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Titolo:
The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice
Autore:
Shalowitz, MU; Berry, CA; Quinn, KA; Wolf, RL;
Indirizzi:
La Rabida Childrens Hosp & Res Ctr, Dept Pediat Allergy & Immunol, Chicago, IL USA La Rabida Childrens Hosp & Res Ctr Chicago IL USA munol, Chicago, IL USA Univ Chicago, Pritzker Sch Med, Dept Clin Pediat, Chicago, IL 60637 USA Univ Chicago Chicago IL USA 60637 Dept Clin Pediat, Chicago, IL 60637 USA Evanston NW Healthcare Res Inst, Dept Pediat, Evanston, IL 60201 USA Evanston NW Healthcare Res Inst Evanston IL USA 60201 nston, IL 60201 USA NYU, Robert F Wagner Grad Sch Publ Serv, Ctr Hlth & Publ Serv Res, New York, NY 10003 USA NYU New York NY USA 10003 tr Hlth & Publ Serv Res, New York, NY 10003 USA Northwestern Univ, Sch Med, Dept Pediat, Chicago, IL USA Northwestern Univ Chicago IL USA , Sch Med, Dept Pediat, Chicago, IL USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 4, volume: 1, anno: 2001,
pagine: 185 - 193
SICI:
1530-1567(200107/08)1:4<185:TROLSA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
INNER-CITY CHILDREN; PSYCHOSOCIAL FACTORS; AFRICAN-AMERICANS; CHRONIC ILLNESS; YOUNG-CHILDREN; MENTAL-HEALTH; EVENTS; CARE; MORTALITY; PREVALENCE;
Keywords:
asthma; childhood; demographics; life stressors; maternal depression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
65
Recensione:
Indirizzi per estratti:
Indirizzo: Shalowitz, MU Evanston NW Healthcare Res Inst, Dept Pediat, 450,2650 RidgeAve, Evanston, IL 60201 USA Evanston NW Healthcare Res Inst 450,2650 RidgeAve Evanston IL USA 60201
Citazione:
M.U. Shalowitz et al., "The relationship of life stressors and maternal depression to pediatric asthma morbidity in a subspecialty practice", AMBU PEDIAT, 1(4), 2001, pp. 185-193

Abstract

Objective.-To examine the relationships among demographic characteristics,caregiver life stressors, and depressive symptoms of mothers and their children's asthma morbidity. Setting.-Three pediatric asthma subspecialty programs, 2 in the inner cityand 1 in the suburbs. Design.-Cross-sectional census sample of caregivers of children with asthma: interviews mostly with mothers (N = 123) regarding their children's asthma symptoms and health care utilization. Information collected on demographics and caregivers' own recent life stressors and depressive symptoms. Subjects.-Caregivers of children ages 18 months to 12 years with asthma attheir subspecialty visit. Measures.-Structured interviews: a survey instrument prepared for this study and standardized instruments for depression (Center for Epidemiologic Studies-Depression) and life stressors (Crisis in Family Systems). Results.-A total of 32% of respondents' children had high asthma morbidity, 28% intermediate, and 40% low. Caregiver life stressors and depression and the children's sex showed the strongest relationships to asthma morbidityin a model that also included race, residence, and Medicaid status. Children were more likely to have high morbidity if they had caregivers with moredepressive symptoms and negative life stressors and if they were female. Conclusions.-Respondents experienced many life stressors and symptoms of depression while managing their children's illness. Caregivers' lives may affect their children's asthma morbidity, offering empirical evidence for thepotential value of targeted case management for children in subspecialty care.

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Documento generato il 22/01/20 alle ore 18:39:45