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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Clinical determinants for State-Trait Anxiety Inventory of the parents of children with respiratory problems
Wicharn Boonjindasup1,2,3, Julie M Marchant2,4, Margaret S McElrea2,4
1Child Health Division, Menzies School of Health Research, NHMRC Centre for Research Excellence in Paediatric Bronchiectasis (AusBREATHE), Charles Darwin University, Darwin, Northern Territory, Australia.
Insights
Parental anxiety in pediatric respiratory clinics is linked to a child's cough and reduced lung function (FEV1/FVC), impacting quality of life. Addressing these factors is crucial for reducing parental distress.
Area of Science:
- Pediatric Pulmonology
- Clinical Psychology
- Health Outcomes Research
Background:
- Parental anxiety in children with respiratory conditions is understudied.
- Understanding anxiety determinants is clinically significant.
Purpose of the Study:
- To identify factors associated with parental anxiety in pediatric respiratory clinics.
- To examine the correlation between parental anxiety and quality of life (QoL) in children with chronic cough.
Main Methods:
- Re-analysis of data from 106 children in a pediatric respiratory clinic.
- Parents completed State-Trait Anxiety Inventory (STAI) pre- and post-consultation.
- Children with chronic cough also completed a parent-proxy QoL tool; multivariable regression and Spearman's correlation were used.
Main Results:
- Parental anxiety correlated with the presence of cough and lower FEV1/FVC pre-consultation.
- Post-consultation, anxiety was associated only with cough.
- Anxiety scores (STAI) strongly correlated with QoL scores (PC-QoL) pre-consultation, and modestly post-consultation.
Conclusions:
- Parental anxiety in pediatric respiratory clinics is influenced by cough and lung function (FEV1/FVC).
- Higher parental anxiety is associated with poorer child QoL.
- Further research is needed to reduce parental anxiety, focusing on cough and lung function.
Backgrounds:
Understanding factors associated with anxiety of parents/carers of children with respiratory problems is clinically important yet there is relative paucity of data. In 106 children seen in the respiratory clinic of a pediatric hospital, we evaluated (a) the determinants for parental anxiety and (b) whether the anxiety scores correlate with quality-of-life (QoL) scores in the subset with chronic cough.
Methods:
We opportunistically re-analyzed data of our main study that examined the benefits of using spirometry for pediatric respiratory consultation where parents completed an anxiety questionnaire (State-Trait Anxiety Inventory, STAI) pre- and postconsultation. A subset (children with chronic cough) also completed the parent-proxy quality-of-life (PC-QoL) tool. We computed the association between clinical characteristics and anxiety scores using multivariable regression and between the two patient-reported outcome measures using Spearman's correlation.
Results:
The majority of parents/carers were women (n = 89, 84%). Most children (mean age = 10.9 years, SD = 3.7 years) were previously seen at the clinic (n = 67, 63.2%). In multivariate regression, parental anxiety score was significantly associated with reported presence of cough [coefficient β = 17.31 (95% confidence interval 9.62, 25.1)] and lower forced expiratory volume in first second (FEV1 )/forced vital capacity (FVC) [-3.88 (-7.05, -0.71)] at preconsultation, but associated with cough only [coefficient β = 12.04 (5.24, 18.84)] at postconsultation, all p < .05. STAI strongly correlated with PC-QoL scores at pre- but only modestly at postconsultation (rs = -.63 and -.39, respectively, p < .05).
Conclusion:
Parental anxiety levels of children attending respiratory clinics are influenced by the presence of cough and low FEV1 /FVC of their child and are associated with poorer QoL. These highlight the need for on-going research to reduce parental anxiety focusing on cough and lung function indices.
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