Physician perceptions of children's coping with asthma are associated with children's psychosocial and disease functioning.
Physician perceptions of children's coping with asthma are associated with children's psychosocial and disease functioning.
复制标题
医生对儿童应对哮喘的看法与儿童的心理社会和疾病功能有关。
DOI：
10.1037/fsh0000299
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Sánchez-Johnsen,Lisa
中科院分区：
文献类型：
--
作者：
Rodríguez,ErinM;Kumar,Harsha;Bearman,SarahKate;vonButtlar,AshleeM;Sánchez-Johnsen,Lisa
IntroductionLow-income, ethnic minority children disproportionately face poor asthma control, and poorly controlled asthma is related to psychosocial difficulties. This study assessed physician reports of coping in child patients and examined associations between physician reports of child coping and parent and child reports of children’s coping, psychosocial, and asthma outcomes (asthma-related stress, emotional and behavioral problems, asthma control, and school missed due to asthma).MethodPhysicians reported on coping in their patients (N= 67) ages 5–17 with asthma. Parents reported on child coping, asthma-related stress, emotional and behavioral problems, asthma control, and school missed due to asthma. Children ages 9–17 provided self-reports.ResultsPhysicians’ reports of primary control coping (eg, problem solving) and secondary control coping (eg, cognitive restructuring) were not associated with parent ratings of corresponding coping strategies, but physician reports of disengagement coping (eg, avoidance) were correlated with parent reports of disengagement and secondary control coping. Physician perceptions of higher child primary control, and lower disengagement, were correlated with less parent-reported stress, better asthma control, and for primary control, fewer partial days of school missed. Physician reports were not correlated with child reports of coping, but physician reports of disengagement were correlated with child-reported conduct problems.DiscussionFindings suggest that physician reports of child coping provide independent information from parent and child reports of coping, and could be leveraged to identify and intervene with patients who are at elevated risk for poor outcomes.(PsycINFO Database Record (c) 2018 APA, all rights reserved)
