Asthma severity and child quality of life in pediatric asthma: a systematic review

Robin S Everhart1, Barbara H Fiese

  • 1Syracuse University, Department of Psychology, 430 Huntington Hall, Syracuse, NY 13244, United States.

Insights

Childhood asthma severity significantly impacts quality of life (QOL). Well-managed asthma improves QOL. Accurate QOL assessments require specific measures and non-parental input.

Area of Science:

  • Pediatric Pulmonology
  • Child Health Outcomes
  • Quality of Life Research

Background:

  • Asthma is a prevalent chronic respiratory condition in children.
  • Child quality of life (QOL) is a crucial outcome measure in pediatric asthma management.
  • Understanding factors influencing pediatric QOL is essential for effective treatment strategies.

Purpose of the Study:

  • To systematically review the evidence linking asthma severity to child QOL in pediatric populations.
  • To identify the relationship between the degree of asthma severity and the QOL experienced by children.
  • To explore factors that may mediate or moderate this relationship.

Main Methods:

  • A systematic literature search was conducted across major online bibliographic databases (PsycINFO, PsycARTICLES, MEDLINE).
  • Studies specifically examining the correlation between asthma severity and child QOL were included.
  • Fourteen relevant studies were identified and analyzed based on predefined inclusion and exclusion criteria.

Main Results:

  • A significant relationship between asthma severity and child QOL was found in nine of the fourteen reviewed studies.
  • The informant providing QOL data (e.g., child, parent) influenced the observed relationship.
  • The specific type of QOL measure utilized also affected the strength of the association between asthma severity and child QOL.

Conclusions:

  • Asthma severity is a significant correlate of QOL in children with asthma.
  • Children with poorly controlled asthma symptoms are likely to experience a diminished QOL.
  • Accurate QOL assessment necessitates asthma-specific measures and input from informants other than parents, such as the child.
Abstract

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