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06-05-2017 | Original Paper

Psychological Flexibility in Parents of Children with Asthma: Analysis Using a Structural Equation Model

Auteurs: Yuen Yu Chong, Yim Wah Mak, Alice Yuen Loke

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 9/2017

Abstract

Psychological flexibility (PF) refers to an individual’s capacity to deal with the present moment non-judgmentally and to commit to value-based actions. This study evaluated how parental PF, psychological adjustment to a child’s illness, and psychological symptoms including anxiety, depression, and stress in parents are associated with asthma morbidity in children. Three-hundred and twenty-four parents of children aged 3–12 years with asthma completed a self-administered questionnaire to measure their PF, psychological adjustment, and symptoms of anxiety, depression, and stress, their children’s asthma symptoms and their use of bronchodilators. Structural equation modeling was used to explore the relationships among these constructs. The results showed that poor PF was significantly associated with poor psychological adjustment to the child’s illness and increased psychological symptoms in parents. Parental PF was found to be the only latent construct possessing a significant association with the child’s asthma morbidity (β = 0.27, 95% CI [0.09, 0.42], p = .002). These results suggest that by fostering their PF parents may improve their own psychological well-being as well as their child’s asthma condition.

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Anandan, C., Nurmatov, U., Van Schayck, O. C. P., & Sheikh, A. (2010). Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy, 65(2), 152–167. doi: 10.1111/j.1398-9995.2009.02244.x. CrossRefPubMed

Barrett, A., Clark, M., Demuro, C., & Esser, D. (2013). Proxy-reported questionnaires for young children with asthma: A structured review. European Respiratory Journal, 42(2), 513–526. doi: 10.1183/09031936.00052112. CrossRefPubMed

Bartlett, S. J., Kolodner, K., Butz, A. M., Eggleston, P., Malveaux, F. J., & Rand, C. S. (2001). Maternal depressive symptoms and emergency department use among inner-city children with asthma. Archives of Pediatrics and Adolescent Medicine, 155(3), 347–353. doi: 10.1001/archpedi.155.3.347. CrossRefPubMed

Bevans, K. B., Riley, A. W., Moon, J., & Forrest, C. B. (2010). Conceptual and methodological advances in child-reported outcomes measurement. Expert Review of Pharmacoeconomics and Outcomes Research, 10(4), 385–396. doi: 10.1586/erp.10.52. CrossRefPubMedPubMedCentral

Bollen, K. A. (2002). Latent variables in psychology and the social sciences. Annual Review of Psychology, 53(1), 605–634. CrossRefPubMed

Bollen, K. A., & Stine, R. A. (1992). Bootstrapping goodness-of-fit measures in structural equation models. Sociological Methods and Research, 21(2), 205–229. CrossRef

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. doi: 10.1016/j.beth.2011.03.007. CrossRefPubMed

Bonner, M. J., Hardy, K. K., Guill, A. B., McLaughlin, C., Schweitzer, H., & Carter, K. (2006). Development and validation of the parent experience of child illness. Journal of Pediatric Psychology, 31(3), 310–321. doi: 10.1093/jpepsy/jsj034. CrossRefPubMed

Bonner, M. J., Hardy, K. K., Willard, V. W., Hutchinson, K. C., & Guill, A. B. (2008). Further validation of the parent experience of child illness scale. Children’s Health Care, 37(2), 145–157. doi: 10.1080/02739610802006569. CrossRef

Brand, P. L. P., Mäkelä, M. J., Szefler, S. J., Frischer, T., & Price, D. (2015). Monitoring asthma in childhood: Symptoms, exacerbations and quality of life. European Respiratory Review, 24(136), 187–193. doi: 10.1183/16000617.00003614. CrossRefPubMed

Brassell, A. A., Rosenberg, E., Parent, J., Rough, J. N., Fondacaro, K., & Seehuus, M. (2016). Parent’s psychological flexibility: Associations with parenting and child psychosocial well-being. Journal of Contextual Behavioral Science, 5(2), 111–120. doi: 10.1016/j.jcbs.2016.03.001. CrossRef

Burke, W., Fesinmeyer, M., Reed, K., Hampson, L., & Carlsten, C. (2003). Family history as a predictor of asthma risk. American Journal of Preventive Medicine, 24(2), 160–169. doi: 10.1016/S0749-3797(02)00589-5. CrossRefPubMed

Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York: Taylor & Francis Group.

