Anxiety among adolescents with asthma: Relationships with asthma control and sleep quality

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DOI 10.1037/cpp0000267


Objective: Adolescents with asthma are at increased risk for poor sleep quality, anxiety, and worse asthma control. Given associations between sleep and anxiety among youth and between asthma control and anxiety in the adult literature, this cross-sectional study aims to examine whether (1) asthma control and anxiety are related among adolescents with asthma and (2) sleep quality accounts for unique variance in symptoms of anxiety beyond asthma control. Methods: Forty-one adolescents with persistent asthma (Mage = 14.83, SD = 1.28) completed the Adolescent Sleep Wake Scale, the Multidimensional Anxiety Scale for Children 2, and the Asthma Control Test. Hierarchical linear regressions were conducted to assess whether sleep quality accounted for unique variance in anxiety above asthma control. Results: Asthma control was not related to overall anxiety, p > .05, but was associated with greater endorsement of Generalized Anxiety Disorder (GAD) and physical anxiety symptoms. Together, asthma control and sleep quality explained 32.3% of the variance in overall anxiety, F(3, 34) = 5.41, p = .004. Adding sleep quality to the model accounted for 15.8% of the variance, with worse sleep quality being associated with higher anxiety, β = −.43, p = .008. Controlling for asthma control, sleep quality also explained additional variance in GAD and physical anxiety symptoms. Asthma control and sleep quality were not related to harm avoidance, p > .05. Conclusions: Our results emphasize the importance of screening for anxiety and sleep difficulties when working with adolescents with asthma, particularly those with poor asthma control. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

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Clinical Practice in Pediatric Psychology





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