Rosenthal S L, Knauer-Black S, Stahl M P, Catalanotto T J, Sprecher D L
Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, OH 45229.
Clin Pediatr (Phila). 1993 Mar;32(3):135-41. doi: 10.1177/000992289303200302.
The medical aspects of hypercholesterolemia have been studied extensively, but little research has addressed the psychological aspects of screening and treatment of the disease. This study compared the functioning of 32 children, ages 8 to 11 years, and their respective families. Eighteen children had hypercholesterolemia, and 14 had normal cholesterol levels. Responses on several psychological measures showed no differences between the two groups. Thus, hypercholesterolemia appears not to cause major psychological difficulties for children and their families. Analysis showed that those families reporting good dietary choices were more cohesive, more organized, and less conflictual than families who reported fair-to-poor dietary choices. Thus, family functioning may be related to dietary practices. These findings suggest that concern about negative psychological consequences of cholesterol screening is unfounded. Also, families for whom dietary modifications are critical may benefit from family-centered treatment as well as dietary counseling.
高胆固醇血症的医学方面已得到广泛研究，但针对该疾病筛查和治疗的心理方面的研究却很少。本研究比较了32名8至11岁儿童及其各自家庭的功能状况。18名儿童患有高胆固醇血症，14名儿童胆固醇水平正常。在几项心理测量指标上的反应显示两组之间没有差异。因此，高胆固醇血症似乎不会给儿童及其家庭带来重大心理困扰。分析表明，那些报告有良好饮食选择的家庭比那些报告饮食选择一般到较差的家庭更有凝聚力、更有条理，冲突也更少。因此，家庭功能可能与饮食习惯有关。这些发现表明，对胆固醇筛查负面心理后果的担忧是没有根据的。此外，对于那些饮食调整至关重要的家庭来说，以家庭为中心的治疗以及饮食咨询可能会有所帮助。
