The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice

Madeleine U. Shalowitz, Carolyn Berry, Kelly A. Quinn, Raoul L. Wolf

Research output: Contribution to journalArticle

Abstract

Objective. - To examine the relationships among demographic characteristics, caregiver life stressors, and depressive symptoms of mothers and their children's asthma morbidity. Setting. - Three pediatric asthma subspecialty programs, 2 in the inner city and 1 in the suburbs. Design. - Cross-sectional census sample of caregivers of children with asthma: interviews mostly with mothers (N = 123) regarding their children's asthma symptoms and health care utilization. Information collected on demographics and caregivers' own recent life stressors and depressive symptoms. Subjects. - Caregivers of children ages 18 months to 12 years with asthma at their subspecialty visit. Measures. - Structured interviews: a survey instrument prepared for this study and standardized instruments for depression (Center for Epidemiologic Studies-Depression) and life stressors (Crisis in Family Systems). Results. - A total of 32% of respondents' children had high asthma morbidity, 28% intermediate, and 40% low. Caregiver life stressors and depression and the children's sex showed the strongest relationships to asthma morbidity in a model that also included race, residence, and Medicaid status. Children were more likely to have high morbidity if they had caregivers with more depressive symptoms and negative life stressors and if they were female. Conclusions. - Respondents experienced many life stressors and symptoms of depression while managing their children's illness. Caregivers' lives may affect their children's asthma morbidity, offering empirical evidence for the potential value of targeted case management for children in subspecialty care.

Original languageEnglish (US)
Pages (from-to)185-193
Number of pages9
JournalAmbulatory Pediatrics
Volume1
Issue number4
StatePublished - Jul 2001

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Asthma
Mothers
Depression
Pediatrics
Morbidity
Caregivers
Patient Acceptance of Health Care
Demography
Interviews
Medicaid
Case Management
Censuses
Epidemiologic Studies
Surveys and Questionnaires

Keywords

  • Asthma
  • Childhood
  • Demographics
  • Life stressors
  • Maternal depression

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice. / Shalowitz, Madeleine U.; Berry, Carolyn; Quinn, Kelly A.; Wolf, Raoul L.

In: Ambulatory Pediatrics, Vol. 1, No. 4, 07.2001, p. 185-193.

Research output: Contribution to journalArticle

Shalowitz, Madeleine U. ; Berry, Carolyn ; Quinn, Kelly A. ; Wolf, Raoul L. / The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice. In: Ambulatory Pediatrics. 2001 ; Vol. 1, No. 4. pp. 185-193.
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