Author | Feitosa, Caroline Alves | |
Author | Santos, Darci Neves dos | |
Author | Barreto, Maurício Lima | |
Author | Rodrigues, Laura C | |
Access date | 2017-04-26T18:00:42Z | |
Available date | 2017-04-26T18:00:42Z | |
Document date | 2016 | |
Citation | FEITOSA, C. A. et al. The effect of internalization and other psychologic factors on the remission and severity of wheeze in children. Pediatric Allergy and Immunology, v. 27, p. 398–403, 2016. | pt_BR |
ISSN | 0905-6157 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/18673 | |
Description | Barreto, M. L. Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil. “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”. | pt_BR |
Language | eng | pt_BR |
Publisher | Wiley | pt_BR |
Rights | open access | pt_BR |
Subject in Portuguese | Asma | pt_BR |
Subject in Portuguese | Problemas de comportamento | pt_BR |
Subject in Portuguese | Asma infantil | pt_BR |
Subject in Portuguese | Internalização | pt_BR |
Subject in Portuguese | Remissão | pt_BR |
Subject in Portuguese | Social | pt_BR |
Title | The effect of internalization and other psychologic factors on the remission and severity of wheeze in children | pt_BR |
Type | Article | pt_BR |
DOI | 10.1111/pai.12545 | |
Abstract | Asthma prevalence in Latin America is high and continues to increase. There is evidence that the psychologic characteristics of the child are associated with greater asthma morbidity. This study aimed to investigate the independent effect of internalizing/externalizing problems on two asthma/wheeze outcomes: (i) remission and (ii) progression to severity on Latin American children with mild asthma symptoms at baseline. Methods: This was a prospective study in a cohort of 371 asthmatic children living in a
poor urban area in Salvador, Brazil. The psychologic characteristics of the child were
assessed using the Child Behavior Checklist (CBCL), and wheezing was defined using
the ISAAC questionnaire at the start and end of follow-up. A multiple logistic
regression model with random effects was used to examine the association between the
psychologic components and both outcomes.
Results: Remission of symptoms of wheeze was observed among 229 (61.73%)
children. Remission was 56% lower among children with internalizing problems
(OR = 0.54, 95% CI 0.33–0.87, p = 0.01). In addition, we found that 19 (8.76%) of
the children acquired severe symptoms during follow-up and there was strong evidence
of the effect of internalizing problems in increasing the risk of progression to severe
wheeze symptoms (OR = 4.03, 95% CI 1.39–11.70, p = 0.01).
Conclusions: Children with internalizing problems but not externalizing had less
remission of wheezing, and a higher risk of acquiring severe symptoms. These results
highlight the importance of psychologic care for children with asthma, to improve the
prognosis of this condition. | pt_BR |
Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil | pt_BR |
Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil | pt_BR |
Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil | pt_BR |
Affilliation | London School of Hygiene and Tropical Medicine. London, UK | pt_BR |
Subject | Asthma | pt_BR |
Subject | Behavior problems | pt_BR |
Subject | Childhood asthma | pt_BR |
Subject | Internalization | pt_BR |
Subject | Remission | pt_BR |
Subject | Social | pt_BR |
DeCS | Asma | pt_BR |
DeCS | Asma infantil | pt_BR |