The Role of Coping Strategies in Quality of Life of Adolescents with Asthma

This study aimed to determine which coping strategies are associated with better quality of life (QOL) in adolescents with asthma. Furthermore, because coping can mediate the effects of health stressors on QOL, this study also examined the indirect effect of asthma severity on QOL via coping. Betwee...

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Veröffentlicht in:Quality of life research 2007-05, Vol.16 (4), p.625-634
Hauptverfasser: Van De Ven, Monique O. M., Engels, Rutger C. M. E., Sawyer, Susan M., Otten, Roy, Van Den Eijnden, Regina J. J. M.
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container_end_page 634
container_issue 4
container_start_page 625
container_title Quality of life research
container_volume 16
creator Van De Ven, Monique O. M.
Engels, Rutger C. M. E.
Sawyer, Susan M.
Otten, Roy
Van Den Eijnden, Regina J. J. M.
description This study aimed to determine which coping strategies are associated with better quality of life (QOL) in adolescents with asthma. Furthermore, because coping can mediate the effects of health stressors on QOL, this study also examined the indirect effect of asthma severity on QOL via coping. Between January and May 2003, 553 Dutch adolescents with asthma (aged 12—16 years) completed questionnaires assessing coping strategies, symptom severity, overall QOL and positive QOL domain (positive effects of asthma domain). The relations between symptom severity, coping strategies and QOL were tested with structural equation modelling (SEM). Symptom severity affected overall and positive QOL, both directly and indirectly via coping. The coping strategies restricted lifestyle and worrying about asthma were associated with poorer overall QOL. The use of the coping strategies restricted lifestyle, positive reappraisal, and information seeking was related to increased scores on the positive QOL domain, whereas hiding asthma was related to lower scores on the positive QOL domain. The findings of this study suggest that coping mediates the effect of symptoms of asthma on QOL among adolescents with asthma. Several suggestions for interventions to improve asthma-specific QOL are discussed.
doi_str_mv 10.1007/s11136-006-9146-4
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Symptom severity affected overall and positive QOL, both directly and indirectly via coping. The coping strategies restricted lifestyle and worrying about asthma were associated with poorer overall QOL. The use of the coping strategies restricted lifestyle, positive reappraisal, and information seeking was related to increased scores on the positive QOL domain, whereas hiding asthma was related to lower scores on the positive QOL domain. The findings of this study suggest that coping mediates the effect of symptoms of asthma on QOL among adolescents with asthma. 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subjects Adaptation, Psychological
Adolescent
Adolescents
Asthma
Asthma - psychology
Brief Communication
Child
Chronic diseases
Coping strategies
Female
Humans
Information search and retrieval
Life Style
Lifestyle
Male
Medications
Netherlands
Original Paper
Psychometrics - instrumentation
Quality of life
Quality of Life - psychology
Questionnaires
Sickness Impact Profile
Social Class
Studies
Surveys and Questionnaires
Symptom severity
Teenagers
title The Role of Coping Strategies in Quality of Life of Adolescents with Asthma
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