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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Family Chaos and Asthma Control
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Family Chaos and Asthma Control

机译：家庭混乱和哮喘控制

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OBJECTIVES: Asthma is a highly prevalent childhood chronic disease, with particularly high rates among poor and minority youth. Psychosocial factors have been linked to asthma severity but remain poorly understood. This study examined (1) relationships between parent and child depression and posttraumatic stress disorder (PTSD) symptoms, family functioning, and child asthma control in a sample of urban minority youth with uncontrolled asthma and (2) family functioning as a pathway linking parent depression and asthma outcomes. METHODS: Data were drawn from the baseline cohort of a randomized trial testing community interventions for children aged 5 to 16 with uncontrolled asthma (N = 223; mean age = 9.37, SD = 3.02; 85.2% Hispanic). Asthma control was defined by using the Asthma Control Test and Childhood Asthma Control Test, activity limitation, and previous-12-month asthma severity. Psychosocial measures included parent and child depression and PTSD symptoms, family chaos, and parent social support. RESULTS: Parent and child depression symptoms, but not PTSD, were associated with worse asthma control (beta = -.20 [SE = 0.06] and beta = -.12 [SE = -.03]; P < .001). Family chaos corresponded to worse asthma control, even when controlling for parent and child depression (beta = -.33; [SE = 0.15]; P < .05), and was a mediator of the parent depression-asthma path. Emotional triggers of asthma also mediated the parent depression-asthma relationship. CONCLUSIONS: Findings highlight family chaos as a mechanism underlying the relationship between parent depression and child asthma control. Addressing parent and child depression, family routines, and predictability may optimize asthma outcomes.
机译：目的：哮喘是一种普遍普遍的儿童慢性疾病，贫困和少数群体的速度特别高。心理社会因素与哮喘严重程度有关，但仍然明白。本研究检测了（1）父母和儿童抑郁症与暴风肠癌症状（PTSD）症状，家族功能和儿童哮喘控制，在城市少数群体青年样本中，具有不受控制的哮喘和（2）家族作为连接父抑郁的途径和哮喘结果。方法：从一个随机试验测试群落干预的基线队列，对5至16岁的儿童，不受控制的哮喘（n = 223;平均年龄= 9.37，SD = 3.02; 85.2％西班牙裔。通过使用哮喘控制测试和儿童哮喘控制试验，活性限制和之前的12个月哮喘严重程度来定义哮喘控制。心理社会措施包括父母和儿童抑郁症和应激障碍症状，家庭混乱和家长社会支持。结果：父母和儿童抑郁症状，但不是PTSD，与哮喘较差的哮喘控制有关（β= -.20 [SE = 0.06]和β= -.12 [SE = -.03]; P <.001）。家庭混沌相对应符合哮喘控制，即使控制父母抑郁（β= -.33; [SE = 0.15]; p <.05），并且是母抑郁症哮喘路径的介质。哮喘的情绪触发也介导母抑郁症的关系。结论：调查结果突出家族混沌作为母亲抑郁与儿童哮喘控制之间关系的机制。解决父母和儿童抑制，家庭惯例和可预测性可能优化哮喘结果。

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