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European Journal of Pediatrics
Published in: European Journal of Pediatrics 12/2010

01-12-2010 | Original Paper

An asthma-related quality of life instrument is unable to identify asthmatic children with major psychosocial problems

Authors: Marijke Tibosch, Carla Reidsma, Anneke Landstra, Cindy Hugen, Peter Gerrits, Marianne Brouwer, René van Gent, Peter Merkus, Christianne Verhaak

Published in: European Journal of Pediatrics | Issue 12/2010

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Abstract

Evidence shows that psychosocial problems among children and adolescents with asthma interfere with adherence to treatment and therefore need attention in asthma care. It is unknown whether the already frequently implemented asthma-related quality of life (QoL) instruments reflect psychosocial problems in children with asthma. The aim of this study was to assess the relationship between asthma-related QoL and psychosocial problems and to determine whether an asthma-related QoL instrument is able to identify those children and adolescents with asthma with major psychosocial problems. In a multicenter study psychosocial problems (Strengths and Difficulties Questionnaire) and asthma-related QoL (Pediatric Asthma (Caregivers) Quality of Life Questionnaire) were obtained in children and adolescents with asthma aged 6–16 years and their caregivers. A total of 339 children and adolescents (response rate 95%) from four pediatric outpatient clinics in the Netherlands with doctor-diagnosed asthma participated. Of the caregivers, 43% reported major or minor psychosocial problems of their child or adolescent which is two times more than in the reference group, whereas the percentage of adolescents reporting psychosocial problems was comparable to a reference population. Adolescents and caregivers reported few impairments in asthma-related QoL (median score between 6.2 and 7.0). However, an optimal asthma-related QoL did not rule out major psychosocial problems: 10% of the adolescents with an optimal asthma-related QoL score reported major psychosocial problems. And in one out of seven children with an optimal caregiver’s asthma-related QoL score, major psychosocial problems were reported. The prevalence of psychosocial problems in children and adolescents with asthma is considerable. Assessment of asthma-related QoL alone is insufficient to identify those children with major psychosocial problems. We recommend the implementation of psychosocial screening, besides assessment of asthma-related QoL, in routine pediatric asthma care, to improve asthma management.
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Metadata
Title
An asthma-related quality of life instrument is unable to identify asthmatic children with major psychosocial problems
Authors
Marijke Tibosch
Carla Reidsma
Anneke Landstra
Cindy Hugen
Peter Gerrits
Marianne Brouwer
René van Gent
Peter Merkus
Christianne Verhaak
Publication date
01-12-2010
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 12/2010
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-010-1250-3

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