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Journal of Pediatric Psychology 2004 29(7):475-491; doi:10.1093/jpepsy/jsh051
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Journal of Pediatric Psychology vol. 29 no. 7 © Society of Pediatric Psychology 2004; all rights reserved.

Family Influences on Pediatric Asthma

Astrida Seja Kaugars, PhD1, Mary D. Klinnert, PhD2,3 and Bruce G. Bender, PhD2,3

1 Marquette University, 2 National Jewish Medical and Research Center and 3 University of Colorado Health Sciences Center

All correspondence should be sent to Astrida S. Kaugars, Department of Psychology, Marquette University, P.O. Box 1881, Milwaukee, WI 53201-1881. E-mail: astrida.kaugars{at}marquette.edu.

Objective To describe pathways by which families may influence the onset and course of a child’s asthma. Methods We critically reviewed published articles and book chapters to identify research findings and integrated conceptualizations that demonstrate how families affect pediatric asthma. Results Family emotional characteristics, asthma management behaviors, and physiological factors account for key influences on pediatric asthma onset and outcomes. Conclusions Multiple family characteristics are associated with pediatric asthma onset and outcomes. Behavioral and physiological mechanisms may act independently or may interact to affect asthma manifestations. Families with specific emotional characteristics may be at an elevated risk for poorer asthma outcomes.

Key words: family; pediatric asthma.


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