Skip Navigation


Journal of Pediatric Psychology Advance Access first published online on November 22, 2006
This version published online on January 12, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl044
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
32/5/542    most recent
jsl044v2
jsl044v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Wood, B. L.
Right arrow Articles by Ballow, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Wood, B. L.
Right arrow Articles by Ballow, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2006. 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

Family Emotional Climate, Depression, Emotional Triggering of Asthma, and Disease Severity in Pediatric Asthma: Examination of Pathways of Effect

Beatrice L. Wood, PhD, JungHa Lim, PhD, Bruce D. Miller, MD, Po Ann Cheah, BA, Samuel Simmens, PhD, Trudy Stern, RN, MSPN, James Waxmonsky, MD and Mark Ballow, MD

Departments of Psychiatry and Pediatrics, School of Medicine and Biomedical Sciences

All correspondence concerning this article should be addressed to Beatrice L. Wood, PhD, ABPP, Woman and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY 14222. bwood{at}buffalo.edu.


  Abstract

Objectives (a) To assess emotional triggering of pediatric asthma and ascertain its contribution to disease morbidity and functional status; (b) to test whether negative family emotional climate (NFEQ) is associated with depressive and/or anxious symptoms and emotional triggering of asthma attacks in the child. Method Children with asthma (N = 272, 56% male, age 7–17) and their primary caregivers answered together an Asthma Trigger Inventory (Ritz, Steptoe, Bobb, Harris, & Edwards, 2006). Children reported on anxious (STAIC) and depressive (CDI) symptoms and on asthma-related quality of life (PAQLQ). Parent(s) reported on their child's internalizing (CBCL-I) and depressive symptoms (CDI-P). A clinician also rated the child's depression using the structured CDRS-R. Asthma diagnosis was confirmed and disease severity rated according to NHLBI guidelines by an asthma clinician. Results Path analyses indicated that NFEQ was associated with depressive symptoms, which in turn were associated both directly and indirectly (by way of emotional triggering) with disease severity. Comparison of nested models indicated the possibility of differential roles and pathways for anxious versus depressive symptoms. Conclusion Findings elucidate possible pathways of effect by which family emotional climate and child depressive symptoms may influence pediatric asthma disease severity by way of potentiating emotional triggering of asthma.

Key words: anxiety; depression; family; pediatric asthma; stress.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.