Associations of asthma self-management and mental health in adolescents: A scoping review

Leonard, Sarah I; Turi, Eleanor; Powell, Jennifer S.; Usseglio, John; MacDonell, Karen; Bruzzese, Jean-Marie

doi:10.1016/j.rmed.2022.106897

Cited by 16 publications

(5 citation statements)

References 43 publications

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“…However, we did not find an association between depressive symptoms and the steps adolescents take to prevent asthma symptoms or manage existing symptoms nor between depressive symptoms and adolescents’ confidence to manage their asthma. The relationship between depressive symptoms and asthma self-management is not well-established, with some studies finding no associations and others finding associations, especially regarding trigger management ( 11 ). It is plausible that in this study we may not have adequately captured all the relevant aspects of asthma self-management that might be associated with depression.…”

Section: Discussionmentioning

confidence: 99%

“…Asthma self-management is an essential skill to achieve asthma control and reduce asthma morbidity ( 10 ), and it is impacted by depressive symptoms. A recent review found that depressive symptoms are associated with asthma self-management among adolescents, with some studies finding that depressive symptoms are associated with worse self-management and others with better self-management ( 11 ). Specifically, depressive symptoms have consistently been found to be associated with worse trigger management; one study found that adolescents with depressive symptoms were more likely to see a healthcare provider for asthma ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…A recent review found that depressive symptoms are associated with asthma self-management among adolescents, with some studies finding that depressive symptoms are associated with worse self-management and others with better self-management ( 11 ). Specifically, depressive symptoms have consistently been found to be associated with worse trigger management; one study found that adolescents with depressive symptoms were more likely to see a healthcare provider for asthma ( 11 ). In addition, some data suggest that treating depression in adolescents with elevated depressive symptoms can improve asthma medication adherence ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Depressive symptoms are related to asthma control but not self-management among rural adolescents

Patel,

Céspedes,

Liu

et al. 2024

Front. Allergy

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BackgroundDepression, a relevant comorbidity with asthma, has been reported to be associated with asthma morbidity. Asthma self-management is essential to asthma control and may be negatively impacted by depression. We examined these associations in rural adolescents, a group with relatively high asthma morbidity and depressive symptoms, a population often ignored in asthma research.MethodsWe used baseline data from a randomized trial of an asthma intervention for adolescents in rural South Carolina (n = 197). Adolescents completed the Center for Epidemiological Studies-Depression (CES-D), three indices of asthma self-management (the Asthma Prevention Index, the Asthma Management Index and the Asthma Self-Efficacy Index), and the Asthma Control Test (ACT). Poisson and linear regression tested associations between depression, self-management, and asthma control. The models controlled for demographic variables and included school as a fixed effect.ResultsMost participants (mean age = 16.3 ± 1.2 years) self-identified as female (68.5%) and Black (62.43%). The mean CES-D score was 19.7 ± 10.3, with 61.4% of participants at risk for depression. The depressive symptoms were significantly related to asthma control [β = −0.085, 95% confidence interval (CI) = −0.14 to −0.03] but not to prevention [relative risk (RR) = 1.00, 95% CI = 0.99–1.01], management (RR = 1.00, 95% CI = 0.99–1.01), or self-efficacy (β = −0.002, 95% CI = −0.01 to 0.01),ConclusionsIn this sample of rural adolescents, as depressive symptoms increased, asthma control declined. Depressive symptoms were not associated with asthma self-management, suggesting that the aspects of self-management we assessed are not an avenue by which depression impacts asthma control. Additional research is needed to further understand the relationship between depressive symptoms, asthma self-management, and control.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Depressive symptoms are related to asthma control but not self-management among rural adolescents

Patel,

Céspedes,

Liu

et al. 2024

Front. Allergy

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“…Treatment adherence is essential in maintaining adequate, long-term control of severe asthma. Poor adherence to asthma therapy leads to poor disease control, clinical outcomes and health-related quality of life (HRQoL); greater healthcare resource utilisation (HCRU); and increased medical costs 8 9. Reported rates of treatment adherence among patients with asthma range from 22% to 63% for patients taking inhaled corticosteroids 10.…”

