TY - JOUR
T1 - Emotional quality-of-life and outcomes in adolescents with asthma
AU - Okelo, Sande O.
AU - Wu, Albert W.
AU - Krishnan, Jerry A.
AU - Rand, Cynthia S.
AU - Skinner, Elizabeth A.
AU - Diette, Gregory B.
PY - 2004/10
Y1 - 2004/10
N2 - Examine the association between emotional quality-of-life (QOL) and asthma morbidity in adolescents with asthma. Cross-sectional survey of 185 adolescents with asthma 11 to 17 years of age cared for in three managed care organizations (MCOs) in the United States. The asthma-specific Pediatric Asthma Quality of Life Questionnaire (PAQLQ) and a short version of the generic Child Health and Illness Profile-Adolescent Edition (CHIP-AE) were used to assess emotional QOL. Asthma morbidity measures were: asthma control, emergency department (ED) visits, hospitalizations, doctor visits for worsening asthma, and missed school because of asthma. Of the adolescents surveyed, 45% reported feeling depressed, 41% had ED visits, and 30% missed ≥1 day of school because of asthma. Poorer asthma-specific emotional QOL was associated with poorer control of asthma symptoms (P <. 0001), missed school (OR 7.1, P <. 05), and doctor visits for worsened asthma (OR = 7.0, P <. 05). Emotional symptoms related to asthma are common in adolescents with persistent asthma and asthma-specific QOL is related to increased asthma morbidity, healthcare use, and school absenteeism. Adolescents with high morbidity from asthma exhibit poorer QOL. Therefore, the evaluation of asthma-specific emotional QOL should be included in the assessment of adolescents with asthma.
AB - Examine the association between emotional quality-of-life (QOL) and asthma morbidity in adolescents with asthma. Cross-sectional survey of 185 adolescents with asthma 11 to 17 years of age cared for in three managed care organizations (MCOs) in the United States. The asthma-specific Pediatric Asthma Quality of Life Questionnaire (PAQLQ) and a short version of the generic Child Health and Illness Profile-Adolescent Edition (CHIP-AE) were used to assess emotional QOL. Asthma morbidity measures were: asthma control, emergency department (ED) visits, hospitalizations, doctor visits for worsening asthma, and missed school because of asthma. Of the adolescents surveyed, 45% reported feeling depressed, 41% had ED visits, and 30% missed ≥1 day of school because of asthma. Poorer asthma-specific emotional QOL was associated with poorer control of asthma symptoms (P <. 0001), missed school (OR 7.1, P <. 05), and doctor visits for worsened asthma (OR = 7.0, P <. 05). Emotional symptoms related to asthma are common in adolescents with persistent asthma and asthma-specific QOL is related to increased asthma morbidity, healthcare use, and school absenteeism. Adolescents with high morbidity from asthma exhibit poorer QOL. Therefore, the evaluation of asthma-specific emotional QOL should be included in the assessment of adolescents with asthma.
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U2 - 10.1016/j.jpeds.2004.06.043
DO - 10.1016/j.jpeds.2004.06.043
M3 - Article
C2 - 15480379
AN - SCOPUS:5144224113
SN - 0022-3476
VL - 145
SP - 523
EP - 529
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 4
ER -