目的：探讨家庭环境与哮喘儿童行为问题的关系,为在儿童哮喘的综合治疗手段中进行心理干预提供理论参考依据。方法：采用家庭环境量表中文版(FES—CV)和Conners儿童行为问卷分别对哮喘儿童50名、正常儿童50名(3～12岁)行为问题及家庭环境进行调查,并对调查结果进行多元回归分析。结果：哮喘儿童行为问题检出率明显高于对照组(36.0％VS12.0％),差异有显著性(P<0.01);影响哮喘儿童行为问题的家庭特征有情感表达、矛盾性、亲密度和知识性。结论：心理家庭因素与儿童哮喘发作有关。提示临床医生在药物治疗同时也要有针对性地开展心理及家庭干预。 [中国当代儿科杂志,2003,5(1):17—19]

OBJECTIVE: To investigate the relationship between behavioral problems and family environment in children with asthma so as to provide theoretical bases for psychological intervention in general treatment measures in children with asthma. METHODS: The Family Environment Scale Manual (Chinese Version) (FES-CA) and Conners Child Behavioral Scale were used to investigate both behavioral problems and family environment in 100 children aged from 3 to 12 years (including 50 children with asthma and 50 healthy children). The results were analyzed using multiple regression analysis. RESULTS: Behavioral problems were more prevalent in the asthmatic children than in the healthy children (36.0% VS 12.0% ); the differences were significant ( P < 0. 01); the family factors influencing the children's behavior with asthma were emotional expressiveness, conflict, cohesion and intellectual-cultural orientation. CONCLUSIONS: Child asthma is related to psychological family factors. So it is required to provide psychological and family intervention during medical treatments in children with asthma. [Chin J Contemp Pediatr, 2003, 5(1): 17- 19]