@文章{信息:doi/10.2196/38725，作者="Lou, Terry M和Zhang, Kenneth L和Slesinger, No{\"e} L C和Taddeo, Michelle和Serrano, Eloisa和Begolka, Wendy Smith和Capozza, Korey和Paller, Amy S和Griffith, James W和Fishbein, Anna B"，标题="特应性皮炎患儿访谈中的积极心理学主题:定性研究"，期刊="JMIR儿科家长"，年="2022"，月="Sep"，日="14"，卷="5"，数="3"，页数="e38725"，关键词="积极心理学;层压;积极的情绪、参与、关系、意义和成就;特应性皮炎;儿科;皮肤病;背景:特应性皮炎是一种伴有严重睡眠障碍、注意力不集中，有时还伴有行为问题的瘙痒性慢性疾病。增强特应性皮炎儿童的复原力可能促进应对策略，以提高生活质量。积极心理学是一种可以用来增强弹性的策略。目的:我们的目的是识别特应性皮炎儿童及其父母提到的积极心理学概念，为加强特应性皮炎儿童的弹性提供策略。 Methods: A total of 20 patient-parent dyads were interviewed to share their experience with atopic dermatitis to help develop a novel psychologic intervention for atopic dermatitis. Patients were 8 to 17 years old and diagnosed with atopic dermatitis. Trained coders analyzed transcripts using a coding dictionary developed based on Seligman's PERMA (positive emotion, engagement, relationships, meaning, and accomplishment) model of positive psychology. The frequency of unprompted mentions of PERMA themes and relevant quotations was captured. Transcripts were also separately coded for resiliency, which is the ultimate goal of PERMA. Results: Positive psychology concepts were mentioned by 100{\%} (20/20) of children and 95{\%} (19/20) of parents. Engagement and relationships, both negative and positive aspects, were the most common unprompted PERMA themes mentioned by children (14/20, 70{\%}) and parents (13/20, 65{\%}). Emotion elicited the most negative comments from children (19/20, 95{\%}) and parents (17/20, 85{\%}). When analyzed for resiliency, 8 participants were identified with at least one resiliency code. On average, participants with a resiliency code mentioned PERMA concepts 9.1 (SD 4.7) times compared to those who mentioned none (mean 5.9, SD 4.6) (P=.14). When participants were stratified by disease severity, on average, more positive psychology concepts were mentioned by patients with mild atopic dermatitis (mean 13, SD 3.0) than those with moderate symptoms (mean 6.2, SD 4.9) or severe symptoms (mean 6.1, SD 4.0) (P=.03). Conclusions: Among PERMA themes, engagement and relationships are the two most commonly mentioned categories for children with atopic dermatitis. Strategies targeting PERMA such as affirmations and positive reframing may improve psychosocial well-being and resiliency in pediatric atopic dermatitis. Future directions will look at incorporating ``positive medicine'' into atopic dermatitis treatment to not only relieve symptoms but also strengthen positive aspects of life. ", issn="2561-6722", doi="10.2196/38725", url="https://pediatrics.www.mybigtv.com/2022/3/e38725", url="https://doi.org/10.2196/38725", url="http://www.ncbi.nlm.nih.gov/pubmed/36103242" }