关键词: 支气管哮喘, 焦虑, 抑郁, 儿童

Abstract: Objective To analyze the emotional problems of children with asthma and the related factors, so as to provide basis for clinical comprehensive treatment and intervention of children with asthma. Methods A total of 70 asthmatic children aged 8 to 16 years who visited the Pediatric Asthma Clinic of the Second Affiliated Hospital of Xi′an Jiaotong University from May to December 2017 were selected into this study. All participants were asked to fill out general condition questionnaire, Asthma Control Questionnaire(ACQ), the Screen for Child Anxiety Related Emotional Disorders(SCARED) and Depression Self-Rating Scale for children(DSRS). Results There were 24(34.3%) cases and 26(37.1%) cases of positive screening for anxiety and depression in children with asthma. The scores of anxiety and depressive disorders in the only child group were higher than those in the non-only birth group(t=2.986, 3.125), those in the disharmony family relationship group were higher than those in the harmony family relationship group(t=3.636, 5.309), and those in the asthma poor-controlled group were higher than those in the asthma well-controlled group(t=2.743, 2.086), and the differences were significant(P＜0.05). The score of depressive disorder in the asthma non-standard management group was significantly higher than that in the asthma standard management group(t=2.336, P＜0.05). The results of multivariate regression analysis showed that whether the only child or not and the degree of asthma control were the main factors affecting anxiety disorder in children with asthma(β=0.289, -0.423, P＜0.05). Whether the only child or not, family relationship and the degree of asthma control were the main factors affecting depressive disorder in children with asthma(β=0.282, -0.283, -0.266, P＜0.05). Conclusions Children with asthma are more likely to have negative emotions such as anxiety and depression than healthy children of the same age. Family members and medical staff should pay more attention to children′s emotional problems and improve their quality of life.

Key words: bronchial asthma, anxiety, depression, children