Relationship between pediatric asthma and psychosocial status of caregivers
To determine the relationship between psychosocial caregiver disorders and childhood asthma. We performed a matched case–control study with asthmatic children (6-14 years of age) from two different clinics in Zaragoza, Spain, between 2010 - 2016. Clinical data were collected from medical records and...
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| Veröffentlicht in: | Respiratory medicine 2020-11, Vol.174, p.106187-106187, Article 106187 |
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| creator | Morillo-Vanegas, Dunibel Sanchez-Salcedo, Pablo Sebastián Ariño, Antonio Francisco |
| description | To determine the relationship between psychosocial caregiver disorders and childhood asthma.
We performed a matched case–control study with asthmatic children (6-14 years of age) from two different clinics in Zaragoza, Spain, between 2010 - 2016. Clinical data were collected from medical records and psychosocial disorders were assessed by interviewing the caregiver using validated questionnaires (Goldberg, CES-D, SF-12, PSS and SPIN). General analysis of cases and controls was performed using McNemar, Chi2 and Wilcoxon nonparametric tests. A logistic regression model to predict more severe asthma, adjusted by caregiver psychosocial disorders was performed.
208 children were evaluated (104 cases). Mean age was 9.7 ± 2.4 years, with a male predominance (62.5%). Anxiety, social phobia, depression, acute and chronic psychological disorders, and poor quality of life related to mental health were significantly more prevalent in caregivers of asthmatic children (p |
| doi_str_mv | 10.1016/j.rmed.2020.106187 |
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We performed a matched case–control study with asthmatic children (6-14 years of age) from two different clinics in Zaragoza, Spain, between 2010 - 2016. Clinical data were collected from medical records and psychosocial disorders were assessed by interviewing the caregiver using validated questionnaires (Goldberg, CES-D, SF-12, PSS and SPIN). General analysis of cases and controls was performed using McNemar, Chi2 and Wilcoxon nonparametric tests. A logistic regression model to predict more severe asthma, adjusted by caregiver psychosocial disorders was performed.
208 children were evaluated (104 cases). Mean age was 9.7 ± 2.4 years, with a male predominance (62.5%). Anxiety, social phobia, depression, acute and chronic psychological disorders, and poor quality of life related to mental health were significantly more prevalent in caregivers of asthmatic children (p<0.05). On multivariate analysis, all of the above disorders significantly increased the risk of uncontrolled asthma, where anxiety, acute psychological disorders, and chronic psychological disorders were the most significant (OR 8.54, 95%CI 3.46-21.05, p<0.001; OR 6.05, 95%CI 2.39-15.28, p<0.001; and OR 4.86, 95%CI 1.97-12.02, p=0.001, respectively).
The prevalence of psychosocial disorders in caregivers of asthmatic children is high, when compared to caregivers of healthy children. The presence of anxiety, social phobia, depression, and poor quality of life is associated with an increased risk of worse controlled asthma. Perhaps, early detection and treatment of these disorders could positively impact childhood asthma control.
•We studied the impact of psychosocial status of caregivers on childhood asthma.•Psychosocial disorders were more prevalent in caregivers of asthmatic children when compared to those of healthy children.•Caregivers of more severe and poorly controlled asthmatic children had a higher incidence of psychosocial disorders.•Anxiety, social phobia, depression, and poor quality of life are associated with an increased risk of uncontrolled asthma.•Early treatment of psychosocial disorders in the caregiver could have a positive impact on the control of childhood asthma.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2020.106187</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Age ; Anxiety ; Asthma ; Birth order ; Breastfeeding & lactation ; Caregivers ; Children ; Chronic illnesses ; Disease control ; Families & family life ; Family medical history ; Fear & phobias ; Hospitalization ; Immunoglobulins ; Medical records ; Mental depression ; Mental disorders ; Mental health ; Multivariate analysis ; Pediatrics ; Quality of life ; Questionnaires ; Risk management ; Smoking ; Spirometry ; Tobacco</subject><ispartof>Respiratory medicine, 2020-11, Vol.174, p.106187-106187, Article 106187</ispartof><rights>2020 Elsevier Ltd</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-8e2b4d12d5046cfd8fec1e91f5c1e47e39369c9b80d4d0e6e104d3c9cf7cf6293</citedby><cites>FETCH-LOGICAL-c405t-8e2b4d12d5046cfd8fec1e91f5c1e47e39369c9b80d4d0e6e104d3c9cf7cf6293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.rmed.2020.106187$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Morillo-Vanegas, Dunibel</creatorcontrib><creatorcontrib>Sanchez-Salcedo, Pablo</creatorcontrib><creatorcontrib>Sebastián Ariño, Antonio Francisco</creatorcontrib><title>Relationship between pediatric asthma and psychosocial status of caregivers</title><title>Respiratory medicine</title><description>To determine the relationship between psychosocial caregiver disorders and childhood asthma.
