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Asthma and internalizing behavior problems in adolescence: a longitudinal study.

Rosa Alati1, Michael O'Callaghan, Jake M Najman

  • 1School of Population Health, University of Queensland, Queensland 4101, Australia. r.alati@sph.edu.au

Psychosomatic Medicine
|May 25, 2005
PubMed
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Children with asthma by age 5 show increased risk for internalizing behavior problems in adolescence. This study clarifies the relationship between childhood asthma and behavioral development.

Area of Science:

  • Pediatric Psychology
  • Developmental Pediatrics
  • Childhood Respiratory Illnesses

Background:

  • Previous clinical studies suggest a link between childhood asthma and internalizing behaviors.
  • The causal direction of this association remains unclear, necessitating further investigation.

Purpose of the Study:

  • To examine the relationship between asthma and internalizing behavior problems in childhood and adolescence.
  • To determine the directionality of the association between asthma and internalizing symptoms.

Main Methods:

  • Longitudinal data from 5135 children in the Mater University Study of Pregnancy and its outcomes (MUSP) were analyzed.
  • Asthma was assessed via maternal reports at ages 5 and 14.
  • Internalizing behaviors were measured using the Child Behavior Checklist and Youth Self Report at ages 5 and 14.

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Main Results:

  • A significant cross-sectional association was found between asthma and internalizing symptoms at ages 5 and 14.
  • Prospective analysis indicated that childhood asthma predicted later internalizing symptoms, but not vice versa.
  • Children with asthma at age 5 had higher odds of developing internalizing symptoms by age 14.

Conclusions:

  • Childhood asthma/bronchitis by age 5 is a significant risk factor for developing internalizing behavior problems in adolescence.
  • The findings suggest a unidirectional relationship where asthma may predispose children to internalizing behaviors.