Psychosocial Aspects of Compliance in Children and Adolescents with Asthma

Mary E. Christiaanse*, John V. Lavigne, Cynthia V. Lerner

*Corresponding author for this work

Research output: Contribution to journalArticle

92 Scopus citations

Abstract

Thirty-eight children and adolescents (ages 7–17 years) with chronic asthma were evaluated on three measures of psychosocial and family adjustment. The children's average theophylline level and percentage of noncompliant theophylline levels (theophylline level <5 mg/dl) were correlated with behavior problems, perceived self-competence in controlling their conduct, general feelings of self-worth, and family climate (cohesiveness vs. conflict; level of family organization and control). Regression analyses indicated that a combination of psychological adjustment, degree of family conflict versus cohesiveness, and the interaction of these two variables were predictive of compliance as measured by mean theophylline levels. Only psychological adjustment was associated with percent of noncompliant theophylline levels. Measures of self-worth, self-competence in controlling conduct, and family organization were not related to medication compliance measures.

Original languageEnglish (US)
Pages (from-to)75-80
Number of pages6
JournalJournal of Developmental and Behavioral Pediatrics
Volume10
Issue number2
DOIs
StatePublished - Apr 1989

Keywords

  • Asthma
  • Chronic
  • Compliance
  • Disease
  • Psychological adjustment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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