We performed a matched case–control study with asthmatic children (6-14 years of age) from two different clinics in Zaragoza, Spain, between 2010 - 2016. Clinical data were collected from medical records and psychosocial disorders were assessed by interviewing the caregiver using validated questionnaires (Goldberg, CES-D, SF-12, PSS and SPIN). General analysis of cases and controls was performed using McNemar, Chi2 and Wilcoxon nonparametric tests. A logistic regression model to predict more severe asthma, adjusted by caregiver psychosocial disorders was performed.
208 children were evaluated (104 cases). Mean age was 9.7 ± 2.4 years, with a male predominance (62.5%). Anxiety, social phobia, depression, acute and chronic psychological disorders, and poor quality of life related to mental health were significantly more prevalent in caregivers of asthmatic children (p<0.05). On multivariate analysis, all of the above disorders significantly increased the risk of uncontrolled asthma, where anxiety, acute psychological disorders, and chronic psychological disorders were the most significant (OR 8.54, 95%CI 3.46-21.05, p<0.001; OR 6.05, 95%CI 2.39-15.28, p<0.001; and OR 4.86, 95%CI 1.97-12.02, p=0.001, respectively).
The prevalence of psychosocial disorders in caregivers of asthmatic children is high, when compared to caregivers of healthy children. The presence of anxiety, social phobia, depression, and poor quality of life is associated with an increased risk of worse controlled asthma. Perhaps, early detection and treatment of these disorders could positively impact childhood asthma control.
•We studied the impact of psychosocial status of caregivers on childhood asthma.•Psychosocial disorders were more prevalent in caregivers of asthmatic children when compared to those of healthy children.•Caregivers of more severe and poorly controlled asthmatic children had a higher incidence of psychosocial disorders.•Anxiety, social phobia, depression, and poor quality of life are associated with an increased risk of uncontrolled asthma.•Early treatment of psychosocial disorders in the caregiver could have a positive impact on the control of childhood asthma.</description><subject>Age</subject><subject>Anxiety</subject><subject>Asthma</subject><subject>Birth order</subject><subject>Breastfeeding & lactation</subject><subject>Caregivers</subject><subject>Children</subject><subject>Chronic illnesses</subject><subject>Disease control</subject><subject>Families & family life</subject><subject>Family medical history</subject><subject>Fear & phobias</subject><subject>Hospitalization</subject><subject>Immunoglobulins</subject><subject>Medical records</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Multivariate analysis</subject><subject>Pediatrics</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Risk management</subject><subject>Smoking</subject><subject>Spirometry</subject><subject>Tobacco</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMouK7-AU8FL166TtI024IXWfzCBUH0HLLJ1E1pm5pkV_bf21JPHjy9MDzvMPMQcklhQYGKm3rhWzQLBmwcCFosj8iM5hlLMxD8mMygzHkqKKWn5CyEGgBKzmFGXt6wUdG6Lmxtn2wwfiN2SY_GquitTlSI21YlqjNJHw5664LTVjVJiCruQuKqRCuPn3aPPpyTk0o1AS9-c04-Hu7fV0_p-vXxeXW3TjWHPKYFsg03lJkcuNCVKSrUFEta5UPwJWZlJkpdbgow3AAKpMBNpktdLXUlWJnNyfW0t_fua4chytYGjU2jOnS7IBnPM1EIRsWAXv1Ba7fz3XDdQAma8wyADRSbKO1dCB4r2XvbKn-QFOToV9Zy9CtHv3LyO5RupxIOr-4tehm0xU4P6jzqKI2z_9V_AKodhAo</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Morillo-Vanegas, Dunibel</creator><creator>Sanchez-Salcedo, Pablo</creator><creator>Sebastián Ariño, Antonio Francisco</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>Relationship between pediatric asthma and psychosocial status of caregivers</title><author>Morillo-Vanegas, Dunibel ; Sanchez-Salcedo, Pablo ; Sebastián Ariño, Antonio Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-8e2b4d12d5046cfd8fec1e91f5c1e47e39369c9b80d4d0e6e104d3c9cf7cf6293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>Anxiety</topic><topic>Asthma</topic><topic>Birth order</topic><topic>Breastfeeding & lactation</topic><topic>Caregivers</topic><topic>Children</topic><topic>Chronic