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Journal of Pediatric Psychology Advance Access published online on October 22, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp091
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Prospective Relationship between Maternal Depressive Symptoms and Asthma Morbidity among Inner-City African American Children

Michiko Otsuki, PhD1, Michelle N. Eakin, PhD2, Lisa L. Arceneaux, PsyD2, Cynthia S. Rand, PhD2, Arlene M. Butz, ScD2 and Kristin A. Riekert, PhD2

1University of South Florida St. Petersburg and 2Johns Hopkins University

All correspondence concerning this article should be addressed to Kristin A. Riekert, PhD, Johns Hopkins University, Division of Pulmonary and Critical Care Medicine, 5501 Hopkins Bayview Circle, 4B.74, Baltimore, MD 21224, USA. E-mail: krieker1{at}jhmi.edu


  Abstract

Objective To examine prospective relationships between caregiver's depressive symptoms and child asthma morbidity among inner-city African American families. Methods Phone surveys were conducted 6 months apart with 262 African American mothers of children with asthma. Cross-lagged structural path analysis was used for data analyses. Results Using goodness-of-fit indices, the final model for asthma symptoms had a good fit to the data. Time 1 (T1) maternal depressive symptoms predicted T2 child asthma symptoms (β = .16, p < .01); however, T1 asthma symptoms did not predict T2 maternal depressive symptoms (β = .03, non-significant). In contrast, in the final model for emergency department (ED) visits there was no predictive association between maternal depressive symptoms and ED visits. Conclusion Maternal depressive symptoms may have a detrimental effect on child asthma morbidity among inner-city African American families, rather than vice versa. Ameliorating maternal depressive symptoms may result in better asthma outcomes for inner-city children.

Key words: African American; asthma; depressive symptoms; inner-city..

Received January 15, 2009; revision received September 14, 2009; accepted September 19, 2009


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