Symptom Perception in Pediatric Asthma: Relationship to Functional Morbidity and Psychological Factors

Fritz, Gregory K.; McQuaid, Elizabeth L.; Spirito, Anthony; Klein, Robert B.

doi:10.1097/00004583-199608000-00014

Cited by 93 publications

(67 citation statements)

References 18 publications

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“…This finding is similar to what others have suggested for report of daytime symptoms (Braun-Fahrlander et al, 1998;Fritz, McQuaid, Spirito, & Klein, 1996;Horak, Grassl, Skladal, & Ulmer, 2003;Lara et al, 1998);Mittal, Khanna, Panjabi, & Shah, 2006;Renzoni et al, 1999). Parents and children can be taught symptom specific identification skills, such as wheezing (Lee, Arroyo, & Rosenfeld, 1996), and this can be a focus of educational efforts, especially if the child has moderate-severe symptoms where inaccurate appraisal has had the greatest negative impact on control assessments (Halterman, 2006).…”

Section: Discussionsupporting

confidence: 93%

Parent-Child Agreement in Report of Nighttime Respiratory Symptoms and Sleep Disruptions and Quality

Kieckhefer

Lentz²,

Tsai³

et al. 2009

Journal of Pediatric Health Care

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Introduction-Asthma control requires assessment of nighttime symptoms and sleep disruption. Cognitive and emotional development enables most school age children to report nocturnal problems but providers often rely only on parental report potentially limiting the comprehensiveness of their assessments and their ability to support the child's emerging efforts at shared management of their illness. This study investigated parent-child concordance in report of nighttime respiratory symptoms, sleep disruption and quality of sleep in a sample of 9-11 year old children with asthma. Secondarily, similar concordance patterns in an equal number of dyads where the child was asthma free were examined, to illustrate the potential influence of asthma.

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Section: Discussionsupporting

confidence: 93%

Parent-Child Agreement in Report of Nighttime Respiratory Symptoms and Sleep Disruptions and Quality

Kieckhefer

Lentz²,

Tsai³

et al. 2009

Journal of Pediatric Health Care

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“…More research is necessary both to understand the causes of disagreement between parent and child reports of asthma symptoms and to assess the valid- 19 found that children with higher IQs were better predictors of their PEFRs. Given the reported prevalence of emotional and mental health disorders in children with asthma, 32,33 future research could test the hypothesis that children's report of symptoms are associated with their psychosocial state.…”

Section: Discussionmentioning

confidence: 99%

“…This method has been used previously. 19,20 Children were included only if parents indicated that their child had a physician diagnosis of asthma. …”

mentioning

confidence: 99%

Differences Between Child and Parent Reports of Symptoms Among Latino Children With Asthma

et al. 1998

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ABSTRACT. Objectives. To determine, in a population of predominantly Latino children with asthma 6 to 18 years old, whether parent and child reports of asthma symptoms with exercise differ and to evaluate the validity of child and parent reports of symptoms.Design. Data obtained from child and parent interviews; pulmonary function tests (forced vital capacity, forced expiratory volume in 1 second, forced expiratory flow , peak expiratory flow), and observation of symptoms after exercise.Setting. Three summer camps for minority children with asthma in Los Angeles County.Participants. A total of 97 children with asthma (78% Latino, 12% non-Latino White, 9% Other; 6 to 18 years of age) and their parents.Intervention(s). None. Primary Outcome Measures. Child and parent reports of cough and wheezing with exercise and pulmonary function tests before and after exercise. While at camp, children underwent spirometry after completing the selfadministered survey. The pulmonary function tests were conducted and interpreted according to the pediatric specifications for spirometry, and results >80% of predicted, adjusted for gender, age, height, and race, were considered normal. Six peak expiratory flow rates (PEFR) by peak flow meter also were recorded by trained research assistants immediately before spirometry, and values >80% of predicted based on height were considered normal. To observe child symptoms with exercise, children participated in a relay running race of 200 feet followed by a swimming race of 300 feet. Research assistants measured heart rate and 6 PEFRs using ASSESS portable peak flow meters immediately before and after each exercise. A positive exercise challenge was defined as a 15% reduction in mean PEFR and/or observed asthma symptoms (cough, wheezing, chest pain, asthma attack).Results. Of the children, 18% reported never having a cough when they exercised, 46% reported having it occasionally when they exercised, and 36% reported having it quite often or always when they exercised. For wheezing, 20% of children reported never having wheezing when they exercised, 35% having it occasionally when they exercised, and 45% having it quite often or always when they exercised. Parents reported fewer symptoms than did their children. Of the parents, 34% reported that their children did not have cough with exercise, 37% reported few to some days, and 29% reported most days or every day. Forty-seven percent of parents reported that their child did not wheeze with exercise in the last 2 months, 35% reported wheezing on a few days to some days, and 17% reported wheezing most days to every day.Parent and child reports of cough or wheezing after exercise correlated mildly with each other (parent/child cough r ‫؍‬ 0.23; ‫؍‬ 0.03; parent/child wheezing r ‫؍‬ 0.21; ‫؍‬ 0.14). Children were more likely to report cough: 59 of 71 (83%) of children versus 44 of 71 (62%) of parents. The 22 children who reported cough when their parents did not account for most of the disagreement between parents and children. Children were mo...

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“…compared children with diagnosed and undiagnosed asthma: these last showed poor perception of dyspnea and VAS significantly related with FEV 1 . Fritz et al [5]. reported that VAS was easily understood by children and was useful in improving perceptual ability.…”

Section: Symptom Perception and Quantitative Measurementioning

confidence: 99%

Measuring the perception of symptom, drug use and allergen immunotherapy efficacy using the Visual Analogue Scale

Ciprandi

Tosca

Silvestri

2013

Expert Review of Clinical Immunology

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Symptom Perception in Pediatric Asthma: Relationship to Functional Morbidity and Psychological Factors

Cited by 93 publications

References 18 publications

Parent-Child Agreement in Report of Nighttime Respiratory Symptoms and Sleep Disruptions and Quality

Parent-Child Agreement in Report of Nighttime Respiratory Symptoms and Sleep Disruptions and Quality

Differences Between Child and Parent Reports of Symptoms Among Latino Children With Asthma

Measuring the perception of symptom, drug use and allergen immunotherapy efficacy using the Visual Analogue Scale

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