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Published on: August 25, 2020
Secure Base Representations in Children With Asthma: Links With Symptoms, Family Asthma Management, and Cytokine
Katherine B Ehrlich1, Gregory E Miller2, Madeleine Shalowitz3
1University of Georgia.
Insights
Children who view caregivers as a secure base show better asthma management and reduced inflammation. This secure base representation appears protective for children
Area of Science:
- Pediatric Psychology
- Immunology
- Family Health
Background:
- Secure base caregiver representations are linked to socioemotional development.
- The connection between secure base perceptions and physical health in children, particularly those with asthma, is under-explored.
Purpose of the Study:
- To investigate the association between secure base representations and children's asthma symptoms.
- To examine the relationship between secure base representations and family asthma management strategies.
- To explore the link between secure base representations and inflammatory processes in children with asthma.
Main Methods:
- 308 children (ages 8-17) with asthma and one parent participated.
- Children underwent blood draws to assess asthma-related immune functions (Type 2 T-helper cell cytokine production).
- Children reported on their perceptions of their mothers as a secure base and their asthma symptoms.
- Parent-child dyads were interviewed regarding asthma management.
Main Results:
- Children's secure base perceptions correlated with improved family asthma management.
- Higher secure base perceptions were associated with lower Type 2 T-helper cell cytokine production.
Conclusions:
- Secure base representations may play a protective role in the physical health of children with asthma.
- Findings highlight the potential impact of caregiver-child relationships on pediatric inflammatory conditions.
Abstract:
Children's perceptions of caregivers as a secure base have been linked with socioemotional outcomes, but little is known about connections to physical health. We examined whether secure base representations are associated with children's symptoms, family management strategies, and inflammatory processes in children with asthma. Participants included 308 children (ages 8-17) and one parent. Children completed a blood draw to measure asthma-related immune functions and reported on perceptions of their mothers as a secure base and their asthma symptoms. Dyads completed interviews about asthma management. Analyses revealed that children's secure base perceptions were associated with better family asthma management and lower Type 2 T-helper cell cytokine production. These findings suggest that secure base representations may be protective for children with asthma.
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