천식과 알레르기비염을 가진 초등학생의 행동 특성과부모의 양육 스트레스
Behavioral characteristics and parental stress in elementary school children with bronchial asthma and allergic rhinitis
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to investigate the diff erences in behavioral characteristics and parental stress between allergic and nonallergic elementary school children. Methods: Ninety-one elementary school children who had allergic disease were enrolled (asthma, n=27; allergic rhinitis, n=35; combined, n=29). Also one hundred six nonallergic elementary school children were enrolled for the control group. The Korean Child Behavior Check List (K-CBCL) and Korean Parenting Stress Index-Short Form (K-PSI-SF) were completed by their mothers. Results: According to the analysis of K-CBCL, the score for Internalizing, anxious/depressed and somatic complaints were signifi - cantly higher in the combined group than in the control group. The score for Diagnostic and Statistical Manual of Mental Disorders (DSM)-aff ective problems in the combined group and DSM-somatic problems were signifi cantly higher in the asthma group than in the control group. According to the analysis of K-PSI-SF, the score for parental distress was signifi cantly higher in the allergic rhinitis group than in the control group. The scores for behavioral problems and parental stress were signifi cantly correlated to allergic dis- ease groups. Conclusion: Behavioral problems and parental stress were signifi cantly associated with asthma and allergic rhinitis. The results of this study suggest the importance of psychosocial support for mothers and children with allergic diseases.
Abstract
Purpose: The aim of this study was to investigate the diff erences in behavioral characteristics and parental stress between allergic and nonallergic elementary school children. Methods: Ninety-one elementary school children who had allergic disease were enrolled (asthma, n=27; allergic rhinitis, n=35; combined, n=29). Also one hundred six nonallergic elementary school children were enrolled for the control group. The Korean Child Behavior Check List (K-CBCL) and Korean Parenting Stress Index-Short Form (K-PSI-SF) were completed by their mothers. Results: According to the analysis of K-CBCL, the score for Internalizing, anxious/depressed and somatic complaints were signifi - cantly higher in the combined group than in the control group. The score for Diagnostic and Statistical Manual of Mental Disorders (DSM)-aff ective problems in the combined group and DSM-somatic problems were signifi cantly higher in the asthma group than in the control group. According to the analysis of K-PSI-SF, the score for parental distress was signifi cantly higher in the allergic rhinitis group than in the control group. The scores for behavioral problems and parental stress were signifi cantly correlated to allergic dis- ease groups. Conclusion: Behavioral problems and parental stress were signifi cantly associated with asthma and allergic rhinitis. The results of this study suggest the importance of psychosocial support for mothers and children with allergic diseases.
참고문헌 (36)
- 안강모, "2010년 한국 어린이·청소년의 천식, 알레르기 비결막염, 아토피피부염 증상 유병률 조사: 복합표본설계를 이용한 전국 서베이", 대한의사협회지, 54(7), pp.769~778 (2011), 대한의사협회
- Chung JS, "A study on comorbid psychopathology and parenting attitude in children and adolescents with atopic dermatitis", Korean J Child Adolesc Psychiatry, 10, pp.34~42 (1999)
- Gortmaker SL, "Chronic conditions, socioeconomic risks, and behavioral problems in children and adolescents", Pediatrics, 85, pp.267~276 (1990)
- MacLean WE Jr, "Psychological adjustment of children with asthma: effects of illness severity and recent stressful life events", J Pediatr Psychol, 17, pp.159~171 (1992)
- Bender BG, "Psychomotor adaptation in children with severe chronic asthma", Pediatrics, 79, pp.723~727 (1987)
- Boyce WT, "Temperament and the psychobiology of childhood stres", Pediatrics, 90(3 Pt 2), pp.483~486 (1992)
- Viney LL, "Patterns of psychological reaction to asthma in children", J Abnorm Child Psychol, 13, pp.477~484 (1985)
