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Published on: November 4, 2010
Effect of asthma in childhood on psycho-social problems in the family
Dan Gustafsson1, Niclas Olofsson, Florence Andersson
1Department of Paediatrics, Orebro University Hospital, Sweden. dan.gustafsson@orebroll.se
Insights
Caring for children with asthma increasingly falls on families, potentially causing psycho-social issues. This study found a link between asthma severity and family psycho-social problems, particularly with high drug use.
Area of Science:
- Pediatric Health
- Psychosocial Medicine
- Family Studies
Background:
- Asthma care responsibility has shifted from healthcare services to families, potentially creating new psychosocial challenges.
- Understanding the psychosocial impact on families managing childhood asthma is crucial for effective support.
- The relationship between asthma's medical severity and family psychosocial well-being requires investigation.
Purpose of the Study:
- To describe the psychosocial effects experienced by families with a child diagnosed with asthma.
- To determine if a correlation exists between the medical severity of childhood asthma and the presence of psychosocial problems within the family.
Main Methods:
- Utilized a questionnaire assessing psychosocial domains: economy, work, free time, health, environment, and family.
- Included a health-related medical questionnaire and analyzed medical records.
- Data focused on reported psychosocial problems and objective medical indicators.
Main Results:
- A high frequency of psychosocial problems was noted in individual questions across evaluated domains.
- Significant association found between high drug consumption and severe psychosocial problems.
- No positive correlation observed between emergency visits, school absence, or sleep disturbance and psychosocial issues; a negative correlation was found with school absence.
Conclusions:
- While individual psychosocial issues are frequent, the average problem rate per domain is low, allowing targeted identification of severe problem areas.
- This approach enables medical services to direct aid effectively to families facing the most significant psychosocial challenges.
- A clear relationship exists between the medical severity of asthma and the extent of associated family psychosocial problems.
Objective:
The responsibility for treating children with asthma has gradually shifted from the medical health service to the family and parents, which may cause new psycho-social problems in the family. This study aimed at describing the psycho-social effects on families having a child with asthma, and at determining whether a relation exists between the medical severity of disease and psycho-social problems.
Methods:
The findings are based on a questionnaire with the following domains: economy, work, free time, health, environment, and family, as well as a health-related medical questionnaire. They are built on psycho-social problems and on medical records.
Results:
The frequency of psycho-social problems was high regarding single questions in the evaluated psycho-social domains. A relation was found between high drug consumption and severe psycho-social problems. However, no positive correlation was detected among visits at the hospital's emergency department, absence from school due to asthma or disturbed sleep, and psycho-social problems. On the contrary, a negative correlation was found between absence from school due to asthma and psycho-social problems.
Conclusion:
We conclude that for single questions in each psycho-social domain, the problem rate is high, but when taking into account the mean value of different psycho-social problems in each domain, the reported problem rate is fairly low. This method permits selection of the psycho-social domains with the most severe problems in each family. It can, therefore, be used to direct help from the medical service. We also found a relation between the medical severity of asthma and the extent of the psycho-social problems caused by the disease.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma I: Introduction
Asthma III: Clinical Manifestations

