TY - JOUR
T1 - Perception of pulmonary function and asthma control
T2 - The differential role of child versus caregiver anxiety and depression
AU - Feldman, Jonathan M.
AU - Steinberg, Dara
AU - Kutner, Haley
AU - Eisenberg, Nina
AU - Hottinger, Kate
AU - Sidora-Arcoleo, Kimberly
AU - Warman, Karen
AU - Serebrisky, Denise
PY - 2013/11/1
Y1 - 2013/11/1
N2 - Objective To examine child and caregiver anxiety and depression as predictors of children's perception of pulmonary function, quick-relief medication use, and pulmonary function. Method 97 children with asthma, ages 7 to 11 years old, reported their anxiety and depressive symptoms and completed spirometry. Caregivers completed a psychiatric interview. Children's predictions of their peak expiratory flow were compared with actual values across 6 weeks. Quick-relief medication use was assessed by Dosers. Results Children's anxiety symptoms were associated with over-perception of respiratory compromise and greater quick-relief medication use. Children's depressive symptoms were associated with greater quick-relief medication use, but not perception of pulmonary function. Children of caregivers with an anxiety or depressive disorder had lower pulmonary function than children of caregivers without anxiety or depression. Conclusions Child anxiety was associated with a subjective pattern of over-perception. Caregiver anxiety and depression were risk factors for lower lung function assessed by objective measurement.
AB - Objective To examine child and caregiver anxiety and depression as predictors of children's perception of pulmonary function, quick-relief medication use, and pulmonary function. Method 97 children with asthma, ages 7 to 11 years old, reported their anxiety and depressive symptoms and completed spirometry. Caregivers completed a psychiatric interview. Children's predictions of their peak expiratory flow were compared with actual values across 6 weeks. Quick-relief medication use was assessed by Dosers. Results Children's anxiety symptoms were associated with over-perception of respiratory compromise and greater quick-relief medication use. Children's depressive symptoms were associated with greater quick-relief medication use, but not perception of pulmonary function. Children of caregivers with an anxiety or depressive disorder had lower pulmonary function than children of caregivers without anxiety or depression. Conclusions Child anxiety was associated with a subjective pattern of over-perception. Caregiver anxiety and depression were risk factors for lower lung function assessed by objective measurement.
KW - Anxiety
KW - Asthma
KW - Depression
KW - Mental health
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U2 - 10.1093/jpepsy/jst052
DO - 10.1093/jpepsy/jst052
M3 - Article
C2 - 23873703
AN - SCOPUS:84891873937
SN - 0146-8693
VL - 38
SP - 1091
EP - 1100
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 10
ER -