Screening Children with Asthma for Psychosocial Adjustment Problems: A Tool for Health Care Professionals

Gupta, S.; Crawford, Susan; Mitchell, Ian

doi:10.1080/02770900600857267

Cited by 13 publications

(7 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Asthma severity was not associated significantly with internalizing problems or grades in this sample; previous findings in this regard have been inconsistent (Gupta et al, 2006). The association between asthma severity and children’s functioning may be qualified by social context, given the previous finding that adults with more severe asthma exhibited an increased risk for mortality if family or financial problems were present (Barton et al, 2005; Mcquaid et al, 2001).…”

Section: Resultscontrasting

confidence: 79%

Family—school connections and internalizing problems among children living with asthma in urban, low-income neighborhoods

Murdock

Robinson

Adams

et al. 2009

J Child Health Care

View full text Add to dashboard Cite

Children with asthma living in urban environments are at risk for experiencing internalizing problems and difficulties at school due to social context and health-related stressors. Parent confidence and participation in the school and children’s attitudes about school were explored in association with children’s depressed mood and school anxiety. Forty-five parent–child dyads were recruited from urban community health centers. most participants were members of ethnic minority groups. Hierarchical multiple regression analyses revealed that higher levels of parent confidence in the school were associated with fewer symptoms of school anxiety in children. Children’s attitudes toward school moderated the relation between parent participation in the school and children’s depressed mood. Specifically, lower levels of parent participation were associated with higher levels of depressed mood only for children with the least positive school attitudes. Although preliminary, these results suggest the importance of attending to family–school connections to optimize the school-related psychological functioning of children living with asthma in urban environments.

show abstract

Section: Resultscontrasting

confidence: 79%

Family—school connections and internalizing problems among children living with asthma in urban, low-income neighborhoods

Murdock

Robinson

Adams

et al. 2009

J Child Health Care

View full text Add to dashboard Cite

show abstract

“…Caregivers of all children aged 6-16 years and adolescents aged 11-16 years were asked to fill out the SDQ. The reference data and cut-off scores were based on a general population study of 1,288 Dutch adolescents (age [11][12][13][14][15][16] and 285 caregivers [10]. Psychosocial problems between the 80th and 90th percentiles and above the 90th percentile of the reference group were classified as minor and major psychosocial problems, respectively.…”

Section: Psychosocial Problemsmentioning

confidence: 99%

“…Detection of psychosocial problems is relevant because it can be associated with reduced adherence to inhaled steroids, reduced asthma control, and more health care usage [4,6,7,26]. Although several studies recommend focusing on psychosocial problems in pediatric asthma, assessment of psychosocial problems is still not implemented in routine pediatric asthma care or clinical guidelines [9,15].…”

Section: Introductionmentioning

confidence: 99%

An asthma-related quality of life instrument is unable to identify asthmatic children with major psychosocial problems

et al. 2010

View full text Add to dashboard Cite

Evidence shows that psychosocial problems among children and adolescents with asthma interfere with adherence to treatment and therefore need attention in asthma care. It is unknown whether the already frequently implemented asthma-related quality of life (QoL) instruments reflect psychosocial problems in children with asthma. The aim of this study was to assess the relationship between asthma-related QoL and psychosocial problems and to determine whether an asthma-related QoL instrument is able to identify those children and adolescents with asthma with major psychosocial problems. In a multicenter study psychosocial problems (Strengths and Difficulties Questionnaire) and asthma-related QoL (Pediatric Asthma (Caregivers) Quality of Life Questionnaire) were obtained in children and adolescents with asthma aged 6-16 years and their caregivers. A total of 339 children and adolescents (response rate 95%) from four pediatric outpatient clinics in the Netherlands with doctor-diagnosed asthma participated. Of the caregivers, 43% reported major or minor psychosocial problems of their child or adolescent which is two times more than in the reference group, whereas the percentage of adolescents reporting psychosocial problems was comparable to a reference population. Adolescents and caregivers reported few impairments in asthma-related QoL (median score between 6.2 and 7.0). However, an optimal asthma-related QoL did not rule out major psychosocial problems: 10% of the adolescents with an optimal asthma-related QoL score reported major psychosocial problems. And in one out of seven children with an optimal caregiver's asthma-related QoL score, major psychosocial problems were reported. The prevalence of psychosocial problems in children and adolescents with asthma is considerable. Assessment of asthma-related QoL alone is insufficient to identify those children with major psychosocial problems. We recommend the implementation of psychosocial screening, besides assessment of asthma-related QoL, in routine pediatric asthma care, to improve asthma management.

show abstract

“…Asthma has a high prevalence among children (World Health Organization, 2007), and because of the characteristics of the disease, asthma may cause a variety of problems, such as school absenteeism (Centers for Disease Control and Prevention, 2010) or limited participation in activities (Gupta et al ., 2006). Other associated difficulties include behavioral problems, downheartedness, poor interaction with peers, and even low self‐esteem (Mu, 2005; Halterman et al ., 2006; Collins et al ., 2008).…”

Section: Introductionmentioning

confidence: 99%

Relationship among asthma knowledge, behavior management and social adaptation in school‐age children with asthma in Taiwan

Yang

Mu²,

Huang³

et al. 2012

Nursing & Health Sciences

View full text Add to dashboard Cite

This study examined the relationships between asthma knowledge, behavior management, and social adaptation among school-age children with asthma. A total of 210 school-age asthmatic children and their parents were recruited from a medical hospital in Taiwan. The children completed asthma knowledge and behavior management questionnaires, and their parents completed the Child and Adolescent Adjustment Profile. There was a statistically significant positive correlation between behavior management and social adaptation among asthmatic children. Asthma knowledge and behavior management were positively associated but did not correlate with children's social adaptation. The behavior management of the children acted as a predictor of their social adaptation. These findings suggest that efforts to raise children's asthma knowledge will benefit these individuals in terms of behavior management. The introduction of asthma behavior management plans could facilitate the social adaptation of asthmatic children and, in particular, increase their independence and reduce their withdrawal as well as enhance their self-confidence and self-esteem.

show abstract

Screening Children with Asthma for Psychosocial Adjustment Problems: A Tool for Health Care Professionals

Abstract: The CARQ appears to be a useful brief measure to help clinicians identify children at risk for problems adjusting to asthma.

Cited by 13 publications

References 28 publications

Family—school connections and internalizing problems among children living with asthma in urban, low-income neighborhoods

Family—school connections and internalizing problems among children living with asthma in urban, low-income neighborhoods

An asthma-related quality of life instrument is unable to identify asthmatic children with major psychosocial problems

Relationship among asthma knowledge, behavior management and social adaptation in school‐age children with asthma in Taiwan

Contact Info

Product

Resources

About