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Behavioral adjustment in children with asthma: a meta-analysis
E L McQuaid1, S J Kopel, J H Nassau
1Department of Psychiatry and Human Behavior, Brown Medical School/Rhode Island Hospital, Providence 02903, USA. emcquaid@lifespan.org
Journal of Developmental and Behavioral Pediatrics : JDBP
|January 5, 2002
Summary
Children and adolescents with asthma exhibit more behavioral difficulties than their healthy peers, especially with internalizing problems. Increased asthma severity correlates with greater behavioral challenges, highlighting a need for psychosocial support.
Area of Science:
- Pediatric Psychology
- Behavioral Pediatrics
- Asthma Research
Background:
- Asthma is a prevalent chronic condition in children and adolescents.
- Behavioral adjustment is a critical aspect of pediatric health outcomes.
- Previous research suggests potential links between asthma and behavioral issues, but comprehensive synthesis is needed.
Purpose of the Study:
- To conduct a meta-analytic review of behavioral adjustment in children and adolescents with asthma.
- To quantify the behavioral difficulties experienced by pediatric asthma patients compared to controls.
- To examine the influence of asthma severity on behavioral outcomes.
Main Methods:
- Meta-analytic review of 26 studies including data from nearly 5,000 children with asthma.
- Calculation of effect sizes for internalizing and externalizing behavioral problems.
- Analysis of behavioral difficulties in relation to asthma severity and comparison groups.
Main Results:
- Children with asthma demonstrate significantly more behavioral difficulties than healthy children.
- Internalizing behavioral problems were more pronounced (d = .73) than externalizing problems (d = .40).
- Higher asthma severity was associated with increased behavioral difficulties.
Conclusions:
- Pediatric asthma patients, particularly those with severe asthma, are at elevated risk for behavioral problems.
- These findings underscore the importance of considering psychosocial interventions for children with asthma.
- Early identification and support for behavioral difficulties can improve overall health outcomes for pediatric asthma patients.
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