OBJECTIVE: To determine whether family response to asthma symptoms mediates the relationship between child symptom perception and morbidity. METHODS: A total of 122 children with asthma, aged between 7 and 17 years (47% females; 25% ethnic minorities), were recruited from three sites. Participants completed a family asthma management interview and 5-6 weeks of symptom perception assessment. RESULTS: Family response to symptoms mediated the relationship between child underestimation of symptoms and asthma morbidity and partially mediated the relationship between accurate symptom perception and morbidity. In contrast, although child overestimation of symptoms and family response to symptoms were independently related to asthma morbidity, a mediational model was not supported. CONCLUSIONS: Our study found support for the role of family response to symptoms in mediating the relationship between child symptom perception and morbidity, particularly with regard to underestimation of symptoms, underscoring the need for behavioral tools to accurately recognize and optimally respond to exacerbations.
OBJECTIVE: To determine whether family response to asthma symptoms mediates the relationship between child symptom perception and morbidity. METHODS: A total of 122 children with asthma, aged between 7 and 17 years (47% females; 25% ethnic minorities), were recruited from three sites. Participants completed a family asthma management interview and 5-6 weeks of symptom perception assessment. RESULTS: Family response to symptoms mediated the relationship between child underestimation of symptoms and asthma morbidity and partially mediated the relationship between accurate symptom perception and morbidity. In contrast, although child overestimation of symptoms and family response to symptoms were independently related to asthma morbidity, a mediational model was not supported. CONCLUSIONS: Our study found support for the role of family response to symptoms in mediating the relationship between child symptom perception and morbidity, particularly with regard to underestimation of symptoms, underscoring the need for behavioral tools to accurately recognize and optimally respond to exacerbations.
Authors: Gregory K Fritz; Elizabeth L McQuaid; Sheryl J Kopel; Ronald Seifer; Robert B Klein; Daphne Koinis Mitchell; Cynthia A Esteban; Jose Rodriguez-Santana; Angel Colon; Maria Alvarez; Glorisa Canino Journal: Am J Respir Crit Care Med Date: 2010-03-18 Impact factor: 21.405
Authors: Amy F Sato; Sheryl J Kopel; Elizabeth L McQuaid; Ronald Seifer; Cynthia Esteban; Maria Teresa Coutinho; Robert Klein; Gregory K Fritz; Daphne Koinis-Mitchell Journal: Fam Syst Health Date: 2013-06 Impact factor: 1.950
Authors: Jonathan M Feldman; Elizabeth L McQuaid; Robert B Klein; Sheryl J Kopel; Jack H Nassau; Daphne Koinis Mitchell; Marianne Z Wamboldt; Gregory K Fritz Journal: Pediatr Pulmonol Date: 2007-04
Authors: Daphne Koinis-Mitchell; Elizabeth L McQuaid; Ronald Seifer; Sheryl J Kopel; Jack H Nassau; Robert B Klein; Jonathan Feldman; Marianne Z Wamboldt; Gregory K Fritz Journal: Health Psychol Date: 2009-03 Impact factor: 4.267
Authors: Sheryl J Kopel; Natalie Walders-Abramson; Elizabeth L McQuaid; Ronald Seifer; Daphne Koinis-Mitchell; Robert B Klein; Marianne Z Wamboldt; Gregory K Fritz Journal: Biol Psychol Date: 2009-11-24 Impact factor: 3.251
Authors: Glorisa Canino; Elizabeth L McQuaid; Maria Alvarez; Angel Colon; Cynthia Esteban; Vivian Febo; Robert B Klein; Daphne Koinis Mitchell; Sheryl J Kopel; Federico Montealegre; Alexander N Ortega; Jose Rodriguez-Santana; Ronald Seifer; Gregory K Fritz Journal: Pediatr Pulmonol Date: 2009-09