Perception of pulmonary function and asthma control: The differential role of child versus caregiver anxiety and depression

Jonathan M. Feldman, Dara Steinberg, Haley Kutner, Nina Eisenberg, Kate Hottinger, Kimberly Sidora-Arcoleo, Karen Warman, Denise Serebrisky

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Objective To examine child and caregiver anxiety and depression as predictors of children's perception of pulmonary function, quick-relief medication use, and pulmonary function. Method 97 children with asthma, ages 7 to 11 years old, reported their anxiety and depressive symptoms and completed spirometry. Caregivers completed a psychiatric interview. Children's predictions of their peak expiratory flow were compared with actual values across 6 weeks. Quick-relief medication use was assessed by Dosers. Results Children's anxiety symptoms were associated with over-perception of respiratory compromise and greater quick-relief medication use. Children's depressive symptoms were associated with greater quick-relief medication use, but not perception of pulmonary function. Children of caregivers with an anxiety or depressive disorder had lower pulmonary function than children of caregivers without anxiety or depression. Conclusions Child anxiety was associated with a subjective pattern of over-perception. Caregiver anxiety and depression were risk factors for lower lung function assessed by objective measurement.

Original languageEnglish (US)
Pages (from-to)1091-1100
Number of pages10
JournalJournal of Pediatric Psychology
Volume38
Issue number10
DOIs
Publication statusPublished - Dec 1 2013

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Keywords

  • Anxiety
  • Asthma
  • Depression
  • Mental health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

Feldman, J. M., Steinberg, D., Kutner, H., Eisenberg, N., Hottinger, K., Sidora-Arcoleo, K., ... Serebrisky, D. (2013). Perception of pulmonary function and asthma control: The differential role of child versus caregiver anxiety and depression. Journal of Pediatric Psychology, 38(10), 1091-1100. https://doi.org/10.1093/jpepsy/jst052