Abstract

The overall aim of this investigation is to determine family process correlates of mental health problems in children who are at risk due to chronic mental illness. A model will be tested whereby family routines and family beliefs are proposed to serve a protective function for children with asthma. An alternative model will be tested whereby parent psychological distress is proposed to have a direct influence on family routines, beliefs, and child mental health. The sample under investigation will include 225 children who have been diagnosed with asthma that includes daily disease management. It is being proposed that the enactment of family routines and the creation of coherent beliefs about illness can protect children from developing internalizing (anxiety and depression) and externalizing symptomatology. A model will be tested whereby family routines and beliefs are proposed to be related to child mental health through their effects on medical adherence and family health.. Multi-group comparisons will be made to evaluate the moderating effects of illness severity, family life stress, and child gender. A targeted sub-sample will participate in a longitudinal study aimed at detecting variability in routines and medical adherence in relation to child mental health Results from this study will inform, prevention efforts aimed at reducing psychological distress in children with chronic medical illnesses such as asthma, diabetes, and cystic fibrosis.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH051771-06
Application #
6624072
Study Section
Special Emphasis Panel (ZRG1-RPHB-3 (01))
Program Officer
Muehrer, Peter R
Project Start
1996-05-01
Project End
2007-04-30
Budget Start
2003-05-01
Budget End
2004-04-30
Support Year
6
Fiscal Year
2003
Total Cost
$513,874
Indirect Cost

  Institution

Name
Syracuse University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
002257350
City
Syracuse
State
NY
Country
United States
Zip Code
13244

  Publications

Everhart, Robin S; Greenlee, Jessica L; Winter, Marcia A et al. (2018) Primary and Secondary Caregiver Reports of Quality of Life in Pediatric Asthma: Are They Comparable? Appl Res Qual Life 13:371-383
Al Ghriwati, Nour; Winter, Marcia A; Everhart, Robin S et al. (2017) Family functioning and child asthma severity: A bio-behavioral approach. Fam Syst Health 35:439-449
Miadich, Samantha A; Everhart, Robin S; Borschuk, Adrienne P et al. (2015) Quality of Life in Children With Asthma: A Developmental Perspective. J Pediatr Psychol 40:672-9
Raymond, Kimberly P; Fiese, Barbara H; Winter, Marcia A et al. (2012) Helpful hints: caregiver-generated asthma management strategies and their relation to pediatric asthma symptoms and quality of life. J Pediatr Psychol 37:414-23
Fiese, Barbara H; Hammons, Amber; Grigsby-Toussaint, Diana (2012) Family mealtimes: a contextual approach to understanding childhood obesity. Econ Hum Biol 10:365-74
Winter, Marcia A; Fiese, Barbara H; Spagnola, Mary et al. (2011) Asthma severity, child security, and child internalizing: using story stem techniques to assess the meaning children give to family and disease-specific events. J Fam Psychol 25:857-67
Fiese, Barbara H; Winter, Marcia A; Botti, Joanna C (2011) The ABCs of family mealtimes: observational lessons for promoting healthy outcomes for children with persistent asthma. Child Dev 82:133-45
Fiese, Barbara H; Winter, Marcia A; Wamboldt, Frederick S et al. (2010) Do family mealtime interactions mediate the association between asthma symptoms and separation anxiety? J Child Psychol Psychiatry 51:144-51
Everhart, Robin S; Fiese, Barbara H (2009) Asthma severity and child quality of life in pediatric asthma: a systematic review. Patient Educ Couns 75:162-8
Everhart, Robin S; Fiese, Barbara H (2009) Development and initial validation of a pictorial quality of life measure for young children with asthma. J Pediatr Psychol 34:966-76

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