The impact of family asthma management on biology: A longitudinal investigation of youth with asthma

Hope A. Walker, Edith Chen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


This study examined longitudinal associations of asthma management-related beliefs and behaviors with changes in asthma-relevant biological markers in a sample of 43 children with asthma. Children (M age = 12.4, 75% male) and parents were interviewed about asthma management beliefs and behaviors. Asthma outcomes included lung function (FEV1%), eosinophil counts, and daily cortisol measured at two time points, 18 months apart. Children with a less sophisticated disease belief (termed the "no symptoms, no asthma" belief) displayed eosinophil counts that increased over time, controlling for baseline levels. Poorer family asthma management was associated with increasing eosinophil counts over time. Poorer child asthma management was associated with cortisol output that declined over time. Further, families who reported poorer collaboration with their physician had children who displayed worsening lung function over time. These findings suggest that interventions aimed at teaching families better asthma management approaches and more accurate disease beliefs may have the potential to alter biological profiles in children with asthma.

Original languageEnglish (US)
Pages (from-to)326-334
Number of pages9
JournalJournal of Behavioral Medicine
Issue number4
StatePublished - Aug 2010


  • Biological outcomes
  • Family asthma management
  • Longitudinal

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health


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