Family therapy in the treatment of severe childhood asthma

Gustafsson, Per A.; Kjellman, N‐I Max; Cederblad, Marianne

doi:10.1016/0022-3999(86)90015-2

Cited by 100 publications

(69 citation statements)

References 10 publications

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“…Two studies were published in the 1970s (Alexander, 1972, 363 Davis 382,383 ), eight in the 1980s (Alexander, 1988, 402 Backman, 385 Evans, 403 Gold, 418 Gustafsson, 419,420 McNabb, [412][413][414][415] Mitchell, 376 Westphal 410 ), 16 in the 1990s (Colland, 378 Collins, 407 Dahl, 381 Fisher, 408,409 Garrett, 404 Greineder, ). The breakdown of studies by decade of publication according to the main type of intervention evaluated is shown in Figure 4.…”

Section: Publication Datesmentioning

confidence: 99%

A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma

Smith

Mugford

Holland

et al. 2005

Health Technol Assess

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Section: Publication Datesmentioning

confidence: 99%

A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma

Smith

Mugford

Holland

et al. 2005

Health Technol Assess

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“…These include conduct problems in children (Serketich & Dumas, 1996;Kazdin, 1998), drug and alcohol misuse in adolescents and adults (Edwards & Steinglass, 1995;Waldron, 1996;Stanton & Shadish, 1997) and marital distress (Jacobson & Addis, 1993;Dunn & Schwebel, 1995;Baucom et al, 1998). Controlled trials have shown the effectiveness of systemic therapy interventions in childhood asthma (Lask & Matthew, 1979;Gustafsson et al, 1986), enuresis and soiling (Houts et al, 1994;Silver et al, 1998), oppositional behaviour problems (Serketich & Dumas, 1996) and a whole range of other presentations and conditions in children and their families (Carr, 2000a). Systemic family and couple therapy has also been shown to be effective in the treatment of eating disorders, psychotic illnesses and mood disorders.…”

Section: The Evidence Base For Systemic Therapymentioning

confidence: 99%

Outcome research in family therapy

Asen¹

2002

Adv. psychiatr. treat

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The family and therapyThe term family therapy can be misleading. ‘Family’ is open to many interpretations, if not attacks, because it is frequently read as implying a two-parent, heterosexual couple with two children, with the woman primarily the ‘homemaker’ and the man the ‘breadwinner’, with occasional backup from the grandparents. Such a picture would seem to marginalise or exclude other family forms, such as childless couples, single parents with children, gay or lesbian couples and unattached elderly persons. However, the reality is that family therapists treat many different forms of committed relationships and friendships. As to the term therapy, it tends to imply the presence of illness or dysfunction, located in the family rather than one of its individual members, and may thus be quite unacceptable to families who often believe that it is the patient and not them whom requires help. Being at the receiving end of family therapy can have strong connotations of blame. Practitioners therefore increasingly use the term systemic therapy, which is also more informative because some of the work often involves the wider system. The systemic approach is essentially a contextual approach – seeing and treating people in context.

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“…Un estudio realizado en Suecia y otro en Inglaterra, que buscaban evaluar la eficacia de la terapia familiar como adyuvante a la terapia convencional en el asma, llegaron a la conclusión de que los niños que reciben terapia de familia, además de su medicación habitual, tienen mejor evolución y disminución en sus síntomas que los tratados sólo con la medicación 18,21 . En la primera fase de nuestro estudio se encontró que la disfunción familiar se presenta más frecuentemente en familias de niños con asma no controlada justificando la necesidad de incluir la intervención familiar dentro de la atención de estos pacientes 22 .…”

Section: Discussionunclassified

Efectividad de un programa de terapia de familia en niños asmáticos con familias disfuncionales

et al. 2013

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Recibido el 30 de agosto de 2013. Aceptado para su publicación el 8 de octubre de 2013. RESUMENObjetivo: Demostrar la efectividad de la terapia familiar como método adicional en el tratamiento del asma, para la mejoría de los síntomas, la función pulmonar y la disminución de las crisis en niños que forman parte de familias disfuncionales. Diseño del estudio: Se realizó un estudio de intervención antes-después. Emplazamiento: Seis instituciones de salud de la ciudad de Medellín, Colombia. Participantes: Veinticinco niños con diagnóstico de asma y familias con disfunción familiar, en el año 2011. Mediciones principales: Análisis antes y después de la intervención familiar utilizando las pruebas de Wilcoxon y McNemar. La significación estadística fue considerada con un valor de p < 0,05. Resultados: Antes de la intervención el 68% de los niños tenían asma no controlada, y luego de la terapia familiar, al finalizar el año de seguimiento, la persistencia del asma no controlada fue del 4%. Se reportó una gran mejoría de los síntomas clínicos tras la intervención en la familia, y la CVF y el VEF1 mostraron un aumento significativo (p < 0,01). Conclusiones: La instauración de cambios en la dinámica familiar logra disminuir los síntomas, las crisis asmáticas y lleva a un mayor control de la enfermedad en los niños; es por esto que la evaluación de la dinámica familiar debe considerarse una parte fundamental en el abordaje integral del paciente pediátrico con asma. PALABRAS CLAVE: Relaciones Familiares, Familia, Asma, Terapia Familiar. ABSTRACT Effectiveness of a family therapy programme in asthmatic children with dysfunctional families.Objective: To show the effectiveness of family therapy as an additional method in the treatment of asthma, to improve the symptoms, lung function and a reduction of attacks, in children from dysfunctional families. Design: A before-after intervention study was carried out. Location: Six health institutions in the city of Medellín, Colombia. Participants: Twenty-five children diagnosed with asthma and family dysfunction in 2011. Main Surveyed Data: Analysis before and after family intervention using Wilcoxon and McNemar tests. The statistical significance was considered with a value of p < 0,05. Results: Prior to the intervention, 68% of the children were suffering from uncontrolled asthma and after family therapy, at the end of the follow-up year, uncontrolled asthma persistence was 4%. A great improve in clinical symptoms was reported after family intervention, and FVC and FEV1 showed a significant increase (p < 0,01). Conclusions:The establishment of changes in family dynamics achieves a reduction in symptoms and asthma attacks and brings a greater control of disease in children; for this reason, family dynamics assessment must be considered a fundamental part in the integral approach of paediatric asthma patients.

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Family therapy in the treatment of severe childhood asthma

Cited by 100 publications

References 10 publications

A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma

A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma

Outcome research in family therapy

Efectividad de un programa de terapia de familia en niños asmáticos con familias disfuncionales

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