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Family functioning and child asthma severity: A bio-behavioral approach
Nour Al Ghriwati1, Marcia A Winter1, Robin S Everhart1
1Department of Psychology, Virginia Commonwealth University.
Summary
Family factors like cohesion and communication indirectly impact childhood asthma severity through child depression, not anxiety. This highlights the importance of family dynamics in managing pediatric asthma. (33 words)
Area of Science:
- Pediatric Psychology
- Family Systems Theory
- Chronic Illness Management
Background:
- Family factors significantly influence psychosocial adjustment in children with chronic conditions like asthma.
- Negative family dynamics can exacerbate childhood asthma severity through bio-behavioral pathways.
- Previous research has not comprehensively explored strength-based family factors in relation to pediatric asthma.
Purpose of the Study:
- To investigate the influence of strength-based family factors (cohesion, problem-solving, communication) on pediatric asthma severity.
- To examine the mediating roles of child depression and anxiety symptoms in this relationship.
- To understand the complex interplay between family functioning and childhood asthma outcomes.
Main Methods:
- Structural equation modeling was used to analyze data from 215 children (ages 5-12) and their families.
- Data included primary caregiver, child, and teacher ratings of child and family functioning.
- Objective measures of parent-child interactions and asthma severity were also collected.
Main Results:
- Significant indirect associations were found between family factors and child asthma severity, mediated by child depressive symptoms.
- These indirect pathways were not significant when child anxiety symptoms were considered.
- Family cohesion, problem-solving, and communication demonstrated an indirect effect on asthma severity via depression.
Conclusions:
- Family functioning indirectly impacts children's lung function, with depression playing a key mediating role.
- Childhood anxiety symptoms do not appear to mediate the relationship between family factors and asthma severity.
- Multirater, multimethod assessments are crucial for understanding pediatric asthma experiences.
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