Parental coping, depressive symptoms, and children's asthma control and school attendance in low-income, racially, and ethnically diverse urban families

Abstract

Parents' secondary control and disengagement coping are related to children's asthma outcomes. Secondary control coping may support parents' mental health and children's asthma control in low-income urban families.

Family functioning in pediatric heart transplantation: Variables associated with poor outcomes

“…32 Further, studies in other illness groups have shown that parents with higher education levels have endorsed employing secondary control coping mechanisms by reframing their view of stressful situations that are out of their control. 33 As such, it is surprising to find that study participants with higher parental education endorsed poorer family functioning. We hypothesize that this may be unique to pOHT.…”

“…Higher parental education has been shown to be associated with protective factors like increased coping and guidance seeking 32 . Further, studies in other illness groups have shown that parents with higher education levels have endorsed employing secondary control coping mechanisms by reframing their view of stressful situations that are out of their control 33 . As such, it is surprising to find that study participants with higher parental education endorsed poorer family functioning.…”

Chronic Illness: Asthma

“…A child's chronic illness, such as asthma, induces excessive stress and physical and psychological burdens to parents and the whole family (Ekim and Ocakci 2016;Kim and Yoo 2007;Silva et al 2015). At the same time, caregiver stress is known to contribute to the development and course of child asthma, with depression in the parent predicting poorer asthma control (Celano 2006;Rioseco et al 2017;Rodriguez et al 2017;Wood et al 2015). Depression correlates with parental style and ability to cope with stressors.…”

“…Depression is common among parents of children with asthma, expressing itself in a variety of ways, through impairing parental coping with daily life stressors and with the challenges of the child's asthma. Parental depression is associated with more asthma symptoms, increased healthcare use, poor asthma management, and missed medical appointments (Avcil et al 2018;Rioseco et al 2017;Rodriguez et al 2017;Wood et al 2015). It also contributes to negative affect and irritability, hopelessness, anxiety, and distressed relationships between the parent and child and increases the likelihood of authoritarian, hostile, and rejecting styles of parenting.…”

“…The likely explanations relate to asthma itself: having to use medication at school and face restrictions on physical exercise make children feel different from peers; missing school days leads to poorer academic performance, less motivation to try, and low self-esteem. Parental depression, with consequent negative effects on coping with the tasks of daily life and the child's asthma care routines, the child's educational needs included, further compound the stresses the child has to encounter regarding his/her ability to manage school (Rodriguez et al 2017).…”