Celano, M. P. (2006). Family processes in pediatric asthma. Current Opinion in Pediatrics, 18(5), 539–544. doi: 10.1097/01.mop.0000245355.60583.74. CrossRefPubMed

Census and Statistics Department (2016a). Population and household statistics analyzed by District Council District. http://www.statistics.gov.hk/pub/B11303012015AN15B0100.pdf. Accessed 4 May 2017.

Census and Statistics Department (2016b). Quarterly report on general household survey: January–March 2016. http://www.statistics.gov.hk/pub/B10500012016QQ01B0100.pdf. Accessed 4 May 2017.

Cheron, D. M., Ehrenreich, J. T., & Pincus, D. B. (2009). Assessment of parental experiential avoidance in a clinical sample of children with anxiety disorders. Child Psychiatry and Human Development, 40(3), 383–403. doi: 10.1007/s10578-009-0135-z. CrossRefPubMed

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.

Davis, K. J., DiSantostefano, R., & Peden, D. B. (2011). Is Johnny wheezing?Parent–child agreement in the childhood asthma in America survey. Pediatric Allergy and Immunology, 22, 31–35. doi: 10.1111/j.1399-3038.2010.01016.x. CrossRefPubMed

Dell, S. D., Foty, R., Becker, A., Franssen, E., & Chapman, K. R. (2007). Parent-reported symptoms may not be adequate to define asthma control in children. Pediatric Pulmonology, 42(12), 1117–1124. doi: 10.1002/ppul.20705. CrossRefPubMed

Easter, G., Sharpe, L., & Hunt, J. C. (2015). Systematic review and meta-analysis of anxious and depressive symptoms in caregivers of children with asthma. Journal of Pediatric Psychology, 40(7), 623–632. doi: 10.1093/jpepsy/jsv012. CrossRefPubMed

Eccleston, C., Fisher, E., Law, E., Bartlett, J., & Palermo, T. M. (2015). Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 4, CD009660 doi: 10.1002/14651858.CD009660.pub3. PubMedCentral

Fiese, B., Wamboldt, F., & Anbar, R. (2005). Family asthma management routines: Connections to medical adherence and quality of life. The Journal of Pediatrics, 146(2), 171–176. doi: 10.1016/j.jpeds.2004.08.083. CrossRefPubMed

Fiese, B., Winter, M., Anbar, R., Howell, K., & Poltrock, S. (2008). Family climate of routine asthma care: Associating perceived burden and mother-child interaction patterns to child well-being. Family Process, 47(1), 63–79. doi: 10.1111/j.1545-5300.2008.00239.x. CrossRefPubMed

Global Initiative of Asthma (2015). Global strategy for asthma management and prevention: Updated 2015. http://www.ginasthma.org. Accessed 4 May 2017.

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. doi: 10.1016/j.brat.2005.06.006. CrossRefPubMed

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239. doi: 10.1348/014466505X29657. CrossRefPubMed

Horner, S. D. (1997). Uncertainty in mothers’ care for their ill children. Journal of Advanced Nursing, 26(4), 658–663. CrossRefPubMed

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi: 10.1080/10705519909540118. CrossRef

Hutchinson, K. C., Willard, V. W., Hardy, K. K., & Bonner, M. J. (2009). Adjustment of caregivers of pediatric patients with brain tumors: A cross-sectional analysis. Psycho-Oncology, 18(5), 515–523. doi: 10.1002/pon.1421. CrossRefPubMed

Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. doi: 10.1016/j.cpr.2010.03.001. CrossRefPubMedPubMedCentral

Kaugars, A. S., Kilinnert, M. D., & Bender, B. G. (2003). Family influences on pediatric asthma. Journal of Pediatric Psychology, 29(7), 475–491. doi: 10.1093/jpepsy/jsh051. CrossRef

Klinnert, M. D., Kaugars, A. S., Strand, M., & Silveira, L. (2008). Family psychological factors in relation to children’s asthma status and behavioral adjustment at age 4. Family Process, 47(1), 41–61. CrossRefPubMed

