Caregiver's depressive symptoms and asthma control in children from an underserved community

Rioseco, Alonso; Serrano, Carolina; Celedón, Juan C.; Padilla, Oslando; Püschel, Klaus; Castro-Rodriguez, José A.

doi:10.1080/02770903.2017.1292281

Cited by 15 publications

(18 citation statements)

References 25 publications

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“…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.…”

Section: Parental Burdenmentioning

confidence: 99%

“…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.…”

Section: Sources Of Stress Parent Mental Health Problemsmentioning

confidence: 99%

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Chronic Illness: Asthma

Sandberg¹

2020

Mental Health and Illness Worldwide

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Section: Parental Burdenmentioning

confidence: 99%

Section: Sources Of Stress Parent Mental Health Problemsmentioning

confidence: 99%

Chronic Illness: Asthma

Sandberg¹

2020

Mental Health and Illness Worldwide

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“…1,2 Within the psychosocial factors, there are studies assessing the caregiver's mental health, particularly the mother's, as a predictor of asthma morbidity. [3][4][5] In this sense, maternal depressive symptoms are associated with increased number of visits to the emergency department (ED), 6,7 higher number of hospitalizations, 3,5 and worsening pulmonary function in asthmatic children. 4,[8][9][10] Explanations for that may lie on decreased ability to care, especially in situations of socioeconomic disadvantage.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] In this sense, maternal depressive symptoms are associated with increased number of visits to the emergency department (ED), 6,7 higher number of hospitalizations, 3,5 and worsening pulmonary function in asthmatic children. 4,[8][9][10] Explanations for that may lie on decreased ability to care, especially in situations of socioeconomic disadvantage. 11,12 Parental mental disorder may act as a chronic stressor for the child, increasing his/her vulnerability to environmental stress, by changing the psychobiological pathways of stress.…”

Section: Introductionmentioning

confidence: 99%

Maternal common mental disorder over time and asthma control: The role of social support

Costa

Santos

Feitosa

et al. 2020

Pediatric Allergy Immunology

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Background Despite therapeutic advances, asthma prevalence remains high. Psychosocial factors, including maternal mental disorders, may be involved. This study aims to evaluate the association of maternal common mental disorders (CMDs) and their change over time with asthma morbidity in the child and to observe the effect of social support on this association. Methods This prospective study involved 189 dyads of mothers and their asthmatic children aged between 2 and 14 years, assisted in specialized outpatient clinics. We measured the association of maternal CMD evolution (absent, maintained, or improved over time) with asthma control and visits to the emergency department (ED) due to asthma attacks through Poisson regression analysis. We further stratified the sample according to social support levels to identify a possible effect of this variable on the association of maternal psychological symptoms with asthma morbidity. Results Compared with mothers who maintained CMD over time, maternal CMD absence had a protective effect on the occurrence of visits to the ED (RR: 0.45; 95% CI: 0.26‐0.79) and maternal CMD improvement was associated with lower risk of uncontrolled asthma in the child (RR: 0.60; 95% CI: 0.37‐0.97). There was a stronger association of maternal CMD improvement with asthma control in the child only for the stratum of mothers with high social support in its three dimensions (affective‐social interaction, emotional‐informational, and material dimensions). Conclusions Maternal CMD absence and improvement over the study period were protective factors for uncontrolled asthma in the child, mainly in the presence of high social support.

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“…1 Asthma control has been associated with several medical and psychosocial factors. 2 Asthma is a reversible obstructive lung disease caused by reaction of the airways to a variety of stimuli. It is one of the most common chronic disorders in childhood.…”

Section: Introductionmentioning

confidence: 99%

Asthma

Sultana¹,

Ghani²,

Yasmeen³

et al. 2018

TPMJ

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Introduction: The prevalence of childhood asthma is increasing globally. Asthma is one of the main causes of hospitalization and frequent emergency department visits of children. The parents having awareness about asthma can comply with the treatment, avoidance from triggers and subsequently, they can control asthma symptoms in their children. Study Design: Cross- sectional analytical study. Setting: The Children’s Hospital and the Institute of Child Health, Lahore and Shaikh Zayed Hospital, Lahore in collaboration with University of Health Sciences Lahore. The Shaikh Zayed Hospital, Lahore is a tertiary care and an academic hospital as it is attached with Shaikh Khalifa Bin Zayed Al-Nahyan Medical and Dental College (Shaikh Zayed Hospital updates). The Children’s Hospital and Institute of Child Health, Lahore provides services of tertiary health care as well as allied facilities. Period: 12 months from 01-08-2013 to 01-07-2014. Methods: To assess the knowledge of parents of asthmatic children about the disease and to determine any association between asthma knowledge and the level of asthma control in their children. Subjects were parents with their asthmatic children ages between 4 to 12 years attending two exclusive pediatric hospitals at Lahore. A tool was constructed to assessparent’s knowledge about asthma, and a pre-validated asthma control tool was administered to determine asthma symptoms control in children. Data was represented in the form of figures, tables and chi square test was used to determine the association of knowledge about asthma,demographic information, and environmental information with different group of asthma control. Results: One hundred and ninety-six parents with their asthmatic children participated in this study. There was no association between asthma knowledge and the level of asthma control.There were 108 parents who had adequate knowledge about asthma, out of them only 45 (41.7%) children had asthma control. There were 88 parents who had inadequate knowledge about asthma. Out of them 36 (40.9%) children were with asthma control (p=.915). Conclusions:The findings of the study concluded that more than 50% (108/ 196) of the parents/ guardians have adequate knowledge about asthma and there was no association found between asthma knowledge and the level of asthma control. However, we need to empower Pakistani communityvia a national asthma awareness program, smoking cessation campaign and also empower the health care team with up-to-date knowledge about asthma management.

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Caregiver's depressive symptoms and asthma control in children from an underserved community

Abstract: Presence of caregiver's depressive symptoms is associated with poor asthma control among children from an underserved community, but this association was no longer significant after accounting for ICS use.

Cited by 15 publications

References 25 publications

Chronic Illness: Asthma

Chronic Illness: Asthma

Maternal common mental disorder over time and asthma control: The role of social support

Asthma

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