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Association between child asthma control and maternal mental health in Alagoas, Brazil

Published online by Cambridge University Press:  23 March 2020

C. Miranda
Affiliation:
Federal University of Alagoas, School of Medicine, Maceio, Alagoas, Brazil
A.D. Costa
Affiliation:
Federal University of Alagoas, School of Medicine, Maceio, Alagoas, Brazil
L.M. Dos Santos
Affiliation:
Federal University of Bahia, Instituto de Humanidades Artes e Ciências Professor Milton Santos, Salvador, Brazil
J.A.P.M. Coelho
Affiliation:
Federal University of Alagoas, School of Medicine, Maceio, Alagoas, Brazil
M.L. Medeiros
Affiliation:
Federal University of Alagoas, School of Medicine, Maceio, Alagoas, Brazil

Abstract

Introduction

Maternal mental health is very important to manage children with chronic health problems.

Objective

To evaluate the role of maternal common mental disorders (CMD) in the control of asthma in children by taking the maternal stressful life events (SLE) into account.

Aims

To improve the management of childhood asthma by using a psychosocial approach.

Methods

Cross-sectional study involving mother-asthmatic child dyads assisted in paediatric pulmonology outpatient clinics. To characterize maternal CMD, the Self-report questionnaire (SRQ–20) with cut-off 7/8 was used. The global initiative for asthma control (GINA) questionnaire was used to define controlled and uncontrolled patients. The SLE questionnaire was also used.

Results

Table 1 suggests association between uncontrolled asthma with asthma severity and SLE, and a borderline association between uncontrolled asthma and maternal CMD. Table 2 indicates that, considering all independent variables simultaneously, asthma severity is the only variable statistically significant. It is also possible that with a larger sample size, maternal CMD and SLE would also become statistically significant.

Conclusions

The frequency of uncontrolled asthma is associated with asthma severity and tended to be higher in children whose mothers had CMD and were exposed to SLE.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Table 1

Crude odd ratios (OR) for the association between asthma control in children, and selected variables (n = 272).

Table 2

Simultaneous effect of maternal CMD and selected risk factors on asthma control through logistic regression (n = 272).

Type
e-Poster Viewing: Others
Copyright
Copyright © European Psychiatric Association 2017
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