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Journal of Pediatric Psychology, Vol. 25, No. 2, 2000, pp. 69-77
© 2000 Society of Pediatric Psychology

The Parent-Physician Relationship in Pediatric Asthma Care

Sharon Y. Cohen, PhD1 and Frederick S. Wamboldt, MD1,2

1 National Jewish Medical and Research Center, 2 University of Colorado Health Sciences Center

All correspondence should be sent to Sharon Y. Cohen, Jefferson Center for Mental Health, 8805 W. 14th Ave., Suite 300, Lakewood, Colorado 80010. Dr. Cohen is now at the Jefferson Center for Mental Health, Lakewood, Colorado.

Objective: To examine the feasibility of using a behavioral coding system, the Five Minute Speech Sample (FMSS), to estimate the prevalence of relationship difficulties between parents and physicians in a pediatric asthma care setting.

Method: The FMSS was administered to 20 parents of children with severe, chronic asthma and to the physicians they worked with during a brief day program admission.

Results: Rates of relationship difficulties between parents and physicians ranged from 15% to 40%, comparable to those previously identified in patient-therapist relationships in psychiatric populations.

Conclusions: Although further information is needed about validity and reliability, the FMSS appears to provide clinically relevant information about the parent-physician relationship in the context of pediatric chronic illness.

Key words: parent-physician partnership; pediatric asthma management; parent-child relationship; five minute speech sample; criticism; emotional overinvolvement.


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