Parent-child interactions in children with asthma and anxiety

Sicouri, Gemma; Sharpe, Louise; Hudson, Jennifer L.; Dudeney, Joanne; Jaffé, Adam; Selvadurai, Hiran; Hunt, Caroline

doi:10.1016/j.brat.2017.08.010

Cited by 20 publications

(16 citation statements)

References 57 publications

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“…daily routines to time-consuming treatments (between 2 or 3 hours a day) can also have a negative impact on emotional well-being, leading to the appearance of a depressive clinical profile, as shown in our results and those of previous studies [10]. We found no differences between patients with PCD and their healthy peers, as compared to other studies [12,13,15], and observed that depressive symptomatology is more present in healthy people and anxious symptomatology in PCD. In this case, psychological support is necessary to improve emotional well-being.…”

Section: Discussionsupporting

confidence: 76%

“…With this objective in mind, we examined the role that psychological factors can play in pre-adolescence and adolescence. At the same time, we have assessed the possible weight that a chronic medical pathology such as PCD can have on these individuals, comparing PCD patients with their healthy peers as in previous studies [12,15,18].…”

Section: Discussionmentioning

confidence: 99%

“…This is particularly important, given that adolescence is a period of searching for interpersonal growth and independence. Having the support of the reference group such as the peer group can act as an important protective factor in the process of adaptation to the disease [12], this requires further study in future research. Overall, we observed that a percentage of pre-adolescents and adolescents show low levels of well-being, which is an aspect requiring attention in possible work with them.…”

Section: Discussionmentioning

confidence: 99%

“…Research on chronic pediatric disease indicates a greater presence of clinical anxietydepression in these patients compared to their healthy peers [12][13][14][15] more behavioural problems [15][16][17] and a worse perceived psychological well-being [15,18]. In addition, these patients appear to report lower self-esteem [19][20][21].…”

Section: Introductionmentioning

confidence: 92%

“…In paediatrics, research on the psychological aspects (well-being, internalizing-externalizing problems, self-esteem) of chronic respiratory diseases is scarce, especially as related to rare diseases such as PCD. Uncertainty about the prognosis and evolution of the disease, ongoing medical care, as well as a lack of symptom control, often negatively impact these patients' emotional well-being [10][11][12]. Infertility is also an important characteristic associated with PCD, which can lead to frustration or negative emotions in them and their families due to its possible consequences for the patient's future plans [13].…”

Section: Introductionmentioning

confidence: 99%

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Primary ciliary dyskinesia and psychological well-being in adolescence

et al. 2020

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Primary ciliary dyskinesia (PCD) is a rare autosomal recessive disease with low prevalence in pediatrics. Health studies have not sufficiently analyzed the role of psychological variables in rare diseases such as PCD. This paper studies the psychological characteristics of a group of pediatric patients diagnosed with PCD compared to their healthy peers. The sample consisted of 48 preadolescents-adolescents, aged 9-18 years (M = 12.96; SD = 2.71), with similar distribution by sex, and 25% of the patients having dyskinesia. Clinical anxiety-depression, self-esteem and psychological well-being were evaluated using questionnaires: the Adolescent Psychological Well-being Scale (BIEPS-J), the Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale (RSE). Data were analysed using descriptive, mean comparison (t-test) and diffuse comparative qualitative analysis (QCA). The results show no differences were found between healthy and PCD patients in the variables analyzed, except for social ties showing the latter greater well-being in this aspect. In QCA models, the variables that best explained the high or low levels of well-being were depression and selfesteem, and primary ciliary dyskinesia was not a necessary condition for presenting low levels of well-being. In conclusion, our results highlight the need to explore psychological aspects in pediatric patients with rare diseases.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Primary ciliary dyskinesia and psychological well-being in adolescence

et al. 2020

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Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Cahal

Amirav

Diamant

et al. 2021

Pediatric Pulmonology

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Objective: A national lockdown was implemented in Israel to slow the viral spread of COVID-19. We assessed the real-time effects of the lockdown on disease expression and lifestyle modifications in pediatric patients with chronic respiratory disorders.Methods: An anonymous electronic questionnaire was distributed during lockdown (March-May 2020) to caregivers of patients with chronic respiratory disorders. The primary outcome was change in disease expression and the secondary outcomes were changes in lifestyle and caregivers' emotional status. Results:The clinical status of one-third of the 445 participating patients (age 0-18 years) reportedly improved, including decreased respiratory symptoms (n = 133, 33%), exacerbation frequency (n = 147, 35%), and use of reliever medications (n = 101, 27.4%). The condition of~10% of the patients worsened. Clinical improvement was noted mostly in young patients <5 years (p = .001), asthmatic patients (p = .033), and patients with multiple underlying respiratory disorders (p = .015). Patients whose condition significantly worsened were more likely to be >5 years (p < .001), had increased screen time, decreased physical activity, and shorter sleep duration compared to their younger counterparts (p = .008, <.001, and .001, respectively). Caregivers' reports (n = 236 [58%]) of their own anxiety levels and perceptions of the patients' elevated health risk were increased, regardless of the children's actual clinical status.Conclusion: COVID-19 lockdown was associated with clinical improvement/stability for most of the surveyed children; however, their caregivers' anxiety level was heightened. An increased sedentary lifestyle was reported mostly in older children.

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Relationship between anxiety symptoms, clinical control and quality of life of children with asthma: A cross‐sectional study

Tomaz

Monteiro

Maciel

et al. 2021

Pediatric Pulmonology

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Objective: To investigate the relationship between anxiety symptoms and factors related to clinical control and quality of life of children with asthma aged 7-12 years. Methods: A cross-sectional comparative study involving children recruited from a reference center for asthma treatment in the city of Natal-RN. Diagnosis, control and severity were performed following GINA recommendations (2019). Sociodemographic information and spirometry results from a bronchodilator test were collected. Modified Fisher's scale, clinical control questionnaires (c-ACT and ACT), quality of life assessment (PAQLQ) (total score and domains) and anxiety symptoms assessment (SCAS) (total score and domains) were applied.Results: The sample consisted of 42 children with asthma. Symptoms of social phobia (as identified by SCAS), and household head education were related to clinical asthma control (p = .006; R 2 = .19). Total SCAS score, guardian's education and physical activity were related to total PAQLQ (p < .0001; R 2 = .33). SCAS was related to the activity limitation domain of PAQLQ (p = .004; R 2 = .17). SCAS, gender, and physical activity were related to the PAQLQ symptoms domain (p = .003; R 2 = .32). The guardian's education, physical activity practice, and the symptoms of separation anxiety, panic attack and agoraphobia (as identified by SCAS) were related to the emotional domain of PAQLQ (p = .004; R 2 = .45). Conclusion:The present study shows evidence of an association between anxiety symptoms, poorer clinical control, and health-related quality of life in children with asthma.

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Parent-child interactions in children with asthma and anxiety

Cited by 20 publications

References 57 publications

Primary ciliary dyskinesia and psychological well-being in adolescence

Primary ciliary dyskinesia and psychological well-being in adolescence

Real‐time effects of COVID‐19 pandemic lockdown on pediatric respiratory patients

Relationship between anxiety symptoms, clinical control and quality of life of children with asthma: A cross‐sectional study

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