Psychological characteristics associated with the onset and course of asthma in children and adolescents: A systematic review of longitudinal effects |
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| Authors: | Marijke M. Tibosch Christianne M. VerhaakPeter J.F.M. Merkus |
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| Affiliation: | a Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
b Department of Pediatric Pulmonology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands |
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| Abstract: | ![]()
ObjectiveTo systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma.MethodsRelevant studies were identified using Medline, PubMed, and PsychINFO between 1970 and September 2009.ResultsTwenty studies matching inclusion criteria were reviewed. Six studies focused on child-specific psychological characteristics in relation to the onset and course of asthma. No compelling evidence was found for an association with asthma onset, but there was some evidence that the child's psychological characteristics can contribute to the subsequent course of asthma. Fourteen studies considered the effects of the psychological characteristics of the caregivers. Eleven studies found significant relationships between the psychological problems of caregivers and the subsequent onset and unfavorable course of the asthma in the child.ConclusionIn pediatric asthma both the psychological characteristics of the affected children and their caregivers appear to contribute to the course and possibly also to the onset of the condition. |
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| Keywords: | AE, allergen exposure AL, caregiver alcohol use BF, breast feeding BM, baseline morbidity BSI, Brief Symptom Inventory BSQ, Behavior Screening Questionnaire BW, birth weight CBCL, Child Behavior Checklist CCEI, Crown-Crisp Experiental Index CES-D, Center for Epidemiological Studies Depression Scale CI, confidence interval ECBI, Eyberg Child Behavior Inventory ED, Emergency department FHA, family history of asthma GHQ, General Health Questionnaire HAD, Hospital Anxiety and Depression Scale HRI, history of respiratory infections ICD, International Classification of Diseases IgE, immunoglobulin E IL, interleukin INF, interferon MH, mental health OR, odds ratio PACE, Psychosocial Assessment of Childhood Experiences PP, parenting practices PRS, Parenting Risk Scale PSS, Perceived Stress Scale RR, relative risk SC, Spearman correlation SES, socioeconomic status SS, social support TNF-α, tumor necrosis factor-α UCLALSI-CV, University of California Los Angeles Life Stress Interview&mdash Child Version |
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