ABSTRACT
Background: Clinical guidelines recommend the identification of asthma comorbidities, especially treatable problems such as parental behaviours and child and parent anxiety. Purpose: We aimed to (1) explore associations of asthma severity with child and parent state anxiety, trait anxiety, and asthma-related anxiety as well as with caregiver behaviours around physical activity and (2) explore if caregiver behaviours around physical activity were associated with use of inhaled ß-Agonists when symptomatic, and with child and parent anxiety. Patients and methods: Patients ages 3-17 years with asthma (n = 72) and their parents were recruited from the Pulmonology-Allergology Pediatric clinic University Hospital Centre Split in Split, Croatia during 2021. During a clinical visit, the pharmacological regimen was assessed and spirometry was performed. Children completed the State-Trait Anxiety Inventory for Children (STAI-C) and the Youth Asthma-Related Anxiety Scale (YASS). Parents completed the State-Trait Anxiety Inventory (STAI), the Parent Asthma-Related Anxiety Scale (PASS), and the Physical Activity Parenting Practices - Short Form (PAPP). Results: Most patients had mild asthma (69.4%). Children with moderate to severe asthma had increased asthma-related anxiety (mean = 11.94 ± 6.1) compared with children with mild asthma (mean = 5.97 ± 6.39, p = 0.003). Parents of children with mild asthma reported behaviours allowing unsupervised physical activity outside more often when compared to parents of children with moderate or severe asthma. Physical activity facilitation parenting behaviour reduced the odds of a child's need for quick-reliever medication when symptomatic (OR = 0.376,95% CI = -1.885 to -0.072; p = 0.034); more coercive parenting increased the odds of a child's additional use of such medications (OR = 2.602; 95% CI = 0.005 to 1.908; p = 0.049). Parents of children in the highest quartile of trait anxiety showed less non-directive support (1.97 ± 1.01 vs. 2.89 ± 1.19, p = 0.031) and less autonomy support (3.14 ± 1.32 vs. 4.11 ± 1.23, p = 0.037) of physical activity in their children than those with less trait anxiety. Conclusion: Asthma-related anxiety was an important construct in this sample of children, associated with their disease severity as well as their parent's behaviours around the child's physical activities. Current research, conducted during the COVID-19 pandemic, recognised the tangible ways that parents support or avoid the asthmatic children's physical activity participation. Child anxiety and recognised parental physical activity behaviours are potentially important factors to assess and target for intervention.
ABSTRACT
Mental health issues are a serious problem globally and have worsened since the Covid-19 pandemic. School students are experiencing high levels of stress due to the closure of schools. Students have to quickly adapt to online learning with minimal guidance during the early stage of the pandemic. Subsequently, students are allowed to go to school on a rotation basis. Therefore, a conducive home environment with support from parents plays an important role in helping students to cope with the uncertainties during the pandemic. We conducted a cross-sectional survey study where 761 high school students, aged between 13 to 18 years old were recruited in Malaysia. There was 468 female and 293 male students who participated in this study. Students' mental health was measured using the Strengths and Difficulties Questionnaire (SDQ) while parental practices were measured using the Alabama Parenting Questionnaire. Parental practices were measured separately for father and mother in terms of positive parenting, involvement, poor monitoring and corporal punishment. Pearson correlation analysis showed that all parental practices were correlated significantly with mental health issues among high school students. However, based on the multiple regression analysis, only paternal poor monitoring, maternal corporal punishment, maternal positive parenting and paternal corporal punishment significantly predicted students' mental health with paternal poor monitoring being the strongest predictor of students' mental health. This study supported the importance of utilizing good parental practices in order to reduce mental health issues among students. © 2022 ACM.