Cognitive-behavioral predictors of asthma morbidity in inner-city children

Shari L. Wade, Gary Holden, Henry Lynn, Herman Mitchell, Craig Ewart

    Research output: Contribution to journalArticle

    Abstract

    Asthma is a growing health problem among children in the United States, particularly in urban, inner-city areas. This article examines the relationship between cognitive-behavioral aspects of asthma management (caretaker asthma knowledge, expectations, and problem-solving) and asthma morbidity in a sample of 1376 inner-city children with physician-diagnosed asthma. In the analyses, baseline symptom severity served as a covariate, and the average of the 3-, 6-, and 9-month follow-up data served as the outcome measure. Children of caregivers with ineffective problem-solving strategies had significantly more days of wheezing over a 14-day period. Ineffective problem-solving capabilities were also associated with poorer functional status; however, positive caregiver expectations were associated with better functional status. Of the cognitive-behavioral factors studied in a high-risk urban population, caregiver problem-solving skills and expectations emerged as meriting further investigation and possible intervention.

    Original languageEnglish (US)
    Pages (from-to)340-346
    Number of pages7
    JournalJournal of Developmental and Behavioral Pediatrics
    Volume21
    Issue number5
    DOIs
    StatePublished - Jan 1 2000

    Fingerprint

    Asthma
    Morbidity
    Caregivers
    Urban Population
    Respiratory Sounds
    Outcome Assessment (Health Care)
    Physicians
    Health

    Keywords

    • Asthma
    • Expectations
    • Problem solving

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Developmental and Educational Psychology
    • Psychiatry and Mental health

    Cite this

    Cognitive-behavioral predictors of asthma morbidity in inner-city children. / Wade, Shari L.; Holden, Gary; Lynn, Henry; Mitchell, Herman; Ewart, Craig.

    In: Journal of Developmental and Behavioral Pediatrics, Vol. 21, No. 5, 01.01.2000, p. 340-346.

    Research output: Contribution to journalArticle

    Wade, Shari L. ; Holden, Gary ; Lynn, Henry ; Mitchell, Herman ; Ewart, Craig. / Cognitive-behavioral predictors of asthma morbidity in inner-city children. In: Journal of Developmental and Behavioral Pediatrics. 2000 ; Vol. 21, No. 5. pp. 340-346.
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