An asthma-related quality of life instrument is unable to identify asthmatic children with major psychosocial problems

Zeitschrift für Kinderheilkunde - Tập 169 - Trang 1495-1501 - 2010
Marijke Tibosch1, Carla Reidsma1, Anneke Landstra2, Cindy Hugen3, Peter Gerrits4, Marianne Brouwer4, René van Gent5, Peter Merkus3, Christianne Verhaak1
1Department of Medical Psychology 840, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
2Department of Pediatrics, Rijnstate Hospital, Arnhem, The Netherlands
3Department of Pediatric Pulmonology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
4Department of Pediatrics, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands
5Department of Pediatrics, Máxima Medical Center, Veldhoven, The Netherlands

Tóm tắt

Evidence shows that psychosocial problems among children and adolescents with asthma interfere with adherence to treatment and therefore need attention in asthma care. It is unknown whether the already frequently implemented asthma-related quality of life (QoL) instruments reflect psychosocial problems in children with asthma. The aim of this study was to assess the relationship between asthma-related QoL and psychosocial problems and to determine whether an asthma-related QoL instrument is able to identify those children and adolescents with asthma with major psychosocial problems. In a multicenter study psychosocial problems (Strengths and Difficulties Questionnaire) and asthma-related QoL (Pediatric Asthma (Caregivers) Quality of Life Questionnaire) were obtained in children and adolescents with asthma aged 6–16 years and their caregivers. A total of 339 children and adolescents (response rate 95%) from four pediatric outpatient clinics in the Netherlands with doctor-diagnosed asthma participated. Of the caregivers, 43% reported major or minor psychosocial problems of their child or adolescent which is two times more than in the reference group, whereas the percentage of adolescents reporting psychosocial problems was comparable to a reference population. Adolescents and caregivers reported few impairments in asthma-related QoL (median score between 6.2 and 7.0). However, an optimal asthma-related QoL did not rule out major psychosocial problems: 10% of the adolescents with an optimal asthma-related QoL score reported major psychosocial problems. And in one out of seven children with an optimal caregiver’s asthma-related QoL score, major psychosocial problems were reported. The prevalence of psychosocial problems in children and adolescents with asthma is considerable. Assessment of asthma-related QoL alone is insufficient to identify those children with major psychosocial problems. We recommend the implementation of psychosocial screening, besides assessment of asthma-related QoL, in routine pediatric asthma care, to improve asthma management.

Tài liệu tham khảo

Achenbach TM, Becker A, Dopfner M et al (2008) Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments: research findings, applications, and future directions. J Child Psychol Psychiatry 49:251–275

Alati R, O’Callaghan M, Najman JM et al (2005) Asthma and internalizing behavior problems in adolescence: a longitudinal study. Psychosom Med 67:462–470

van den Bemt L, Kooijman S, Linssen V et al (2010) How does asthma influence the daily life of children? Results of focus group interviews. Health Qual Life Outcomes 8:5

Bender BG (2006) Risk taking, depression, adherence, and symptom control in adolescents and young adults with asthma. Am J Respir Crit Care Med 173:953–957

Blackman JA, Gurka MJ (2007) Developmental and behavioral comorbidities of asthma in children. J Dev Behav Pediatr 28:92–99

Christiaanse ME, Lavigne JV, Lerner CV (1989) Psychosocial aspects of compliance in children and adolescents with asthma. J Dev Behav Pediatr 10:75–80

Cluley S, Cochrane GM (2001) Psychological disorder in asthma is associated with poor control and poor adherence to inhaled steroids. Respir Med 95:37–39

Crone MR, Vogels AG, Hoekstra F et al (2008) A comparison of four scoring methods based on the parent-rated Strengths and Difficulties Questionnaire as used in the Dutch preventive child health care system. BMC Public Health 8:106

Glazebrook C, Hollis C, Heussler H et al (2003) Detecting emotional and behavioural problems in paediatric clinics. Child Care Health Dev 29:141–149

Goedhart A, Treffers F, Widenfelt B (2003) Vragen naar psychische problemen bij kinderen en adolescenten. De Strengths and Difficulties Questionnaire (SDQ). Maandbl Geest Volksgezond 11:1018–1035

Goldbeck L, Koffmane K, Lecheler J, Thiessen K, Fegert JM (2007) Disease severity, mental health, and quality of life of children and adolescents with asthma. Pediatric Pulmonology 42:15–22

Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38:581–586

Goodman R (2001) Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 40:1337–1345

Goodman R, Scott S (1999) Comparing the strengths and difficulties questionnaire and the child behavior checklist: is small beautiful? J Abnorm Child Psychol 27:17–24

Gupta S, Crawford SG, Mitchell I (2006) Screening children with asthma for psychosocial adjustment problems: a tool for health care professionals. J Asthma 43:543–548

Juniper EF (1996) Quality of life questionnaire for children and adolescents with asthma: Dutch version. McMaster University, Hamilton, Ontario, Canada

Juniper EF, Guyatt GH, Feeny DH et al (1996) Measuring quality of life in children with asthma. Qual Life Res 5:35–46

Juniper EF, Guyatt GH, Feeny DH et al (1996) Measuring quality of life in the parents of children with asthma. Qual Life Res 5:27–34

McQuaid EL, Kopel SJ, Nassau JH (2001) Behavioral adjustment in children with asthma: a meta-analysis. J Dev Behav Pediatr 22:430–439

Quittner AL, Modi A, Cruz I (2008) Systematic review of health-related quality of life measures for children with respiratory conditions. Paediatr Respir Rev 9:220–232

Raat H, Bueving H, de Jongste J et al (2005) Responsiveness, longitudinal- and cross-sectional construct validity of the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) in Dutch children with asthma. Qual Life Res 14:265–272

Rabe KF, Adachi M, Lai CK et al (2004) Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys. J Allergy Clin Immunol 114:40–47

Sennhauser FH, Braun-Fahrlander C, Wildhaber JH (2005) The burden of asthma in children: a European perspective. Paediatr Respir Rev 6:2–7

van Widenfelt BM, Goedhart AW, Treffers PD et al (2003) Dutch version of the strengths and difficulties questionnaire (SDQ). Eur Child Adolesc Psychiatry 12:281–289

Vila G, Hayder R, Bertrand C, Falissard B, de BJ, Mouren-Simeoni MC, Scheinmann P (2003) Psychopathology and quality of life for adolescents with asthma and their parents. Psychosomatics 44:319–328

Weil CM, Wade SL, Bauman LJ et al (1999) The relationship between psychosocial factors and asthma morbidity in inner-city children with asthma. Pediatrics 104:1274–1280

Thông tin
Thông tin xuất bản

Zeitschrift für Kinderheilkunde

Tập 169

1495-1501

Thông tin tác giả