Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/18673
Title: The effect of internalization and other psychologic factors on the remission and severity of wheeze in children
Authors: Feitosa, Caroline Alves
Santos, Darci Neves dos
Barreto, Maurício Lima
Rodrigues, Laura C
Affilliation: Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil
Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil
Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil
London School of Hygiene and Tropical Medicine. London, UK
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.
Keywords: Asthma
Behavior problems
Childhood asthma
Internalization
Remission
Social
keywords: Asma
Problemas de comportamento
Asma infantil
Internalização
Remissão
Social
DeCS: Asma
Asma infantil
Issue Date: 2016
Publisher: Wiley
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.
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”.
DOI: 10.1111/pai.12545
ISSN: 0905-6157
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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