Prevalence of Behavior Problems in US Children With Asthma

Bussing, Regina; Halfon, Neal; Benjamin, Bernadette; Wells, Kenneth B.

doi:10.1001/archpedi.1995.02170180095018

Cited by 91 publications

(73 citation statements)

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“…5 Disease severity seems to mediate the connection between asthma and behavior problems, even if previous findings varied. 1,[6][7][8] The combination of asthma and psychological symptoms may affect quality of life and the adherence to asthma treatment on the part of the children concerned. Behavior problems were found to be related to poor adherence, poor asthma management, and poor functional health status.…”

Section: Introductionmentioning

confidence: 99%

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Disease severity, mental health, and quality of life of children and adolescents with asthma

Goldbeck¹,

Koffmane

Lecheler

et al. 2006

Pediatric Pulmonology

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Summary. Asthma has been found related to a higher risk of psychological problems. Inconsistent results have been reported with respect to the quality of life of children with asthma. So there may be a complex relationship between asthma severity, quality of life, and psychological factors. The aim of this study was to examine the impact of asthma severity and emotional/ behavioral problems on the quality of life of children and adolescents and on their need for support.Eighty-one children and adolescents (7-18 years old, 62 boys, 19 girls) with asthma participating in different intervention and rehabilitation programs completed the Ulm Inventory for Children, an instrument for assessing health-related quality of life. Psychological problems were rated using the Child Behavior Checklist (CBCL). Caregivers judged the patients' need for support due to asthma and due to psychosocial problems. Asthma severity was rated according to the GINA classification.The participants showed elevated caregiver-reported emotional and behavioral symptoms compared with the normative sample (mean CBCL total score T ¼ 63). Quality of life and the need for social support were significantly correlated with psychological symptoms. Asthma severity was neither correlated with quality of life nor with emotional/behavioral symptoms, but it was associated with the need for support due to asthma.Therefore, in our study, comorbid emotional and behavioral symptoms rather than disease severity predicted quality of life of children and adolescents with asthma. Treatment should be adjusted to the special needs of children with asthma and comorbid mental health problems. Pediatr Pulmonol. 2007; 42:15-22.

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Section: Introductionmentioning

confidence: 99%

“…The pure medication of asthma is considered insufficient in these cases. 6 These findings justify further investigation of factors affecting quality of life of children and adolescents who suffer from asthma and show significant emotional and/or behavioral symptoms.…”

Section: Introductionmentioning

confidence: 99%

Disease severity, mental health, and quality of life of children and adolescents with asthma

Goldbeck¹,

Koffmane

Lecheler

et al. 2006

Pediatric Pulmonology

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“…(15) The prevalence of EBD in children and adolescents with asthma varies considerably, ranging from 16% to 50%, and the prevalence found in the present study (20.4%) also falls within this range. (16,20,21) In a population-based study, (7) it was reported that children and adolescents with asthma, aged 5-17 years, who present limited capability to engage in physical activities are at a high risk of EBD (OR = 2.96; 95% CI: 1.22-7.17). In the present study, the result was similar (OR = 2.66; 95% CI: 1.52-4.64).…”

Section: General Characteristics Of the Populationmentioning

confidence: 99%

“…Despite the various methodologies adopted, most studies have shown that the prevalence of psychological disorders is higher in children and adolescents with asthma than in the general. (7)(8)(9)(10)(11)(12)(13)(14)(15) We chose to use the ISAAC questionnaire as the criterion for the definition of asthma because it has been administered to more than 700,000 children and adolescents from 56 countries in epidemiological investigations of asthma, which can facilitate future comparisons. (16) Since this is a more sensitive feel freer to express their problems and feelings.…”

Section: General Characteristics Of the Populationmentioning

confidence: 99%

“…(6) Most studies on emotional/behavioral disorder (EBD) involving children and adolescents with asthma have shown that the prevalence of emotional disorders is higher in these patients than in the general population. (7)(8)(9)(10)(11)(12)(13)(14)(15) The majority of these studies were carried out in specialized clinics or hospitals and included only patients with persistent asthma (moderate or severe), with small convenience samples. (8)(9)(10)12) A few population-based studies have been conducted.…”

