Abstract
The aim was to study the structure of family relationships that affect the effectiveness of therapy and control of asthma symptoms in children.
Materials and Methods: 100 children with severe asthma aged from 5 to 17 years were included in this study, admitted in Central Children Clinical Hospital FMBA of Russia. Examination included studying clinical data, to assess the structure of family relationships, we used parental questionnaires on Eidemiller².
Results: Gender differences were found among children with severe bronchial asthma: boys predominated (70%). During the testing of parents, it was revealed that all families had a pathological type of upbringing. So, 73% of patients have the type of «dominant hyperprotection» (the child «can't do anything», he is presented with a huge number of requirements that restrict freedom and independence). At the same time, 10.4% of the children identified «hypoprotection». In 16.6% of children in the family used an unstable upbringing style, which marked a sharp change of methods of educational influences (the transition from very strict to liberal education, and by attention to the emotional rejection of the child). It was found that 47% of mothers of primary school children experience educational uncertainty, as a result-the child manages their parents. 18% of mothers prefer to do without punishment at all, or use them rarely. 35% of mothers experience a «phobia of losing a child».
Conclusions: An analysis of the obtained data showed that the fear of developing an attack and the loss of a child contributes to the formation of special intra-family relationships between parents and children with severe asthma. All families revealed a pathological type of upbringing.
Footnotes
Cite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 675.
This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2020