Anxiety and Asthma Symptoms in Urban Adolescents with Asthma: The Mediating Role of Illness Perceptions |
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Authors: | Meghan E McGrady Sian Cotton Susan L Rosenthal Yvonne Humenay Roberts Maria Britto Michael S Yi |
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Institution: | (1) Department of Psychology, University of Cincinnati, Cincinnati, OH, USA;(2) Department of Family and Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA;(3) Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA;(4) Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY, USA;(5) Division of Adolescent Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA;(6) Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA;(7) Department of Family and Community Medicine, University of Cincinnati College of Medicine, P.O. Box 670840, Cincinnati, OH 45267-0840, USA |
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Abstract: | Twenty to 40% of adolescents with asthma experience significant symptoms of anxiety. This study examined the mediational role
of illness perceptions in the relationship between anxiety and asthma symptoms in adolescents. One hundred fifty-one urban
adolescents (ages 11–18) with asthma completed measures of illness perceptions, and anxiety and asthma symptoms. Using the
Baron and Kenny approach and Sobel tests, we examined whether illness perceptions mediated the anxiety-asthma symptom relationship.
Three illness perceptions significantly mediated the relationship between anxiety and asthma symptoms, z = 1.97–2.13, p < .05; adjusted R
2 = 0.42–0.51, p < .05. Greater anxiety symptoms were associated with perceptions that asthma negatively impacted one’s life and emotions
and was difficult to control. These negative illness perceptions were, in turn, related to greater asthma symptoms. Illness
perceptions helped explain the anxiety-asthma symptoms link in adolescents. Results suggest that targeting illness perceptions
in adolescents with asthma and anxiety may help reduce asthma symptoms. |
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