Revista Paulista de Pediatria
Print version ISSN 0103-0582
Rev. paul. pediatr. vol.31 no.2 São Paulo June 2013
http://dx.doi.org/10.1590/S0103-05822013000200003
ORIGINAL ARTICLE
Quality of life of asthmatic children and adolescents: relation to maternal coping
Gimol Benzaquen PerosaI; Isabel de Andrade AmatoII; Ligia Maria S. S. RugoloIII; Giesela Fleisher FerrariIV; Maria Carolina F. A. de OliveiraV
IDoutora em Psicologia Social pela Pontifícia Universidade Católica de São Paulo (PUCSP); Professora-assistente doutora na Faculdade de Medicina de Botucatu da Unesp, Botucatu, SP, BrasilIIMédica no programa de residência da Faculdade de Medicina da Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil
IIILivre-Docente em Pediatria pela Faculdade de Medicina de Botucatu da Unesp; Professora adjunta da Faculdade de Medicina de Botucatu da Unesp, Botucatu, SP, Brasil
IVDoutora em Pediatria pela Universidade de São Paulo (USP); Professora doutora da Faculdade de Medicina de Botucatu da Unesp, Botucatu, SP, Brasil
VPsicóloga do Serviço de Psicologia do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP, Ribeirão Preto, SP, Brasil
Endereço para correspondência
ABSTRACT
OBJECTIVE: To evaluate the quality of life of asthmatic children and adolescents, its relation with sociodemographic and clinical variables, and maternal coping strategies.
METHODS: Cross-sectional study in which children and adolescents with asthma answered a quality of life questionnaire, and their mothers did the same with a coping scale.
RESULTS: Out of the 42 children and adolescents investigated, 74% were classified as having mild/severe persistent asthma; 19%, mild persistent asthma; and 7%, intermittent asthma. A total of 69% of the participants showed impaired quality of life with mean scores ranging between 4.7 and 3.5, with greater harm in the domain of symptoms (score=3.6). There was a significant association between maternal schooling and the general index of quality of life, whereas maternal coping strategies were not associated with the severity of asthma. A large number of strategies used by mothers to cope with their children's crises were related to the management of stressors or to religious practices, and the latter presented negative correlation with the children's quality of life general index, showing that mothers whose children had worse quality of life used more religious coping.
CONCLUSIONS: Asthmatic children, particularly those with moderate/severe persistent asthma, showed significant alterations as to quality of life. The high percentage of mothers using religious strategies, particularly in face of more severe clinical conditions, seem to indicate that they feel powerless to act, thus requiring concrete and useful orientation to low income families.
METHODS: Cross-sectional study in which children and adolescents with asthma answered a quality of life questionnaire, and their mothers did the same with a coping scale.
RESULTS: Out of the 42 children and adolescents investigated, 74% were classified as having mild/severe persistent asthma; 19%, mild persistent asthma; and 7%, intermittent asthma. A total of 69% of the participants showed impaired quality of life with mean scores ranging between 4.7 and 3.5, with greater harm in the domain of symptoms (score=3.6). There was a significant association between maternal schooling and the general index of quality of life, whereas maternal coping strategies were not associated with the severity of asthma. A large number of strategies used by mothers to cope with their children's crises were related to the management of stressors or to religious practices, and the latter presented negative correlation with the children's quality of life general index, showing that mothers whose children had worse quality of life used more religious coping.
CONCLUSIONS: Asthmatic children, particularly those with moderate/severe persistent asthma, showed significant alterations as to quality of life. The high percentage of mothers using religious strategies, particularly in face of more severe clinical conditions, seem to indicate that they feel powerless to act, thus requiring concrete and useful orientation to low income families.
Key-words: quality of life; asthma; coping; child; adolescent.
pdf in English
Article in xml format
Article references
Curriculum ScienTI
Automatic translation
Send this article by e-mail
Permalink
No comments:
Post a Comment