抄録
It is a well-known fact that many psychological factors influence the onset and course of asthma in childhood. It is considered necessary therefore to treat children using a psychological approach. In clinical practice, it is difficult to perform research on psychological factors. Too much time must be spent on intake interviews and, in addition, many problems arise in the technical aspects of psychological testing.Thus in order to find an easier approach to study psychological factors influencing the asthmatic child, we designed a questionnaire reported on this questionnaire in a previous preliminary study. The questionnaire contains the following items : (1) Mothers' attitudes toward child-care, in general.(2)Mothers' attitudes toward child-care with regard to asthmatic attacks.(3) Mothers' manner of understanding asthma.(4) Personality and behavior of children as seen by mothers' filter of recognition.(5) Characteristics of personality and behavior of asthmatic children.In the present study, this questionnaire was given to 90 asthmatic children; 61 boys and 29 girls, ages 6 through 14,and also to their mothers.These results were arranged in a check-list from the viewpoints of mothers' favourable ("positive") and unfavourable ("negative") factors influencing the prognosis of asthma. These factors were diagrammed and were profiled with regard to the mothers' attitudes toward their children's personality. In the diagram, the vertical axis indicate mothers' attitudes toward childcare; the upper part of the line over zero indicating "positive" factors and the lower part "negative" factors. The horizontal axis shows asthmatic children's personality. The left side of the line indicates "negative" factors for asthma and the right side indicates "positive."As a result of this study by questionnaire, we obtained data which compared favorably with results of laboratory data, psychological tests and clinical observations.