Section: Introductionmentioning

confidence: 99%

Impact of patient support programmes among patients with severe asthma treated with biological therapies: a systematic literature review and indirect treatment comparison

Rabe,

Loke,

Kielar

et al. 2024

BMJ Open Resp Res

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IntroductionEffective treatment of severe asthma requires patient adherence to inhaled and biological medications. Previous work has shown that patient support programmes (PSP) can improve adherence in patients with chronic diseases, but the impact of PSPs in patients with severe asthma treated with biologics has not been thoroughly investigated.MethodsWe conducted a systematic literature review to understand the impact of PSPs on treatment adherence, asthma control and health-related quality of life (HRQoL) in patients with severe asthma. Embase, MEDLINE and EconLit databases were searched for studies published from 2003 (the year of the first biological approval for severe asthma) to June 2023 that described PSP participation among patients with severe asthma on biological treatment. Direct pooling of outcomes was not possible due to the heterogeneity across studies, so an indirect treatment comparison (ITC) was performed to determine the effect of PSP participation on treatment discontinuation. The ITC used patient-level data from patients treated with benralizumab either enrolled in a PSP (VOICE study, Connect 360 PSP) or not enrolled in a PSP (Benralizumab Patient Access Programme study) in the UK.Findings25 records of 21 studies were selected. Six studies investigated the impact of PSPs on treatment adherence, asthma control or HRQoL. All six studies reported positive outcomes for patients enrolled in PSPs; the benefits of each PSP were closely linked to the services provided. The ITC showed that patients in the Connect 360 PSP group were less likely to discontinue treatment compared with the non-PSP group (OR 0.26, 95% CI 0.11 to 0.57, p<0.001).ConclusionsPSPs contribute to positive clinical outcomes in patients with severe asthma on biological treatment. Future analyses will benefit from thorough descriptions of PSP services, and study designs that allow direct comparisons of patient outcomes with and without a PSP.

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“…Several studies have shown positive correlations between eHL and mental health literacy [ 17 ], between eHL and health self-management skills [ 18 ], and between mental health literacy and health self-management skills [ 19 ]. However none of the study populations were undergraduate nursing students.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

Zhang,

Wang,

et al. 2024

BMC Nurs

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Background Good health self-management positively affects the health of healthcare providers and their ability to manage their patients’ health. This study explored the relationship between ehealth literacy, health self-management skills, and mental health literacy among undergraduate nursing students. Some studies have confirmed the correlation between e-health literacy and health self-management skills, while mental health literacy may be correlated with both, and this study aims to explore the relationship between the three. Methods A descriptive cross-sectional survey was conducted at a medical university in northwestern China among 385 Chinese undergraduate nursing students. Participants completed the General Information Questionnaire, the Adult Health Self-Management Skills Rating Scale, the Mental Health Literacy Rating Scale, and the eHealth Literacy Scale, and provided valid responses. The IBM SPSS 27.0 statistical software was used for data entry and descriptive analysis, t-test, ANOVA, and Pearson correlation analysis. The IBM Amos 26.0 was used to construct the mediation effect model, and the Bootstrap method was employed to test mediating effects. Results Mental health literacy, ehealth literacy, and health self-management skills of undergraduate nursing students were at a moderate to high level. Mental health literacy, ehealth literacy, and health self-management were positively correlated. Mental health literacy, particularly, played a partial mediating role of 31.1% ( 95% CI [0.307–1.418] ) between ehealth literacy and health self-management. Conclusions Undergraduate nursing students’ mental health literacy partially mediates the link between eHealth literacy and health self-management skills. Schools should emphasize the development of nursing students’ e-health literacy and mental health literacy in order to improve their health self-management skills, which will not only bring about a better health outcome for the students, but will also benefit the health of the social population.

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Associations of asthma self-management and mental health in adolescents: A scoping review

Cited by 16 publications

References 43 publications

Depressive symptoms are related to asthma control but not self-management among rural adolescents

Depressive symptoms are related to asthma control but not self-management among rural adolescents

Impact of patient support programmes among patients with severe asthma treated with biological therapies: a systematic literature review and indirect treatment comparison

Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students’ mental health literacy

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