- Miller BD, "Psychophysiologic reactivity in asthmatic children: a cholinergically mediated confluence of pathways", J Am Acad Child Adolesc Psychiatry, 33, pp.1236~1245 (1994)
- Choi BM, "The relationship between attentional ability and cyclic AMP concentration in pediatric patients with allergy", J Korean Neuropsychiatr Assoc, 35, pp.1435~1442 (1996)
- Fedele DA, "An examination of the factor structure of parenting capacity measures in chronic illness populations", J Pediatr Psychol, 35, pp.1083~1092 (2010)
- Hilliard ME, "Parent stress and child behaviour among young children with type 1 diabetes", Child Care Health Dev, 37, pp.224~232 (2011)
- Absolon CM, "Psychological disturbance in atopic eczema: the extent of the problem in school-aged children", Br J Dermatol, 137, pp.241~245 (1997)
- Howlett S, "Emotional dysfunction, child-family relationships and childhood atopic dermatitis", Br J Dermatol, 140, pp.381~384 (1999)
- White A, "Psychological profile of the atopic eczema patient", Australas J Dermatol, 31, pp.13~16 (1990)
- Pauli-Pott U, "Infants with atopic dermatitis: maternal hopelessness, child-rearing attitudes and perceived infant temperament", Psychother Psychosom, 68, pp.39~45 (1999)
- Hashiro M, "Anxiety, depression and psychosomatic symptoms in patients with atopic dermatitis: comparison with normal controls and among groups of different degrees of severity", J Dermatol Sci, 14, pp.63~67 (1997)
- van Weel C, "Asthma management pocket reference 2008", Allergy, 63, pp.997~1004 (2008)
- Brozek JL, "Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision", J Allergy Clin Immunol, 126, pp.466~476 (2010)
- Oh KJ, "Korean child behavior checklist" (2010), Huno Inc
- 이경숙, "한국판 부모 양육스트레스 검사-축약형(Korean versionof Parenting Stress Index-Short Form:K-PSI-SF)의 신뢰도 및 타당도 연구", 한국심리학회지:여성, 13(3), pp.363~377 (2008), 한국여성심리학회
- Lu Y, "Prevalence of anxiety and depressive symptoms in adolescents with asthma: a meta-analysis and meta-regression", Pediatr Allergy Immunol, 23, pp.707~715 (2012)
- McQuaid EL, "Behavioral adjustment in children with asthma: a meta-analysis", J Dev Behav Pediatr, 22, pp.430~439 (2001)
- Alati R, "Asthma and internalizing behavior problems in adolescence: a longitudinal study", Psychosom Med, 67, pp.462~470 (2005)
- Lee KS, "Comparison of child behavior checklist between allergic and non-allergic patients", J Asthma Allergy Clin Immunol, 21, pp.178~186 (2001)
- Park J, "Patterns of psychosocial adaptation and allergic disorders in Korean schoolchildren", Int Arch Allergy Immunol, 154, pp.249~257 (2011)
- Blaiss MS, "Pediatric allergic rhinitis: physical and mental complications", Allergy Asthma Proc, 29, pp.1~6 (2008)
- 장형윤, "Allergic Diseases in Preschoolers Are Associated With Psychological and Behavioural Problems", Allergy, Asthma & Immunology Research, 5(5), pp.315~321 (2013), 대한천식알레르기학회
- 김우진, "저신장 소아의 심리적 특성과 주의력 : 다기관, 환자-대조군 연구", 생물치료정신의학, 21(3), pp.174~180 (2015), 대한생물치료정신의학회
- 이영식, "Attention Deficit Hyperactivity Disorder Like Behavioral Problems and Parenting Stress in Pediatric Allergic Rhinitis", PSYCHIATRY INVESTIGATION, 11(3), pp.266~271 (2014), 대한신경정신의학회[DOI]
- Moreira H, "Psychological and quality of life outcomes in pediatric populations: a parent-child perspective", J Pediatr, 163, pp.1471~1478 (2013)
- Kim SP, "Temperamental Characteristics of Asthmatic Children in Korea", J Korean Neuropsychiatr Assoc, 36, pp.1080~1088 (1997)
- Shalowitz MU, "The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice", Ambul Pediatr, 1, pp.185~193 (2001)
- Wamboldt MZ, "Relationship of asthma severity and psychological problems in children", Am Acad Child Adolesc Psychiatry, 37, pp.943~950 (1998)
- Lu Y, "Psychiatric comorbidities in Asian adolescent asthma patients and the contributions of neuroticism and perceived stress", J Adolesc Health, 55, pp.267~275 (2014)
- Letitre SL, "Anxiety, depression and self-esteem in children with well-controlled asthma: case-control study", Arch Dis Child, 99, pp.744~748 (2014)
- Osman LM, "Parents' quality of life and respiratory symptoms in young children with mild wheeze. EASE Study Group", Eur Respir J, 17, pp.254~258 (2001)
