Erin M Rodríguez1, Harsha Kumar2, Juliana Alba-Suarez1, Lisa Sánchez-Johnsen3. 1. a Department of Educational Psychology , University of Texas at Austin , Austin , TX , USA. 2. b Department of Pediatrics , Division of Pulmonary, Allergy and Sleep Medicine, University of Illinois at Chicago , Chicago , IL , USA. 3. c Departments of Psychiatry and Surgery , University of Illinois at Chicago , Chicago , IL , USA.
Abstract
OBJECTIVE: Low-income urban children of color are at elevated risk for poor asthma control. This cross-sectional study examined associations among parents' coping (primary control, secondary control, and disengagement), parental depressive symptoms, and children's asthma outcomes (asthma control and school attendance) in a predominantly low-income, racially/ethnically diverse sample of families. METHODS: Parents (N = 78; 90% female) of children (33% female; 46% Black; 38% Latino) aged 5-17 years (M = 9.5 years) reported on their own coping and depressive symptoms, their child's asthma control, and full and partial days of school missed due to asthma. RESULTS: Parents' secondary control coping (i.e., coping efforts to accommodate/adapt to asthma-related stressors) was negatively correlated, and disengagement coping (i.e. coping efforts to avoid/detach from stressors) was positively correlated, with their depressive symptoms. Secondary control coping was also correlated with fewer partial days of school missed. Primary control coping (i.e., coping efforts to change stressors) was not associated with depressive symptoms or asthma outcomes. Parents' depressive symptoms were also positively correlated with poorer asthma control and partial days of school missed. Regression models showed direct and indirect effects of secondary control and disengagement coping on asthma outcomes via depressive symptoms, after controlling for demographic factors. CONCLUSIONS: Parents' secondary control and disengagement coping are related to children's asthma outcomes. Secondary control coping may support parents' mental health and children's asthma control in low-income urban families.
OBJECTIVE: Low-income urban children of color are at elevated risk for poor asthma control. This cross-sectional study examined associations among parents' coping (primary control, secondary control, and disengagement), parental depressive symptoms, and children's asthma outcomes (asthma control and school attendance) in a predominantly low-income, racially/ethnically diverse sample of families. METHODS: Parents (N = 78; 90% female) of children (33% female; 46% Black; 38% Latino) aged 5-17 years (M = 9.5 years) reported on their own coping and depressive symptoms, their child's asthma control, and full and partial days of school missed due to asthma. RESULTS: Parents' secondary control coping (i.e., coping efforts to accommodate/adapt to asthma-related stressors) was negatively correlated, and disengagement coping (i.e. coping efforts to avoid/detach from stressors) was positively correlated, with their depressive symptoms. Secondary control coping was also correlated with fewer partial days of school missed. Primary control coping (i.e., coping efforts to change stressors) was not associated with depressive symptoms or asthma outcomes. Parents' depressive symptoms were also positively correlated with poorer asthma control and partial days of school missed. Regression models showed direct and indirect effects of secondary control and disengagement coping on asthma outcomes via depressive symptoms, after controlling for demographic factors. CONCLUSIONS: Parents' secondary control and disengagement coping are related to children's asthma outcomes. Secondary control coping may support parents' mental health and children's asthma control in low-income urban families.
Authors: Erin M Rodríguez; Harsha Kumar; Sarah Kate Bearman; Ashlee M von Buttlar; Lisa Sánchez-Johnsen Journal: Fam Syst Health Date: 2017-11-27 Impact factor: 1.950
Authors: Erin M Rodríguez; Sharon D Horner; Sarah Kate Bearman; Lauren Gulbas; Julia George-Jones; Cinthia Alvarado; Catherine Esperanza Journal: Clin Pract Pediatr Psychol Date: 2021-10-28
Authors: Erin M Rodríguez; Craig Evan Pollack; Corinne Keet; Roger D Peng; Susan Balcer-Whaley; James Custer; Pete Cimbolic; Elizabeth C Matsui Journal: J Allergy Clin Immunol Pract Date: 2021-10-07