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Relationship between behavior and asthma in children with atopic dermatitis
1Center for Research into Psychological Development, Department of Psychology, University of Southampton, United Kingdom. jsteven@soton.ac.uk
Psychosomatic Medicine
|December 4, 2003
Summary
Behavior problems in young children may predict the onset of asthma. These behavioral issues are not a reaction to asthma but may indicate underlying stress, signaling a higher risk for developing asthma.
Area of Science:
- Pediatric Allergy and Immunology
- Child Psychology
- Epidemiology
Background:
- The role of psychological factors in asthma development remains debated.
- Limited research exists on psychological factors preceding the initial onset of asthma.
Purpose of the Study:
- To investigate the potential role of psychological factors, specifically behavior problems, in the initial onset of asthma in young atopic children.
Main Methods:
- Prospective data collection using the Behavior Screening Questionnaire for 150 atopic children who developed asthma by 53 months and 115 controls.
- Analysis of behavior problem scores at 35 and 53 months of age.
Main Results:
- Children who developed asthma by 53 months exhibited more behavior problems at each measured age.
- Elevated behavior problem scores at 35 months predicted subsequent asthma onset by 53 months in children without prior asthma.
- Behavior problem scores significantly improved asthma onset prediction when combined with known risk factors and IgE levels.
Conclusions:
- Behavior problems may precede asthma onset in atopic children, acting as an early marker for stress.
- Behavioral issues are not a psychological reaction to asthma but may indicate heightened risk.
- Clinicians should consider behavior problems as a potential indicator for increased risk of asthma development, particularly in children with atopic dermatitis.
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