Hypertensive Disorders of Pregnancy and Recurrent Wheezing: 18 Month Follow-up Of A Birth Cohort Study

Abstract

, were interviewed to assess demographic information, asthma status and education, ICS adherence, disease perception, and outcome expectation. Psychological assessment was performed by using children's depression inventory, screen for child anxiety-related disorders and Rosenberg self-esteem scale. RESULTS: Preliminary results from 106 patients (mean age,1263 years; 70.8% male), most had mild to moderate and controlled asthma (mean Asthma control test score of 2462). Mean ICS adherence was 74.6%627.8%. Of 73 (68.9%) patients, whoever missed ICS use, 58.9% reported intentional non-adherence, of which 95.3% felt the burden outweighed the benefits. Only 12.5% of patients knew that asthma caused airway spasm, and 68.9% realized the difference between controller and reliever. Sixteen (15.8%) and 24 patients (24%) misperceived their control status and severity, respectively. Mean outcome expectation score was 39.568.5 out of 50. Patients who expected good asthma outcome from following the asthma action plan had significantly high (>75%) medication adherence (p50.039). Of the results interpreted, 21% had significant depression, 23% had clinical range for anxiety, and 6% had low self-esteem, but none were related to adherence rate. CONCLUSIONS: Despite good asthma control, the occurrence of depression and anxiety were higher than expected. Patient's asthma outcome expectation may predict better adherence.