Related Experiment Video
Updated: Jun 27, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
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.
Objective:
To systematically review evidence of asthma severity as a correlate of child quality of life (QOL) in pediatric asthma.
Methods:
Online bibliographic databases (PsycINFO, PsycARTICLES, and MEDLINE) were used to identify relevant studies that specifically considered the relationship between asthma severity and child QOL.
Results:
Fourteen studies matching inclusion and exclusion criteria were reviewed. Asthma severity was significantly related to child QOL in nine of these studies. Informant of QOL and type of QOL measure were found to influence the strength of the relationship between severity and child QOL in pediatric asthma.
Conclusions:
Findings suggest that asthma severity is a correlate of child QOL. Children whose asthma symptoms are not well-managed are likely to experience an impaired level of QOL. Findings also suggest the need to utilize asthma-specific QOL measures and an informant of QOL other than the child's parent in order to receive the most accurate information about the child's level of functioning.
Practice Implications:
Researchers and healthcare providers basing clinical outcomes on QOL assessments should consider asthma severity in their evaluations. Further, researchers and healthcare providers should recognize the continued need to reduce asthma severity and improve asthma symptom control in their attempts to improve the QOL of children with asthma.
Related Concept Videos
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma III: Clinical Manifestations
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
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: 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-IV: Nursing Management
First, in...
