS 11.5对数据进行分析，采用卡方检验、方差分析和独立样本t检验。
本研究结果显示，根据DASS，21名母亲（74.6%）正常，但12名母亲（26.7%）有轻度异常，9名（20%）有中度异常，3名（6.7%）有重度异常。独立样本t检验显示，病例组和对照组在母亲抑郁以及哮喘儿童的宽松度（p<0.001）、过度反应（p<0.013）和冗长性（p<0.031）方面存在显著差异。
本研究结果表明，哮喘儿童母亲中焦虑和抑郁部分较为常见，且这些家庭中的养育方式效果较差。
