Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-16T01:18:54.076Z Has data issue: false hasContentIssue false
  • English
  • Français

Understanding the Impact of Paediatric Asthma on Families: Development of a Theoretical Model

Published online by Cambridge University Press:  19 February 2018

Joanne Dudeney ,
Louise Sharpe  and
Caroline Hunt
Joanne Dudeney*
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia
Louise Sharpe
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia
Caroline Hunt
Affiliation:
School of Psychology, University of Sydney, Sydney, Australia
*
Address for correspondence: Joanne Dudeney PhD, School of Psychology A18, The University of Sydney, NSW 2006. Phone: +61 2 9351 4558. Fax: +61 2 9036 5223. [email protected]
Get access

Abstract

The experience of paediatric asthma is associated with increased stress and emotional difficulties for both the child and family. The current study aimed to qualitatively explore parents’ views of their child's asthma experience, from initial diagnosis onwards, to enhance our understanding of how families emotionally adjust and adapt to the diagnosis and management of asthma. Semi-structured interviews were conducted with 17 parents of children (<18 years) with physician-diagnosed asthma. Questionnaires were used to capture demographic information and anxiety symptom status of parents (State Trait Anxiety Inventory — Form Y [STAI-Y1/Y2]) and children (Spence Children's Anxiety Scale — Parent reported [SCAS-P]). Grounded theory was used to analyse the results. Analysis saw three themes emerge as important in understanding the impact of asthma on the family: (1) the experience of obtaining an asthma diagnosis, (2) parents’ belief in their competence to manage asthma, and (3) parents’ behaviour in response to the asthma. A model was developed that posits adaptive parental adjustment to asthma is determined in part by the circumstances around the time of diagnosis, the level of knowledge and skills, and the controllability of the asthma. This model can guide medical and allied health professionals to specific areas where intervention may reduce stress and emotional difficulties associated with asthma and its management for affected families.

