Faculty of Medicine, Department of Child and Adolescent Psychiatry, Izmir Katip Celebi University, İzmir, Turkey.
Faculty of Medicine, Department of Pediatrics, Division of Pediatric Allergy and Immunology, Izmir Katip Celebi University, İzmir, Turkey.
J Asthma. 2021 Oct;58(10):1307-1313. doi: 10.1080/02770903.2020.1782428. Epub 2020 Jul 1.
The aim of this study was to investigate the peer victimization and anger expression in adolescents with asthma. The relationship between asthma control and psychological features was also examined.
The study was a cross-sectional study with a healthy control group. The sample of the study was composed of 61 adolescents who were previously diagnosed by a physician with asthma of various intensities. Sixty adolescents with no chronic disorders were enrolled as the control group. Peer victimization was examined using the Multidimensional Peer Victimization Scale (MPVS). The State-Trait Anger Expression Inventory (STAXI) was used to assess anger expression styles. Emotional and behavioral symptoms of the adolescents were measured using the Strengths and Difficulties Questionnaire (SDQ).
Adolescents with asthma reported more peer victimization in the subscales of physical, social, verbal, attacks on property, and frightening in the MPVS; and having more problems in emotional, social, and peer relations areas in the SDQ ( < .001 for all subscales) compared to the control group. The results were similar between the groups regarding the conduct problems and hyperactive behaviors. The adolescents with asthma reported more anger repression and less anger expression than the control group ( < .001 for both subscales).
The results indicated that the adolescents with asthma were subjected to more peer victimization and experienced more difficulties in anger expression than the controls. Based on the findings of this study, we suggest that these psychological factors should be kept in mind during the management of asthma in adolescents.
本研究旨在探讨哮喘青少年的同伴侵害和愤怒表达。还研究了哮喘控制与心理特征之间的关系。
这是一项横断面研究，有一个健康对照组。该研究的样本由 61 名曾被医生诊断为不同严重程度哮喘的青少年组成。招募了 60 名无慢性疾病的青少年作为对照组。使用多维同伴侵害量表（MPVS）检查同伴侵害情况。使用状态特质愤怒表达量表（STAXI）评估愤怒表达模式。使用长处和困难问卷（SDQ）衡量青少年的情绪和行为症状。
与对照组相比，哮喘青少年在 MPVS 的身体、社会、言语、攻击财产和恐吓等亚量表中报告了更多的同伴侵害；在 SDQ 的情绪、社会和同伴关系等领域也存在更多问题（所有亚量表均<.001）。两组在行为问题和多动行为方面的结果相似。哮喘青少年报告的愤怒压抑多于对照组，愤怒表达少于对照组（两个亚量表均<.001）。
研究结果表明，哮喘青少年比对照组更容易遭受同伴侵害，在表达愤怒方面也更困难。基于这项研究的结果，我们建议在青少年哮喘管理中应注意这些心理因素。
