Ferraro Valentina Agnese, Spaggiari Silvia, Zanconato Stefania, Traversaro Letizia, Carraro Silvia, Di Riso Daniela
Unit of Pediatric Allergy and Respiratory Medicine, Women's and Children's Health Department, University of Padova, 35128 Padova, Italy.
Department of Developmental and Socialization Psychology (DPSS), University of Padua, 35131 Padova, Italy.
J Clin Med. 2024 Aug 28;13(17):5100. doi: 10.3390/jcm13175100.
: The literature reports that emotional disorders in asthmatic children and their parents may affect asthma control. This research explores the baseline psychological well-being of asthmatic children and their mothers' and fathers' psychological functioning, focusing on the influence of the parents' anxiety and separation anxiety on children's asthma. : In this cross-sectional study, we enrolled children with non-severe asthma and their parents, and a group of healthy children and their parents. The asthmatic children underwent anamnestic investigation, including asthma control and spirometry. Then, both the asthmatic and control triads filled a survey assessing their psychological functioning. : Among the 40 asthmatic children enrolled (8-18 years old), most had good clinical control maintained with GINA (Global Initiative for Asthma) therapy step 1-2 (14 patients, 35%) or step 3-4 (26 patients, 65%); 12 patients (30%) had at least one steroid course in the year before enrollment. They exhibited normal psychological adjustment but elevated levels of general (U = 179,500; < 0.001) and state anxiety (U = 170,000; < 0.001) compared to healthy peers. Additionally, the asthmatic children's mothers displayed higher levels of separation anxiety compared to the fathers (t = -2.865, = 0.006). Increased separation anxiety in the mothers corresponded to a history of at least one exacerbation in the previous year. : The asthmatic children exhibited normal psychological adjustment with higher general and state anxiety. Also, their mothers showed greater levels of separation anxiety compared to their fathers. Lastly, higher mothers' separation anxiety corresponded to a history of at least one exacerbation in the previous year. The influence of the parents' psychological well-being on the children's asthma control was previously unexplored.
文献报道，哮喘患儿及其父母的情绪障碍可能会影响哮喘的控制。本研究探讨哮喘患儿的基线心理健康状况以及其父母的心理功能，重点关注父母的焦虑和分离焦虑对儿童哮喘的影响。：在这项横断面研究中，我们招募了患有非重度哮喘的儿童及其父母，以及一组健康儿童及其父母。哮喘患儿接受了病史调查，包括哮喘控制情况和肺功能测定。然后，哮喘组和对照组的三人小组都填写了一份评估其心理功能的调查问卷。：在招募的40名哮喘患儿（8至18岁）中，大多数患儿通过全球哮喘防治创议（GINA）治疗第1-2步（14例患者，35%）或第3-4步（26例患者，65%）维持了良好的临床控制；12例患者（30%）在入组前一年至少接受过一个疗程的类固醇治疗。与健康同龄人相比，他们表现出正常的心理调适，但一般焦虑水平（U = 179,500；P < 0.001）和状态焦虑水平（U = 170,000；P < 0.001）有所升高。此外，哮喘患儿的母亲比父亲表现出更高水平的分离焦虑（t = -2.865，P = 0.006）。母亲分离焦虑的增加与前一年至少有一次病情加重的病史相关。：哮喘患儿表现出正常的心理调适，但一般焦虑和状态焦虑水平较高。此外，与父亲相比，他们的母亲表现出更高水平的分离焦虑。最后，母亲较高的分离焦虑与前一年至少有一次病情加重的病史相关。父母的心理健康对儿童哮喘控制的影响此前尚未得到探讨。
