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Asthmatic children's attitudes towards their illness
Alina Trojanowska1, Andrzej Emeryk1,2, Danuta Zarzycka1
1Department of Paediatrics and Paediatric Nursing, Medical Uniwersity of Lublin, Lublin, Poland.
Children with bronchial asthma often have negative or neutral attitudes toward their illness, impacting their mental health and disease management. Understanding these attitudes is key for effective therapy.
Area of Science:
- Pediatric Psychology
- Chronic Disease Management
- Asthma Research
Background:
- Bronchial asthma in children and adolescents is linked to significant psychological distress due to its chronic nature, treatment demands, and self-management requirements.
- Children's beliefs and attitudes toward their illness are critical factors influencing their mental state, disease prognosis, therapeutic outcomes, and overall asthma control.
- Understanding the psychological impact of asthma is crucial for developing supportive care strategies.
Purpose of the Study:
- To investigate the attitudes of pediatric patients diagnosed with bronchial asthma concerning their chronic condition.
- To identify factors influencing children's perceptions of their asthma.
Main Methods:
- A survey was conducted in 2019 involving 106 children (aged 8-18 years) with bronchial asthma.
- The Child Attitude Towards Illness Scale (CATIS) and an original questionnaire were utilized to assess attitudes.
- Participants were treated at the University Children's Hospital in Lublin, with parental involvement.
Main Results:
- Attitudes of children toward bronchial asthma varied, with mean CATIS scores ranging from 1.81 to 4.27 (scale maximum 5).
- The findings indicate a prevalence of negative or neutral attitudes among the studied pediatric population with asthma.
- Attitude scores were correlated with disease severity, exacerbations, self-control levels, family structure, and place of residence.
Conclusions:
- Negative or neutral attitudes toward asthma are common in children and are influenced by disease severity, exacerbations, self-control, family structure, and residence.
- The Child Attitude Towards Illness Scale (CATIS) is a valuable tool for therapists to assess and potentially modify unfavorable attitudes in chronically ill children.
- Interventions aimed at improving children's attitudes toward asthma may enhance treatment adherence and psychological well-being.
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