Section: Introductionmentioning

confidence: 99%

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Prevalência de transtornos emocionais e comportamentais em adolescentes com asma

et al. 2008

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Objective: To determine the prevalence of emotional and behavioral disorders in adolescents with asthma and to compare it with that of adolescents without asthma. Methods: A transversal study using the Strengths and Difficulties Questionnaire, administered to adolescents with or without asthma, ranging from 14 to 16 years of age and randomly selected from schools in the city of Belo Horizonte, Brazil. Results: The prevalence of emotional and behavioral disorders in adolescents with and without asthma was 20.4% (95% CI: 14.5-27.8%) and 9.0% (95% CI: 6.1-12.8%), respectively. Among adolescents with asthma, 56.6% (95% CI: 48.3-64.5%) presented normal scores, and 23.0% (95% CI 16.8-30.7%) presented borderline scores. Among adolescents without asthma, 75.0% (95% CI: 69.7-79.6%) presented normal scores, and 16.0% (95% CI: 12.2-20.7%) presented borderline scores. The median total score on the questionnaire was 14 and 12 among subjects with and without asthma, respectively (p < 0.01). In the final logistic regression model, adjusted for socioeconomic variables, the association between emotional/behavioral disorders and the following variables remained significant: being female (OR = 1.98; 95% CI: 1.10-3.56; p = 0.02) and having asthma (OR = 2.66; 95% CI: 1.52-4.64; p = 0.001). Conclusion: The prevalence of emotional and behavioral disorders is higher in adolescents with asthma than in those without asthma, underscoring the need for a holistic, interdisciplinary approach.Keywords: Asthma; Epidemiology; Prevalence; Adolescent; Psychology; Behavioral symptoms. ResumoObjetivo: Determinar a prevalência de transtornos emocionais e comportamentais em adolescentes com asma e compará-la com a prevalência em adolescentes sem asma. Métodos: Estudo transversal através de um questionário de transtornos psicológicos (Strengths and Difficulties Questionnaire) aplicado a adolescentes de 14 a 16 anos, com e sem asma, selecionados aleatoriamente em escolas municipais de Belo Horizonte (MG) Brasil. Resultados: A prevalência de transtornos emocionais e comportamentais em adolescentes com e sem asma foi 20,4% (IC95%: 14,5-27,8%) e 9,0% (IC95%: 6,1-12,8%), respectivamente. Entre os adolescentes com asma, 56,6% (IC95%: 48,3-64,5%) apresentavam escores dentro da faixa de normalidade e 23% (IC95%: 16,8-30,7%), valores limítrofes. Entre os que não tinham asma, 75,0% (IC95%: 69,7-79,6%) apresentavam escores normais e 16,0% (IC95%: 12,2-20,7%), limítrofes. A mediana no escore total do questionário foi 14 nos portadores de asma e 12 nos sem asma (p < 0,01). Na análise multivariada (regressão logística), controlado para variáveis socioeconômicas, permaneceram significativas as associações entre transtornos emocionais e comportamentais e as seguintes variáveis: sexo feminino (OR = 1,98; IC95%: 1,10-3,56, p = 0,02), e ter asma (OR = 2,66; IC95%: 1,52-4,64, p = 0,001). Conclusão: A prevalência de transtornos emocionais e comportamentais em adolescentes portadores de asma é significativamente maior do que naqueles que não tem asma, reforçando a ...

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Body Mass Index and Asthma in the Military Population of the Northwestern United States

et al. 2001

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Prevalence of Behavior Problems in US Children With Asthma

Cited by 91 publications

References 41 publications

Disease severity, mental health, and quality of life of children and adolescents with asthma

Disease severity, mental health, and quality of life of children and adolescents with asthma

Prevalência de transtornos emocionais e comportamentais em adolescentes com asma

Body Mass Index and Asthma in the Military Population of the Northwestern United States

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