Abstract
Background : It is said that the progression of bronchial asthma in children, especially where the child lapses into a worse condition is influenced by understanding both the degree of the disease and the psychological condition of the mother. In this study, we studied the attitude of asthmatic children's mothers to the patients, and tried to clarify these influences on the progression of bronchial asthma. Method : The subjects of the study are asthmatic children who are in the 4^<th> 5^<th> and 6^<th> grade of elementary school, and their mothers. The children are all pediatric outpatients of Showa Medical School Hospital. The total number is 28, including 15 boys and 13 girls. The number of moderate asthmatic patients are 6 and mild patients are 22. We made a simple questionnaire which asks about the mother's attitude toward childcare and toward the disease. This was filled out by the asthmatic children's mothers and compared with the physical factors of asthma. An egogram check list and SCT were filled out by the asthmatic children and also compared with the physical factors of asthma. Result : We found that the mothers scored high in terms of anxiety and interference in daily life childcare, with moderate asthmatic children's mothers interfering more than mild asthmatic children's mothers. With regard to the relationship between the egogram and severity, there was no difference between moderate asthmatic children and mild asthmatic children according to the present investigation. Conclusion : From the present investigation, we found that even where the genetic factors are strong, that doesn't mean it is difficult to get well, and there are cases in which genetic factors are strong and yet symptoms changed from moderate to mild. Thus it is thought that comprehensive treatment, including the environment arrangement and psychological support, is necessary and important. Consulting with each patient by using questionnaire investigation is one of the methods which can help prevent the aggravation of bronchial asthma in children.
