Multivariate Association of Child Depression and Anxiety with Asthma Outcomes

Kulikova, Alexandra; Lopez, J.; Antony, Anna; Khan, Dave A.; Persaud, Donna; Tiro, Jasmine; Ivleva, Elena I.; Nakamura, Alyson; Patel, Zena; Tipton, Shane; Lloyd, Tressa; Allen, Karen; Kaur, Savitoj; Owitz, M. Seth; Pak, Ray J.; Adragna, Michael S.; Chankalal, Raymond; Humayun, Quratulain; Lehman, Heather K.; Miller, Bruce D.; Wood, Beatrice L.; Brown, E. Sherwood

doi:10.1016/j.jaip.2021.02.043

Cited by 21 publications

(13 citation statements)

References 38 publications

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“…A number of studies have shown that among children with asthma, those comorbid for depression and/or anxiety have increased risks of exacerbations, 55,56 poorly controlled asthma 57–61 and increased medical costs including hospital stays 56,62,63 compared to children without comorbidity. There is also some evidence to suggest that these risks are greater in girls than boys, 59,61,62,64 and in adolescents than younger children 62,65 .…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, a recent meta-analysis confirmed an association of anxiety disorders in youth with asthma compared to youth without asthma (standardized mean difference 0.37, 95% CI 0.24, 0.50), Figure 3. 54 A number of studies have shown that among children with asthma, those comorbid for depression and/or anxiety have increased risks of exacerbations, 55,56 poorly controlled asthma [57][58][59][60][61] F I G U R E 2 Current knowledge on asthma and obesity in children. Summary of study factors measuring obesity as a risk of asthma, and a summary of currently proposed mechanisms explaining the comorbidity of asthma and obesity.…”

Section: Asthma and Depression And Anxietymentioning

confidence: 99%

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Paediatric asthma and non‐allergic comorbidities: A review of current risk and proposed mechanisms

Brew

Osvald

Gong

et al. 2022

Clin Experimental Allergy

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Section: Resultsmentioning

confidence: 99%

Section: Asthma and Depression And Anxietymentioning

confidence: 99%

Paediatric asthma and non‐allergic comorbidities: A review of current risk and proposed mechanisms

Brew

Osvald

Gong

et al. 2022

Clin Experimental Allergy

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“…There has been a plethora of studies and reviews investigating the relationships between asthma and psychological factors, such as anxiety and depression, [1][2][3][4][5][6] but these are mainly focused on the adverse outcomes of comorbidity and the prevalence differences of internalizing symptoms in asthmatic versus nonasthmatic patients. 3,6 Comorbidity of anxiety and depression occurrence in patients with asthma seem not to be clear.…”

Section: Introductionmentioning

confidence: 99%

Asthma and anxiety development in Australian children and adolescents

Garcia-Sánchez

Darssan

Lawler

et al. 2023

Pediatric Allergy Immunology

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Background Evidence has suggested a bidirectional association between both the effects and onset of asthma and anxiety. The direction of this association in children and adolescents is less clear. The study evaluates whether anxiety in children is associated with the development of later asthma or, by contrast, whether asthma in children precedes anxiety. Methods Parental reports from 9369 children at two age points (4–5 and 14–15 years old) and from baby (B) (recruited at birth in 2004) and kindergarten (K) (recruited at 4–5 years of age in 2004) cohorts of the Longitudinal Study of Australian Children (LSAC) were analyzed. Asthma cases were defined as reports of doctor‐diagnosed asthma and the use of asthma medication or/and wheezing. Scores of the Strengths and Difficulties Questionnaire (SDQ) defined anxiety. Results We found a unidirectional association between asthma in children aged 4–5 years and future anxiety development in weighted generalized linear adjusted models (B cohort OR (CI 95%) = 1.54 (1.14–2.08); K cohort OR (CI 95%) = 1.87 (1.40–2.49)). Children with asthma (no anxiety at 4 years) had a higher prevalence of anxiety in adolescence compared with nonasthmatics (B cohort = 26.8% vs 17.6%: K cohort = 27.7% vs 14.3%). Anxiety in childhood was not associated with the development of asthma from 6 years old to adolescence. Conclusion Australian children with asthma have a greater risk of developing anxiety from 6 to 15 years old. This suggests that early multidisciplinary intervention may be required to support children with asthma to either prevent the increased risk of anxiety and/or promote optimal anxiety management.

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“…When asthma disease gets aggravated, the related asthma symptoms also deteriorate rapidly, and severe asthma symptoms are often chronic and even frightening to the adolescents, leading to health-related anxiety and high vigilance, which may be the future inducement of asthma (Kew et al, 2016 ). Asthmatic depression will lead to poor drug compliance and non-compliance with the recommended lifestyle, which may increase the probability of asthma attacks and the possibility of losing control over asthma (Kulikova et al, 2021 ). Therefore, studies have shown that promoting the positive belief of an asthmatic adolescent to enhance their understanding of and confidence in disease management serves as an effective non-drug therapy for the treatment of asthma in adolescents (Pateraki and Morris, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Psychometric validation of the Chinese version of the Adolescent Asthma Self-Efficacy Questionnaire

et al. 2022

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BackgroundSelf-efficacy was considered as a promising target for the self-management of symptoms for adolescents with asthma. The measurement of self-efficacy in adolescents with asthma requires effective self-report tools, which have not been met with at present. So, the aim of this study was to cross-culturally validate the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ).MethodsAs many as 408 adolescents with asthma were invited to take up the psychometric properties test between July 2021 and June 2022. We conducted the confirmatory factor analysis (CFA) to determine the structure of the AASEQ. The relationship between the AASEQ and General Self-Efficacy Scale was tested to evaluate the construct validity. The reliability was evaluated by retest reliability, internal consistency, and interfactor correlation.ResultsThe results of the present study showed that the confirmatory factor analysis indicated a significantly good fit for a four-factor model, which explained 62.697% of the total variance. The fit indices of the four-factor model were acceptable, and the standardized factor loading ranged from 0.631 to 0.880. The C-AASEQ showed an acceptable internal consistency (Cronbach's α = 0.810–0.927) and test-retest reliability (intraclass correlation coefficient = 0.64–0.89). Content validity index at the scale level was 0.96, and content validity index at the item level was 0.86 to 1.ConclusionThe Chinese version of Adolescent Asthma Self-Efficacy Questionnaire showed consistently acceptable positive psychometric properties and can be used as an instrument to assess the self-efficacy of adolescents with asthma in China, as corroborated in the present study.

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Multivariate Association of Child Depression and Anxiety with Asthma Outcomes

Cited by 21 publications

References 38 publications

Paediatric asthma and non‐allergic comorbidities: A review of current risk and proposed mechanisms

Paediatric asthma and non‐allergic comorbidities: A review of current risk and proposed mechanisms

Asthma and anxiety development in Australian children and adolescents

Psychometric validation of the Chinese version of the Adolescent Asthma Self-Efficacy Questionnaire

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