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Journal of Pediatric Psychology, Vol. 25, No. 7, 2000, pp. 481-491
© 2000 Society of Pediatric Psychology

The Influence of Parent-Child Relatedness on Depressive Symptoms in Children With Asthma: Tests of Moderator and Mediator Models

Maria E. Bleil, BA, Sujatha Ramesh, MD, Bruce D. Miller, MD and Beatrice L. Wood, PhD

The Children's Hospital of Buffalo, State University of New York at Buffalo

All correspondence should be sent to Beatrice L. Wood, Pediatric Psychiatry and Psychology, Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, New York 14222. E-mail: bwood{at}acsu.buffalo.edu .

Objective: To examine the influence of parent-child relationship quality on the association between illness-related functional status and depressive symptoms in children with asthma.

Methods: Questionnaire data were collected from the child, caregiver, and physician. Fifty-five children with asthma (8-17 years of age), their caregivers, and physicians participated.

Results: Regression analyses suggest that patterns of mother-child relatedness (secure vs. insecure) mediate the relationship between functional status and depressive symptoms.

Conclusions: The parent-child relationship may be an important pathway by which illness influences symptoms of depression in children with asthma. This study suggests that impaired functional status does not directly contribute to symptoms of depression, but rather influences the parent-child relationship in ways that may promote the development of depressive symptoms in the child.

Key words: asthma; asthma severity; depression; functional status; relatedness; attachment; parent-child relationship; family; mediator; moderator.


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