Family interaction and a supportive social network as salutogenic factors in childhood atopic illness

摘要: The role of psycho-social factors in the development allergy was studied prospectively 82 infants with a family history atopy. participated standardized test when children were 18 months old. ability to adjust demands situation ('adaptability'), and balance between emotional closeness distance ('cohesion'), assessed from videotapes by independent raters. Families rated as functional both these aspects classified 'functional', otherwise 'dysfunctional'. social network, life events, atopic symptoms (based on postal inquiries regarding answered parents, physical examinations), psychiatric symptoms, socio-economic circumstances families evaluated 3 years age. (asthmatic or eczema) non-atopic. All but two disease at age had before age, while 32 60 no problems An unbalanced interplay associated relative risk (RR) 1.99 for continuing illness (1.18 < RR 3.37, p = 0.01). There weak positive confounding effect smoking (RR reduced 7%), eczema three more localizations 4.5%), amount cat allergen household dust 3%). Recovery four times probable interaction good supportive network than dysfunctional poor (74% versus 20% Children asthmatic showed signs distress did healthy (p 0.02). Dysfunctional patterns commonly observed who still recovered. included expression emotion reaction needs others, alternating total disinterest over-involvement 0.02), lack support rejection offered 0.01), greater number individual decisions without regard other members 0.04), indistinct 'generational boundaries' 0.04). We conclude that psychosocial factors, such play significant course early childhood measures which enhance could influence favorably.