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Related Experiment Videos

Psychological interventions for children with asthma.

J Yorke1, S Fleming, C Shuldham

  • 1Royal Brompton Hospital, Sydney Street, London, UK. J.Yorke@rbh.nthames.nhs.uk

The Cochrane Database of Systematic Reviews
|October 20, 2005
PubMed
Summary

Psychological interventions show limited evidence for improving asthma outcomes in children. More high-quality research is needed to determine their effectiveness for managing childhood asthma.

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Area of Science:

  • Pediatric Pulmonology
  • Child Psychology
  • Evidence-Based Medicine

Background:

  • Asthma involves chronic airway inflammation and bronchoconstriction, influenced by psychological factors like stress.
  • Emotional stress can precipitate or worsen asthma symptoms in children.
  • Understanding the impact of psychological factors is crucial for comprehensive asthma management.

Purpose of the Study:

  • To evaluate the efficacy of psychological interventions for improving health and behavioral outcomes in children with asthma.
  • To synthesize evidence from randomized controlled trials on psychological interventions for pediatric asthma.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) published up to March 2005.
  • Searched Cochrane Airways Group Specialised Register and PsycINFO.

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  • Excluded cross-over trials; included studies comparing psychological interventions with control groups.

    • Main Results:

    • Twelve studies with 588 children were included, but study quality was generally poor with small sample sizes.
    • A meta-analysis of two studies on relaxation therapy for PEFR showed a positive effect (32 L/min improvement).
    • Lack of data and diversity in interventions/outcomes prevented further meta-analyses.

    Conclusions:

    • The current evidence base is inadequate to draw firm conclusions on the role of psychological interventions for childhood asthma.
    • Highlights a significant need for well-designed and reported RCTs in this field.
    • Further research is essential to establish the effectiveness of psychological approaches in pediatric asthma care.