Klok, T., Kaptein, A. A., & Brand, P. L. P. (2015). Non-adherence in children with asthma reviewed: The need for improvement of asthma care and medical education. Pediatric Allergy and Immunology, 26(3), 197–205. doi: 10.1111/pai.12362. CrossRefPubMed

Lange, N. E., Bunyavanich, S., Silberg, J. L., Canino, G., Rosner, B. A., & Celedón, J. C. (2011). Parental psychosocial stress and asthma morbidity in Puerto Rican twins. Journal of Allergy and Clinical Immunology, 127(3), 734–740. doi: 10.1016/j.jaci.2010.11.010. CrossRefPubMed

MacDonald, H. (1996). “Mastering uncertainty:” Mothering the child with asthma. Pediatric Nursing, 22(1), 55–59. PubMed

McCracken, L. M., & Gauntlett-Gilbert, J. (2011). Role of psychological flexibility in parents of adolescents with chronic pain: Development of a measure and preliminary correlation analyses. Pain, 152(4), 780–785. doi: 10.1016/j.pain.2010.12.001. CrossRefPubMed

Minuchin, S., Baker, L., Rosman, B. L., Liebman, R., Milman, L., & Todd, T. C. (1975). A conceptual model of psychosomatic illness in children: Family organization and family therapy. Archives of General Psychiatry, 32(8), 1031–1038. CrossRefPubMed

Nachtigall, C., Kroehne, U., Funke, F., & Steyer, R. (2003). (Why) Should we use SEM?Pros and cons of structural equation modeling. Methods of Psychological Research Online, 8(2), 1–22.

Nevitt, J., & Hancock, G. R. (2001). Performance of bootstrapping approaches to model test statistics and parameter standard error estimation in structural equation modeling. Structural Equation Modeling, 8(3), 353–377. CrossRef

Osborne, J.W., & Overbay, A. (2004). The power of outliers (and why researchers should always check for them). Practical Assessment, Research, and Evaluation, 9(6), 1–8.

Otsuki, M., Eakin, M. N., Arceneaux, L. L., Rand, C. S., Butz, A. M., & Riekert, K. A. (2010). Prospective relationship between maternal depressive symptoms and asthma morbidity among inner-city African American children. Journal of Pediatric Psychology, 35(7), 758–767. doi: 10.1093/jpepsy/jsp091. CrossRefPubMed

Rand, C. S., & Wise, R. A. (2012). Measuring adherence to asthma medication regimens. American Journal of Respiratory and Critical Care Medicine, 149, S69–S76. CrossRef

Ruiz, F. J. (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10(1), 125–162.

Sales, J., Fivush, R., & Teague, G. W. (2008). The role of parental coping in children with asthma’s psychological well-being and asthma-related quality of life. Journal of Pediatric Psychology, 33(2), 208–219. doi: 10.1093/jpepsy/jsm068. CrossRefPubMed

Saris, W. E., Satorra, A., & Sörbom, D. (1987). The detection and correction of specification errors in structural equation models. Sociological Methodology, 17, 105–129. CrossRef

Semple, C. J., & McCance, T. (2010). Parents’ experience of cancer who have young children: A literature review. Cancer Nursing, 33(2), 110–118. doi: 10.1097/NCC.0b013e3181c024bb. CrossRefPubMed

Senger, B. A., Ward, L. D., Barbosa-Leiker, C., & Bindler, R. C. (2016). The parent experience of caring for a child with mitochondrial disease. Journal of Pediatric Nursing, 31(1), 32–41. doi: 10.1016/j.pedn.2015.08.007. CrossRefPubMed

Shalowitz, M. U., Berry, C. A., Quinn, K. A., & Wolf, R. L. (2001). The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice. Ambulatory Pediatrics, 1(4), 185–193. CrossRefPubMed

Shea, S. E., & Coyne, L. W. (2011). Maternal dysphoric mood, stress, and parenting practices in mothers of head start preschoolers: The role of experiential avoidance. Child and Family Behavior Therapy,, 33(3), 231–247. doi: 10.1080/07317107.2011.596004. CrossRef

Silver, E. J., Warman, K., & Stein, R. (2005). The relationship of caretaker anxiety to children’s asthma morbidity and acute care utilization. Journal of Asthma, 42(5), 379–383. doi: 10.1081/JAS-62999. CrossRefPubMed

