sibmedСибирский научный медицинский журналСибирский научный медицинский журнал2410-25122410-2520ИЦиГ СО РАН10.18699/SSMJ20240625sibmed-1843Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEСоциально-психологические проблемы у подростков с неконтролируемым течением бронхиальной астмыSocio-psychological problems in adolescents with uncontrolled bronchial asthmahttps://orcid.org/0000-0003-0665-7428ЭвертЛ. С.EvertL. S.

Эверт Лидия Семёновна - д.м.н.

660022, Красноярск, ул. Партизана Железняка, 3г; 655017, Абакан, ул. Ленина, 90

Lidia S. Evert - doctor of medical sciences.

660022, Krasnoyarsk, Partizana Zheleznyaka st., 3g; 655017, Abakan, Lenina st., 90

lidiya_evert@mail.ruhttps://orcid.org/0000-0002-1605-7859ТерещенкоС. Ю.TereshchenkoS. Yu.

Терещенко Сергей Юрьевич - д.м.н., проф.

660022, Красноярск, ул. Партизана Железняка, 3г

Sergey Yu. Tereshchenko - doctor of medical sciences, professor.

660022, Krasnoyarsk, Partizana Zheleznyaka st., 3g

legise@mail.ruhttps://orcid.org/0000-0002-6724-1058ШубинаМ. В.ShubinaM. V.

Шубина Маргарита Валерьевна.

660022, Красноярск, ул. Партизана Железняка, 3г

Margarita V. Shubina.

660022, Krasnoyarsk, Partizana Zheleznyaka st., 3g

marg-shubina@mail.ruhttps://orcid.org/0000-0003-3920-0694ГорбачеваН. Н.GorbachevaN. N.

Горбачева Нина Николаевна.

660022, Красноярск, ул. Партизана Железняка, 3г

Nina N. Gorbacheva.

660022, Krasnoyarsk, Partizana Zheleznyaka st., 3g

n-n-gorbacheva@yandex.ruhttps://orcid.org/0000-0001-6233-6472КостюченкоЮ. Р.KostyuchenkoYu. R.

Костюченко Юлия Ринатовна.

660022, Красноярск, ул. Партизана Железняка, 3г

Yulia R. Kostyuchenko.

660022, Krasnoyarsk, Partizana Zheleznyaka st., 3g

axmeldinova@mail.ruНИИ медицинских проблем Севера ФИЦ «Красноярский научный центр СО РАН»; Хакасский государственный университет имени Н.Ф. КатановаРоссияResearch Institute of Medical Problems of the North of Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences; Khakass State University named after N.F. KatanovaRussian FederationНИИ медицинских проблем Севера ФИЦ «Красноярский научный центр СО РАН»РоссияResearch Institute of Medical Problems of the North of Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of SciencesRussian Federation202407012025446231241Copyright © Эверт Л.С., Терещенко С.Ю., Шубина М.В., Горбачева Н.Н., Костюченко Ю.Р., 20252025Эверт Л.С., Терещенко С.Ю., Шубина М.В., Горбачева Н.Н., Костюченко Ю.Р.Evert L.S., Tereshchenko S.Y., Shubina M.V., Gorbacheva N.N., Kostyuchenko Y.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://sibmed.elpub.ru/jour/article/view/1843

Цель исследования – изучить наличие социально-психологических проблем и их особенности у подростков с неконтролируемым течением бронхиальной астмы (БА). Материал и методы. Обследовано 212 подростков с БА – пациентов легочно-аллергологического центра: 90 человек с неконтролируемой БА (основная группа), 22 – с частично контролируемой и 100 – с контролируемой БА (группы сравнения); 136 (64,2 %) мальчиков и 76 (35,8 %) девочек; возраст 14 [13; 15] лет (медиана [нижняя квартиль; верхняя квартиль]). Исследовали особенности просоциального поведения, наличие и выраженность эмоциональных расстройств. Определяли значения суммарного балла шкал применяемого психометрического опросника (тест Strengths and Difficulties Questionnaire, SDQ). Оценивали показатели в основной группе и группах сравнения, в том числе с учетом возрастно-половой принадлежности. Результаты. У подавляющего большинства обследованных характеристики обеих шкал опросника, независимо от контролируемости БА, пола и возраста подростков, не отклонялись от нормы. Второе и третье ранговые места занимали соответственно пограничные и отклоняющиеся от нормы показатели. Средние значения суммарного балла шкал опросника были выше у подростков с неконтролируемой БА, как мальчиков, так и девочек. Заключение. Необходимо проведение дальнейших исследований, направленных на диагностику ассоциированных с неконтролируемой БА социально-психологических проблем для их своевременной коррекции с целью достижения контроля за течением астмы, повышения эффективности лечения и улучшения прогноза у подростков с данной патологией.

The purpose of the study is to study the presence and characteristics of socio-psychological problems in adolescents with uncontrolled bronchial asthma (BA). Material and methods. We examined 212 adolescents with BA – patients of the pulmonary allergy center: 90 people with uncontrolled BA (the main group), 22 – with partially controlled asthma and 100 – with controlled asthma (the comparison groups); 136 (64.2 %) boys and 76 (35.8 %) girls; age 14 [13; 15] years (median [lower quartile; upper quartile]). The characteristics of prosocial behavior, the presence and severity of emotional disorders were studied. The values of the total score of the scales of the psychometric questionnaire used (Strengths and Difficulties Questionnaire, SDQ test) were determined. The indicators were assessed in the main and comparison groups, including taking into account age and gender. Results. In the vast majority of those examined, the characteristics of both scales of the questionnaire, regardless of the controllability of asthma, gender and age of adolescents, did not deviate from the norm. The second and third ranking places were occupied by borderline and deviating indicators, respectively. The average values of the total scores of the questionnaire scales were higher in adolescents with uncontrolled BA, both boys and girls. Conclusions. It is necessary to conduct further research aimed at diagnosing socio-psychological problems associated with uncontrolled BA for their timely correction in order to achieve control over the course of asthma, increase the effectiveness of treatment and improve the prognosis in adolescents with this pathology.

подросткибронхиальная астмаконтролируемая астмачастично контролируемая астманеконтролируемая астмапросоциальное поведениеэмоциональные симптомыadolescentsbronchial asthmacontrolled asthmapartially controlled asthmauncontrolled asthmaprosocial behavioremotional symptomsИсследование выполнено при финансовой поддержке поискового научного исследования НИИ медицинских проблем Севера «Разработка технологий оценки факторов риска и маркеров неконтролируемого течения бронхиальной астмы у детей» 2024–2026 гг.The study was carried out with the financial support of an exploratory scientific study of the Research Institute of Medical Problems of the North “Development of technologies for assessing risk factors and markers of uncontrolled bronchial asthma in children” 2024–2026.ReferencesGlobal strategy for asthma management and prevention Updated 2020. (2020). 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The authors declare that there are no conflicts of interest present.