Gustafsson P A, Kjellman N I, Ludvigsson J, Cederblad M
Arch Dis Child. 1987 Mar;62(3):258-63. doi: 10.1136/adc.62.3.258.
Patterns of family interaction were compared in the families of 22 children with chronic asthma, 30 children with diabetes mellitus, and six healthy children. The groups were similar in terms of age (range 4-14 years and mean 10.2 years). Peak expiratory flow and signs of allergy were correlated with family interaction in the subjects with asthma. The following significant findings were made. Family interaction was more disturbed in asthma compared with both the diabetic and the healthy groups. In most of the disturbed families interaction patterns were rigid and enmeshed, but a few showed chaotic and disengaged patterns. There was a negative correlation between peak expiratory flow and disturbed cohesion in non-steroid dependent cases. The severely ill children with asthma living in families with a normal cohesion score had higher IgE concentrations than children living in disturbed families. It is concluded that family interaction should be considered to be an important dimension in the investigation of severe childhood asthma.
对22名患有慢性哮喘的儿童、30名患有糖尿病的儿童和6名健康儿童的家庭中的家庭互动模式进行了比较。这些组在年龄方面相似（范围为4至14岁，平均为10.2岁）。哮喘患者的呼气峰值流量和过敏体征与家庭互动相关。得出了以下重要发现。与糖尿病组和健康组相比，哮喘患者的家庭互动受到的干扰更大。在大多数受干扰的家庭中，互动模式是僵化且纠缠不清的，但也有一些表现出混乱和疏离的模式。在非类固醇依赖型病例中，呼气峰值流量与受干扰的凝聚力之间存在负相关。生活在凝聚力得分正常家庭中的重症哮喘儿童比生活在受干扰家庭中的儿童具有更高的IgE浓度。得出结论，在严重儿童哮喘的调查中，家庭互动应被视为一个重要维度。
