The effect of internalization and other psychologic factors on the remission and severity of wheeze in children

Feitosa, Caroline Vieira; Santos, Darci Neves dos; Barreto, Maurício L.; Rodrigues, Laura C.

doi:10.1111/pai.12545

Cited by 4 publications

(4 citation statements)

References 32 publications

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“…To date, few studies have investigated the relationship between behavioural problems and asthma severity, showing that severe asthmatics are at a higher risk of emotional problems 18 , especially internalizing ones 19,20 . Current research suggests that the relationship between asthma and behaviour problems are quite complicated due to the multifactorial determinants of both asthma and behaviour.…”

Section: Discussionmentioning

confidence: 99%

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Montalbano

Ferrante

Montella

et al. 2020

Sci Rep

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37 , franca Rusconi 11,37 & the italian pediatric Severe Asthma network (ipSAn) program of italian paediatric Respiratory Society (ipRS) † Knowledge on multiple interdependences between quality of life (QoL) and behavioural problems in relation to asthma severity and control is undetermined. the aims of the study were: (i) to assess the relationship of QoL and behavioural problems with asthma severity and control (ii) to predict children's "abnormal/borderline" status with variation in QoL. for these purposes a multicenter case-control study on 47 Severe Asthma (SA) and 94 Moderate Asthma (MA) children was performed. The MIMIC approach was applied to investigate the effect of SA and non-controlled asthma (NC) on QoL and behavioural disorders. Logistic regression was used to estimate probabilities of having an "abnormal/ borderline" status with variation in QoL. The MIMIC model showed that the magnitude of the effect of SA and nc was larger on QoL (β = −0.37 and β = −0.30, respectively) than on behavioural problems (β = 0.27). With regards to the probability of having a borderline status, in MA a QoL of 1 returned a probability of 0.81, whereas in SA a QoL of 1 returned a probability of 0.89. In conclusion, SA children are highly affected by impaired QoL and behavioural problems. The MIMIC model allowed us to obtain a comprehensive assessment of QoL and behavioural problems with asthma severity and control.Asthma is one of the most common chronic illnesses of childhood. In clinical practice, physicians are generally focused on diagnosis and treating the respiratory aspects of the disease; however, there are other factors, including psychological facets, which contribute to the disease course, including quality of life (QoL). Children with

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Section: Discussionmentioning

confidence: 99%

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Montalbano

Ferrante

Montella

et al. 2020

Sci Rep

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“…In Brazil, asthma symptoms were more frequent in children of mothers with common mental disorders in a setting where children were typically exposed to intrafamilial and community violence and had a high frequency of behavioural problems often accompanied by depression, anxiety, and stress. [93][94][95][96][97][98][99] Interestingly, maternal mental illness predicted the development of asthma symptoms in children and adolescents. 100 Asthma itself may also increase the risk of mental disorders.…”

Section: Mental Illness and Psychological Stressmentioning

confidence: 99%

“…Studies in LA have reinforced the role of stress and other psychosocial problems as determinants of asthma prevalence (Table 1). In Brazil, asthma symptoms were more frequent in children of mothers with common mental disorders in a setting where children were typically exposed to intrafamilial and community violence and had a high frequency of behavioural problems often accompanied by depression, anxiety, and stress 93–99 . Interestingly, maternal mental illness predicted the development of asthma symptoms in children and adolescents 100 .…”

Section: Lifestyle and Behaviourmentioning

confidence: 99%

“…A study of adults from São Paulo, Brazil, showed that anxiety with or without depression was associated with uncontrolled asthma 107 . A longitudinal analysis of asthmatic children in Salvador, Brazil, showed a reduced chance of remission and greater risk of developing severe symptoms among children internalizing problems 99 . Policies to prevent domestic and community violence can be justified on public health grounds because of the detrimental effects on mental health and asthma risk 108 …”

Section: Lifestyle and Behaviourmentioning

confidence: 99%

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Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Cooper

Figueiredo

Rodríguez

et al. 2023

Clinical & Translational All

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Asthma is an important health concern in Latin America (LA) where it is associated with variable prevalence and disease burden between countries. High prevalence and morbidity have been observed in some regions, particularly marginalized urban populations. Research over the past 10 years from LA has shown that childhood disease is primarily non‐atopic. The attenuation of atopy may be explained by enhanced immune regulation induced by intense exposures to environmental factors such as childhood infections and poor environmental conditions of the urban poor. Non‐atopic symptoms are associated with environmental and lifestyle factors including poor living conditions, respiratory infections, psychosocial stress, obesity, and a diet of highly processed foods. Ancestry (particularly African) and genetic factors increase asthma risk, and some of these factors may be specific to LA settings. Asthma in LA tends to be poorly controlled and depends on access to health care and medications. There is a need to improve management and access to medication through primary health care. Future research should consider the heterogeneity of asthma to identify relevant endotypes and underlying causes. The outcome of such research will need to focus on implementable strategies relevant to populations living in resource‐poor settings where the disease burden is greatest.

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Maternal asthma symptoms during pregnancy on child behaviour and executive function: A Bayesian phenomics approach

Husain,

Cremaschi,

Suaini

et al. 2024

Brain, Behavior, and Immunity

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The effect of internalization and other psychologic factors on the remission and severity of wheeze in children

Abstract: Children with internalizing problems but not externalizing had less remission of wheezing, and a higher risk of acquiring severe symptoms. These results highlight the importance of psychologic care for children with asthma, to improve the prognosis of this condition.

Cited by 4 publications

References 32 publications

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model

Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Maternal asthma symptoms during pregnancy on child behaviour and executive function: A Bayesian phenomics approach

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