Keywords

asthmachildparentadjustmentpsychosocial
Type
Standard Papers
Information
Behaviour Change , Volume 34 , Issue 4 , December 2017 , pp. 253 - 266
Copyright
Copyright © The Author(s) 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahmad, E., & Grimes, D.E. (2011). The effects of self-management education for schoolage children on asthma morbidity: A systematic review. The Journal of School Nursing, 27, 282–292.Google Scholar
Akinbami, L.J., Moorman, J.E., Bailey, C., Zahran, H.S., King, M., Johnson, C.A., & Liu, X. (2012). Trends in asthma prevalence, health care use, and mortality in the United States, 2001–2010. Hyattsville, MD: National Center for Health Statistics.Google Scholar
American Lung Association. (2012). Trends in asthma morbidity and mortality. Retrieved from http://www.lung.org/finding-cures/our-research/trend-reports/asthma-trend-report.pdf.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Beck, A.T., & Clark, D.A. (1988). Anxiety and depression: An information processing perspective. Anxiety Research, 1, 23–36.Google Scholar
Crawford, J., Cayley, C., Lovibond, P.F., Wilson, P.H., & Hartley, C. (2011). Percentile norms and accompanying interval estimates from an Australian general adult population sample for self-report mood scales (BAI, BDI, CRSD, CES-D, DASS, DASS-21, STAI-X, STAI-Y, SRDS, and SRAS). Australian Psychologist, 46 (1), 3–14.Google Scholar
Crespo, C., Carona, C., Silva, N., Canavarro, M.C., & Dattilio, F. (2011). Understanding the quality of life for parents and their children who have asthma: Family resources and challenges. Contemporary Family Therapy, 33, 179–196. doi: 10.1007/s10591-011-9155-5 Google Scholar
de Groot, E.P., Nijkamp, A., Duiverman, E.J., & Brand, P.L. (2012). Allergic rhinitis is associated with poor asthma control in children with asthma. Thorax, 67, 582–587.Google Scholar
Dudeney, J., Sharpe, L., Jaffe, A., Jones, E.B., & Hunt, C. (2017). Anxiety in youth with asthma: A meta-analysis. Pediatric Pulmonology. Advanced online publication.Google Scholar
Dudeney, J., Sharpe, L., Sicouri, G., Lorimer, S., Dear, B.F., Jaffe, A., Selvadurai, H., & Hunt, C. (2017). Attentional Bias in Children with Asthma with and without Anxiety Disorders. Journal of Abnormal Child Psychology. Advanced online publication.CrossRefGoogle Scholar
Easter, G., Sharpe, L., & Hunt, C. (2015). Systematic Review and Meta-Analysis of Anxious and Depressive Symptoms in Caregivers of Children With Asthma. Journal of Pediatric Psychology, 40, 1–10.Google Scholar
Eysenck, M.W. (1991). Cognitive factors in clinical anxiety: Potential relevance to therapy. New concepts in anxiety (pp. 418–433). UK: Macmillan Education.Google Scholar
Fernandes, L., Fonseca, J., Martins, S., Delgado, L., Pereira, A.C., Vaz, M., & Branco, G. (2010). Association of anxiety with asthma: Subjective and objective outcome measures. Psychosomatics: Journal of Consultation Liaison Psychiatry, 51, 39–46.Google Scholar
Galli, E., Gianni, S., Auricchio, G., Brunetti, E., Mancino, G., & Rossi, P. (2007). Atopic dermatitis and asthma. Allergy and Asthma Proceedings, 28, 540–543.Google Scholar
Glaser, B.G., & Strauss, A.L. (2009). The discovery of grounded theory: Strategies for qualitative research. NJ: Transaction Publishers.Google Scholar
Goodwin, R.D., Fergusson, D.M., & Horwood, L.J. (2004). Asthma and depressive and anxiety disorders among young persons in the community. Psychological Medicine, 34, 1465–1474.Google Scholar
Halterman, J.S., Yoos, H.L., Conn, K.M., Callahan, P.M., Montes, G., Neely, T.L., & Szilagyi, P.G. (2004). The impact of childhood asthma on parental quality of life. J Asthma, 41, 645–653.Google Scholar
Hirsch, C.R., Hayes, S., Mathews, A., Perman, G., & Borkovec, T. (2012). The extent and nature of imagery during worry and positive thinking in generalized anxiety disorder. Journal of Abnormal Psychology, 121, 238–243.Google Scholar
QSR International. (2016). NVivo qualitative data analysis software, version 11: Melbourne, Australia: Author.Google Scholar
Katon, W.J., Lozano, P., Russo, J., McCauley, E., Richardson, L., & Bush, T. (2007). The prevalence of DSM-IV anxiety and depressive disorders in youth with asthma compared with controls. Journal of Adolescent Health, 41, 455–463.Google Scholar
Kheirandish-Gozal, L., Dayyat, E.A., Eid, N.S., Morton, R.L., & Gozal, D. (2011). Obstructive sleep apnea in poorly controlled asthmatic children: effect of adenotonsillectomy. Pediatric Pulmonology, 46, 913–918.CrossRefGoogle ScholarPubMed
McCauley, E., Katon, W., Russo, J., Richardson, L., & Lozano, P. (2007). Impact of anxiety and depression on functional impairment in adolescents with asthma. General Hospital Psychiatry, 29, 214–222.CrossRefGoogle ScholarPubMed
Mitchell, D.K., Adams, S.K., & Murdock, K.K. (2005). Associations among risk factors, individual resources, and indices of school-related asthma morbidity in urban, school-aged children: A pilot study. Journal of School Health, 75, 375–383.Google Scholar
Muris, P., Steerneman, P., Merckelbach, H., & Meesters, C. (1996). The role of parental fearfulness and modeling in children's fear. Behaviour Research and Therapy, 34, 265–268.Google Scholar
Murray, L., De Rosnay, M., Pearson, J., Bergeron, C., Schofield, E., Royal-Lawson, M., & Cooper, P.J. (2008). Intergenerational transmission of social anxiety: The role of social referencing processes in infancy. Child Development, 79, 1049–1064.Google Scholar
Nauta, M.H., Scholing, A., Rapee, R.M., Abbott, M., Spence, S.H., & Waters, A.M. (2004). A parent-report measure of children's anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour Research and Therapy, 42, 813–839.Google Scholar
Palmer, E.A. (2001). Family caregiver experiences with asthma in school-age children. Pediatric Nursing, 27, 75–81.Google Scholar
Pelcovitz, D., Libov, B.G., Mandel, F., Kaplan, S., Weinblatt, M., & Septimus, A. (1998). Posttraumatic stress disorder and family functioning in adolescent cancer. Journal of Trauma and Stress, 11, 205–221.Google Scholar
Rapee, R.M. (1997). Potential role of childrearing practices in the development of anxiety and depression. Clinical Psychology Review, 17, 47–67.Google Scholar
Rapee, R.M., Schniering, C.A., & Hudson, J.L. (2009). Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology, 5, 311–341.Google Scholar
Richardson, L.P., Lozano, P., Russo, J., McCauley, E., Bush, T., & Katon, W. (2006). Asthma symptom burden: Relationship to asthma severity and anxiety and depression symptoms. Pediatrics, 118, 1042–1051.Google Scholar
Ross, C.J., Davis, T., & Hogg, D.Y. (2007). Screening and assessing adolescent asthmatics for anxiety disorders. Clinical Nursing Research, 16, 5–24.CrossRefGoogle ScholarPubMed
Sawyer, S.M., & Fardy, H.J. (2003). Bridging the gap between doctors' and patients' expectations of asthma management. Journal of Asthma, 40, 131–138.Google Scholar
Sicouri, G., Sharpe, L., Hudson, J.L., Dudeney, J., Jaffe, A., Selvadurai, H., Lorimer, S., & Hunt, C. (2017). Threat interpretation and parental influences for children with asthma and anxiety. Behaviour Research and Therapy, 89, 14–23.Google Scholar
Spielberger, C.D. (1983). Manual for the State-Trait Inventory (STAI: Form Y). Palo Alto, CA: Consulting Psychological Press.Google Scholar
Strauss, A., & Corbin, J. (1980). Basics of qualitative research: Techniques and procedures for developing grounded theory. Newbury Park, CA: Sage.Google Scholar
Sullivan-Bolyai, S., Deatrick, J., Gruppuso, P., Tamborlane, W., & Grey, M. (2003). Constant vigilance: mothers' work parenting young children with type 1 diabetes. Journal of Pediatric Nursing, 18, 21–29.Google Scholar
Vahlkvist, S., & Pederson, S. (2009). Fitness, daily activity and body composition in children with newly diagnosed untreated asthma. Allergy, 64, 1649–1655.Google Scholar
Wood, J.J., McLeod, B.D., Sigman, M., Hwang, W.C., & Chu, B.C. (2003). Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of Child Psychology and Psychiatry, 44, 34–51.Google Scholar