Gavin L A, Wamboldt M, Brugman S, Roesler T A, Wamboldt F
Department of Pediatrics, National Jewish Medical and Research Center, University of Colorado Health Sciences Center, Denver 80206, USA.
J Asthma. 1998;35(5):409-17. doi: 10.3109/02770909809048949.
Vocal cord dysfunction (VCD) is a respiratory disorder often confused with asthma. Although previous case reports have implicated family and/or individual psychopathology in the etiology of this condition, this is the first paper to present prospective, case-control empirical data on a group of pediatric patients with VCD. A case-control methodology was employed to examine patients in terms of both family and individual functioning. Results indicate that patients with VCD were not different from asthmatic controls on measures of family functioning. However, they did experience significantly higher levels of anxiety and received a higher number of anxiety-related diagnoses such as separation anxiety and generalized anxiety disorder on a structured psychiatric interview. The nature of the relation between VCD and psychological symptoms in children is discussed. Etiologic and treatment issues are examined in the context of the findings.
声带功能障碍（VCD）是一种常被误诊为哮喘的呼吸系统疾病。尽管此前的病例报告表明家庭和/或个体精神病理学与该病的病因有关，但本文是第一篇针对一组患有VCD的儿科患者提供前瞻性病例对照实证数据的论文。采用病例对照研究方法，从家庭和个体功能两方面对患者进行检查。结果表明，在家庭功能指标方面，VCD患者与哮喘对照组并无差异。然而，在结构化精神科访谈中，他们确实表现出显著更高水平的焦虑，并且被诊断出更多与焦虑相关的疾病，如分离焦虑症和广泛性焦虑症。本文讨论了儿童VCD与心理症状之间关系的本质。并结合研究结果对病因和治疗问题进行了探讨。
