Neurotic illness in the families of children with asthma and wheezy bronchitis: a general practice population study

Davis, Jennifer

doi:10.1017/s0033291700029408

Cited by 23 publications

(11 citation statements)

References 3 publications

(4 reference statements)

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“…These data may be useful for understanding the nature of the association between childhood asthma and maternal depression. Additionally, the diagnosis and severity classification of asthma was made by a specialist, but not based solely on the parent's report of symptoms as in previous studies (2,5,6). Accurate diagnosis of asthma in this study may increase the validity of its conclusions.…”

Section: Discussionmentioning

confidence: 97%

“…The sample size was determined on the assumption that prevalence of depression was 35% among mothers of children with asthma and 12% among mothers of children without asthma (5,6,8). We recruited 2 non-exposed participants for each exposed participant, and our sample size calculation (power = 95%, alpha level = 0.05) determined that we would need to include at least 70 mothers of children with asthma and 140 mothers of children without asthma.…”

Section: Study Samplementioning

confidence: 99%

“…Despite the high prevalence of maternal depression among children with asthma, as shown by these studies, lack of a comparison group of children without asthma makes it difficult to estimate accurately how much childhood asthma contributes to the level of maternal depression. To our knowledge, only two studies have specifically addressed this question, and they both showed a higher prevalence of depression among mothers of children with asthma than mothers of children without asthma (5,6). However, no robust evidence is available regarding a possible association between severity and duration of childhood asthma and maternal depression.…”

Section: Introductionmentioning

confidence: 99%

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High Prevalence of Depression amongst Mothers of Children with Asthma

et al. 2009

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Section: Discussionmentioning

confidence: 97%

Section: Study Samplementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High Prevalence of Depression amongst Mothers of Children with Asthma

et al. 2009

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“…The initial evidence for this link came from mothers whose children had asthma but did not have MDD [26,27]. In some studies, rates of depression in family members were related to the severity of the child's asthma symptoms, raising the possibility that these were related to the stress of having an ill child [28,29].…”

Section: Relationships Between Asthma and Psychiatric Illnessmentioning

confidence: 99%

Psychological Factors in Asthma

Lieshout

MacQueen

2008

All Asth Clin Immun

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Asthma has long been considered a condition in which psychological factors have a role. As in many illnesses, psychological variables may affect outcome in asthma via their effects on treatment adherence and symptom reporting. Emerging evidence suggests that the relation between asthma and psychological factors may be more complex than that, however. Central cognitive processes may influence not only the interpretation of asthma symptoms but also the manifestation of measurable changes in immune and physiologic markers of asthma. Furthermore, asthma and major depressive disorder share several risk factors and have similar patterns of dysregulation in key biologic systems, including the neuroendocrine stress response, cytokines, and neuropeptides. Despite the evidence that depression is common in people with asthma and exerts a negative impact on outcome, few treatment studies have examined whether improving symptoms of depression do, in fact, result in better control of asthma symptoms or improved quality of life in patients with asthma.

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“…15 Studies have also indicated that in caregivers, especially mothers, life stressors and depression are associated with worse pediatric asthma symptom severity and overall morbidity. 15,16 Further, Weil et al found that children of caregivers with mental health problems were almost twice as likely to require hospitalization for their asthma. 13 Depression also can impact one’s ability to comprehend information and communicate effectively.…”

Section: Introductionmentioning

confidence: 99%

Depression among caregivers of children with asthma and its impact on communication with health care providers

et al. 2012

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Background Caregiver depression is common, can negatively influence one's ability to communicate with healthcare providers, and may hinder appropriate care for children with asthma. Objective To evaluate the impact of caregiver depression on communication and self-efficacy in interactions about asthma with their child's physician. Study Design Cross sectional analysis using data from the Prompting Asthma Intervention in Rochester–Uniting Parents and Providers study. Methods We enrolled caregivers of children (2–12 yrs) with persistent asthma prior to their healthcare visit. Caregivers were interviewed via telephone after the visit to assess depression, self-efficacy, and provider communication at the visit. Caregiver depression was measured using the Kessler Psychological Distress scale. We assessed caregiver self-efficacy using items from the Perceived Efficacy in Patient Physician Interactions scale; caregivers rated their confidence for each item (range 0–10). We also inquired about how well the provider communicated regarding the child’s asthma care. Bivariate and multivariate analyses were used. Results We interviewed 195 caregivers (response rate 78%; 41% Black, 37% Hispanic), and 30% had depressive symptoms. Caregiver rating of provider communication did not differ by depression. Most caregivers reported high self-efficacy in their interactions with providers; however depressed caregivers had lower scores (8.7 vs. 9.4,p=.001) than non-depressed caregivers. Further, depressed caregivers were less likely to be satisfied with the visit (66% vs. 83%,p=.014), and to feel all of their needs were met (66% vs. 85%,p=.007). In multivariate analyses, depressed caregivers were >2× more likely to be unsatisfied with the visit and to have unmet needs compared to non-depressed caregivers. Conclusions Depressed caregivers of children with asthma report lower confidence in interactions with providers about asthma and are less likely to feel that their needs are met at a visit. Further study is needed to determine the best methods to communicate with and meet the needs of these caregivers.

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Neurotic illness in the families of children with asthma and wheezy bronchitis: a general practice population study

Cited by 23 publications

References 3 publications

High Prevalence of Depression amongst Mothers of Children with Asthma

High Prevalence of Depression amongst Mothers of Children with Asthma

Psychological Factors in Asthma

Depression among caregivers of children with asthma and its impact on communication with health care providers

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