illnesses</topic><topic>Disease control</topic><topic>Families & family life</topic><topic>Family medical history</topic><topic>Fear & phobias</topic><topic>Hospitalization</topic><topic>Immunoglobulins</topic><topic>Medical records</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Multivariate analysis</topic><topic>Pediatrics</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Risk management</topic><topic>Smoking</topic><topic>Spirometry</topic><topic>Tobacco</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morillo-Vanegas, Dunibel</creatorcontrib><creatorcontrib>Sanchez-Salcedo, Pablo</creatorcontrib><creatorcontrib>Sebastián Ariño, Antonio Francisco</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morillo-Vanegas, Dunibel</au><au>Sanchez-Salcedo, Pablo</au><au>Sebastián Ariño, Antonio Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between pediatric asthma and psychosocial status of caregivers</atitle><jtitle>Respiratory medicine</jtitle><date>2020-11</date><risdate>2020</risdate><volume>174</volume><spage>106187</spage><epage>106187</epage><pages>106187-106187</pages><artnum>106187</artnum><issn>0954-6111</issn><eissn>1532-3064</eissn><abstract>To determine the relationship between psychosocial caregiver disorders and childhood asthma.
We performed a matched case–control study with asthmatic children (6-14 years of age) from two different clinics in Zaragoza, Spain, between 2010 - 2016. Clinical data were collected from medical records and psychosocial disorders were assessed by interviewing the caregiver using validated questionnaires (Goldberg, CES-D, SF-12, PSS and SPIN). General analysis of cases and controls was performed using McNemar, Chi2 and Wilcoxon nonparametric tests. A logistic regression model to predict more severe asthma, adjusted by caregiver psychosocial disorders was performed.
208 children were evaluated (104 cases). Mean age was 9.7 ± 2.4 years, with a male predominance (62.5%). Anxiety, social phobia, depression, acute and chronic psychological disorders, and poor quality of life related to mental health were significantly more prevalent in caregivers of asthmatic children (p<0.05). On multivariate analysis, all of the above disorders significantly increased the risk of uncontrolled asthma, where anxiety, acute psychological disorders, and chronic psychological disorders were the most significant (OR 8.54, 95%CI 3.46-21.05, p<0.001; OR 6.05, 95%CI 2.39-15.28, p<0.001; and OR 4.86, 95%CI 1.97-12.02, p=0.001, respectively).
The prevalence of psychosocial disorders in caregivers of asthmatic children is high, when compared to caregivers of healthy children. The presence of anxiety, social phobia, depression, and poor quality of life is associated with an increased risk of worse controlled asthma. Perhaps, early detection and treatment of these disorders could positively impact childhood asthma control.
•We studied the impact of psychosocial status of caregivers on childhood asthma.•Psychosocial disorders were more prevalent in caregivers of asthmatic children when compared to those of healthy children.•Caregivers of more severe and poorly controlled asthmatic children had a higher incidence of psychosocial disorders.•Anxiety, social phobia, depression, and poor quality of life are associated with an increased risk of uncontrolled asthma.•Early treatment of psychosocial disorders in the caregiver could have a positive impact on the control of childhood asthma.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.rmed.2020.106187</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Anxiety Asthma Birth order Breastfeeding & lactation Caregivers Children Chronic illnesses Disease control Families & family life Family medical history Fear & phobias Hospitalization Immunoglobulins Medical records Mental depression Mental disorders Mental health Multivariate analysis Pediatrics Quality of life Questionnaires Risk management Smoking Spirometry Tobacco |
| title | Relationship between pediatric asthma and psychosocial status of caregivers |
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