Daphne Koinis Mitchell1, Sheryl J Kopel2, Brittney Williams3, Amarilis Cespedes4, Jean-Marie Bruzzese5. 1. Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. dkoinismitchell@lifespan.org. 2. Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. Sjkpel@lifespan.org. 3. Bradley/Hasbro Children's Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Providence, RI 02903. Bwilliams@lifespan.org. 4. Department of Child and Adolescent Psychiatry, Child Study Center, New York University School of Medicine, One Park Avenue 7th FL, New York, NY 10016. Amarilis.cespedes@nyumc.org. 5. New York University School of Medicine, Child Study Center, One Park Avenue 7th FL, New York, NY 10016. jean-marie.bruzzese@nyumc.org.
Abstract
BACKGROUND: We examined associations between asthma and sleep in a sample of inner-city adolescents with asthma-like symptoms who are undiagnosed, and to assess the extent to which youth's report of perceived stress moderates this association. METHODS: A total of 349 adolescents (83% girls), with a mean age of 15.8 years, and their primary caregivers participated. Large segments of the sample were Latinos (46%) or African Americans (37%). Adolescents reported on asthma-namely, rate of waking up at night due to asthma-like symptoms and perceived severity of breathing problems-and sleep, specifically sleep-wake behavior problems and daytime sleepiness during activities. Caregivers provided demographic information by telephone. RESULTS: Night awakenings and perceived severity of breathing problems were each independently associated with sleep-wake behavior problems and daytime sleepiness during activities. Youth report of perceived stress moderated the association between perceived severity of breathing problems and sleep-wake behavior problems, and perceived severity of breathing problems and daytime sleepiness during activities. CONCLUSIONS: Results suggest the importance of interventions that consider undiagnosed asthma and its effects on sleep indicators related to daytime functioning in this high risk group of youth. This study highlights the need for interventions that consider asthma severity, nocturnal asthma, and sleep problems among urban adolescents with no asthma diagnosis.
BACKGROUND: We examined associations between asthma and sleep in a sample of inner-city adolescents with asthma-like symptoms who are undiagnosed, and to assess the extent to which youth's report of perceived stress moderates this association. METHODS: A total of 349 adolescents (83% girls), with a mean age of 15.8 years, and their primary caregivers participated. Large segments of the sample were Latinos (46%) or African Americans (37%). Adolescents reported on asthma-namely, rate of waking up at night due to asthma-like symptoms and perceived severity of breathing problems-and sleep, specifically sleep-wake behavior problems and daytime sleepiness during activities. Caregivers provided demographic information by telephone. RESULTS: Night awakenings and perceived severity of breathing problems were each independently associated with sleep-wake behavior problems and daytime sleepiness during activities. Youth report of perceived stress moderated the association between perceived severity of breathing problems and sleep-wake behavior problems, and perceived severity of breathing problems and daytime sleepiness during activities. CONCLUSIONS: Results suggest the importance of interventions that consider undiagnosed asthma and its effects on sleep indicators related to daytime functioning in this high risk group of youth. This study highlights the need for interventions that consider asthma severity, nocturnal asthma, and sleep problems among urban adolescents with no asthma diagnosis.
Authors: Jean-Marie Bruzzese; Cesalie Stepney; Elizabeth K Fiorino; Lea Bornstein; Jing Wang; Eva Petkova; David Evans Journal: J Asthma Date: 2011-12-07 Impact factor: 2.515
Authors: Daphne Koinis-Mitchell; Elizabeth L McQuaid; Barbara Jandasek; Sheryl J Kopel; Ronald Seifer; Robert B Klein; Christina Potter; Gregory K Fritz Journal: J Pediatr Psychol Date: 2012-03-09
Authors: Christine L M Joseph; Suzanne Havstad; Elizabeth W Anderson; Randall Brown; Christine Cole Johnson; Noreen M Clark Journal: J Pediatr Date: 2005-01 Impact factor: 4.406