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Journal of Pediatric Psychology Advance Access published online on August 23, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm068
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© The Author 2007. 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

The Role of Parental Coping in Children with Asthma's Psychological Well-being and Asthma-related Quality of Life

Jessica Sales, PhD1, Robyn Fivush, PhD2 and Gerald W. Teague, MD3

1Rollins School of Public Health, Emory University, 2Department of Psychology, Emory University, and 3Department of Pediatrics, Emory University

All correspondence concerning this article should be addressed to Jessica Sales, PhD, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1520 Clifton Rd., NE, Rm. 132, Atlanta, GA 30322; Tel: 404-727-6598; Fax: 404-712-9568; E-mail: jmcderm{at}emory.edu.


  Abstract

Objective The primary purpose of our study was to examine the relationship between parental coping and children with asthma's psychological well-being and asthma-related quality of life (ArQL). Methods Eighty-nine mother–child dyads with a child with asthma ranging in age from 8 to 12-years old participated. During baseline and 6 month follow-up visits, children completed questionnaires assessing anxiety and ArQL; mothers completed questionnaires assessing coping, ArQL, an index of recent stressors, and demographic/medical history forms. Results Mothers who relied more on active coping strategies at baseline had children with better ArQL 6 months later, and those who relied on more avoidance coping strategies at baseline had children with poorer ArQL of life 6 months later. Conclusions These results reveal that maternal coping plays an important role in the ArQL of children with asthma. Implications for interventions aimed at improving the physical and mental health of children with asthma are discussed.

Key words: anxiety; asthma-related quality of life; parental coping; pediatric asthma..

Received November 17, 2006; revision received July 13, 2007; accepted July 20, 2007


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