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Association of Depressive Symptoms and Disease Activity in Children With Asthma: Methodological and Clinical Implications

NCJ Number
215171
Journal
Journal of the American Academy of Child & Adolescent Psychiatry Volume: 45 Issue: 8 Dated: August 2006 Pages: 945-954
Author(s)
James Waxmonsky M.D.; Beatrice L. Wood Ph.D.; Trudy Stern CPN; Mark Ballow M.D.; Kathleen Lillis M.D.; Darci Cramer-Benjamin Ph.D.; Jeffrey Mador M.D.; Bruce D. Miller M.D.
Date Published
August 2006
Length
10 pages
Annotation
This study assessed the prevalence of depressive symptoms in children with asthma and the link between depression and asthma activity.
Abstract
Depressive symptoms within the clinical range were reported in 26 percent of the children (ages 7-17) and 43 percent of their mothers; symptom severity varied across the scales administered. Self-reported depressive symptoms were more strongly associated with asthma activity than clinician-reported or parent-reported symptoms. Parents' depressive symptoms correlated with their child's depression scores, but not with their asthma activity. The authors conclude that self-report measures may be the preferred tool for assessing the link between depression and asthma activity, since they are likely to reveal the depressive symptoms that are connected to physical conditions that impede breathing. Treating such symptoms can have life-saving value. The study sample consisted of 129 children, ages 7 to 17, who were recruited from a hospital emergency department after presenting for asthma symptoms. The majority of the children were from disadvantaged, inner city families. The activity of asthma in the children was assessed with a combination of self-reports, parent-reports, and clinician-reported measures. Parental emotional status was determined by self-reports. 3 tables and 59 references