Smith, A. M., Sieberg, C. B., Odell, S., Randall, E., & Simons, L. E. (2015). Living life with my child’s pain: The parent pain acceptance questionnaire (PPAQ). Clinical Journal of Pain, 31(7), 633–641. doi: 10.1097/ajp.0000000000000140. CrossRefPubMedPubMedCentral

Spurrier, N. J., Sawyer, M. G., Staugas, R., Martin, A. J., Kennedy, D., & Streiner, D. L. (2000). Association between parental perception of children’s vulnerability to illness and management of children’s asthma. Pediatric Pulmonology, 29(2), 88–93. CrossRefPubMed

Storch, E. A., Lehmkuhl, H., Pence, Jr, S. L., Geffken, G. R., Ricketts, E., Storch, J. F., & Murphy, T. K. (2009). Parental experiences of having a child with obsessive-compulsive disorder: Associations with clinical characteristics and caregiver adjustment. Journal of Child and Family Studies, 18(3), 249–258. doi: 10.1007/s10826-008-9225-y. CrossRef

Strina, A., Barreto, M. L., Cooper, P. J., & Rodrigues, L. C. (2014). Risk factors for non-atopic asthma/wheeze in children and adolescents: A systematic review. Emerging Themes in Epidemiology, 11(1), 5 doi: 10.1186/1742-7622-11-5. CrossRefPubMedPubMedCentral

Tibosch, M. M., Verhaak, C. M., & Merkus, P. J. (2011). Psychological characteristics associated with the onset and course of asthma in children and adolescents: A systematic review of longitudinal effects. Patient Education and Counseling, 82(1), 11–19. doi: 10.1016/j.pec.2010.03.011. CrossRefPubMed

Trollvik, A., & Severinsson, E. (2004). Parents’ experiences of asthma: Process from chaos to coping. Nursing and Health Sciences, 6(2), 93–99. doi: 10.1111/j.1442-2018.2004.00179.x. CrossRefPubMed

van Aalderen, W. M. C., & Sprikkelman, A. B. (2011). Inhaled corticosteroids in childhood asthma: The story continues. European Journal of Pediatrics, 170(6), 709–718. doi: 10.1007/s00431-010-1319-z. CrossRefPubMed

Wallander, J. L., & Varni, J. W. (1998). Effects of pediatric chronic physical disorders on child and family adjustment. Journal of Child Psychology and Psychiatry, 39(1), 29–46. CrossRefPubMed

Weil, C. M., Wade, S. L., Bauman, L. J., Lynn, H., Mitchell, H., & Lavigne, J. (1999). The relationship between psychosocial factors and asthma morbidity in inner-city children with asthma. Pediatrics, 104(6), 1274–1280. CrossRefPubMed

Wildhaber, J., Carroll, W. D., & Brand, P. L. (2012). Global impact of asthma on children and adolescents’ daily lives: The room to breathe survey. Pediatric Pulmonology, 47(4), 346–357. doi: 10.1002/ppul.21557. CrossRefPubMed

Williams, N. A., Parra, G. R., & Elkin, T. D. (2009). Subjective distress and emotional resources in parents of children with food allergy. Children’s Health Care, 38(3), 213–227. doi: 10.1080/02739610903038792. CrossRef

Wong, G. W. K., Kwon, N., Hong, J. G., Hsu, J. Y., & Gunasekera, K. D. (2013). Pediatric asthma control in Asia: Phase 2 of the asthma insights and reality in Asia-Pacific (AIRIAP 2) survey. Allergy, 68(4), 524–530. doi: 10.1111/all.12117. CrossRefPubMed

Yamamoto, N., & Nagano, J. (2015). Parental stress and the onset and course of childhood asthma. BioPsychoSocial Medicine, 9(7). doi: 10.1186/s13030-015-0034-4.

Yorke, J., & Shuldham, C. (2005). Family therapy for chronic asthma in children. Cochrane Database of Systematic Reviews, 2, CD000089 doi: 10.1002/14651858.CD000089.pub2.

Titel: Psychological Flexibility in Parents of Children with Asthma: Analysis Using a Structural Equation Model
Auteurs: Yuen Yu Chong
Yim Wah Mak
Alice Yuen Loke
Publicatiedatum: 06-05-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 9/2017
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0757-x

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