Pediatric asthma morbidity : The importance of symptom perception and family response to symptoms

To determine whether family response to asthma symptoms mediates the relationship between child symptom perception and morbidity. A total of 122 children with asthma, aged between 7 and 17 years (47% females; 25% ethnic minorities), were recruited from three sites. Participants completed a family as...

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Bibliographic Details
Published in:Journal of pediatric psychology 2007-03, Vol.32 (2), p.167-177
Main Authors: MCQUAID, Elizabeth L, MITCHELL, Daphne Koinis, WALDERS, Natalie, NASSAU, Jack H, KOPEL, Sheryl J, KLEIN, Robert B, WAMBOLDT, Marianne Z, FRITZ, Gregory K
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Adolescent
Asthma - diagnosis
Asthma - psychology
Biological and medical sciences
Child
Child clinical studies
Chronic obstructive pulmonary disease, asthma
Education
Family - psychology
Female
Humans
Male
Medical sciences
Peak Expiratory Flow Rate
Pneumology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sick Role
Sickness Impact Profile
Statistics as Topic
Surveys and Questionnaires
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Summary:To determine whether family response to asthma symptoms mediates the relationship between child symptom perception and morbidity. A total of 122 children with asthma, aged between 7 and 17 years (47% females; 25% ethnic minorities), were recruited from three sites. Participants completed a family asthma management interview and 5-6 weeks of symptom perception assessment. Family response to symptoms mediated the relationship between child underestimation of symptoms and asthma morbidity and partially mediated the relationship between accurate symptom perception and morbidity. In contrast, although child overestimation of symptoms and family response to symptoms were independently related to asthma morbidity, a mediational model was not supported. Our study found support for the role of family response to symptoms in mediating the relationship between child symptom perception and morbidity, particularly with regard to underestimation of symptoms, underscoring the need for behavioral tools to accurately recognize and optimally respond to exacerbations.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsj112