Using structural equation modeling to understand child and parent perceptions of asthma quality of life

J Pediatr Psychol. 2010 Sep;35(8):870-82. doi: 10.1093/jpepsy/jsp121. Epub 2009 Dec 21.

Abstract

Objective: Using structural equation modeling, test a conceptual model of associations between constructs predicting parent and child asthma quality of life.

Methods: Children with a confirmed asthma diagnosis and their parents completed measures of health status and independently reported on psychological functioning, family functioning, and quality of life.

Results: Measurement and structural models for predicting parent and child quality of life provided a good fit of data to the conceptual model. Parent and child independent reports of quality of life are dependent upon family functioning and child psychological functioning. Long-term asthma symptom control is the only health status variable that impacts quality of life.

Conclusions: With minor modifications, both parent and child data fit the conceptual model. Child psychological functioning and long-term asthma control jointly contribute to quality of life outcomes. Findings suggest that both acute and long-term asthma health status outcomes have different determinants.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asthma / psychology*
  • Attitude to Health*
  • Child
  • Family / psychology
  • Female
  • Health Status*
  • Humans
  • Male
  • Models, Psychological
  • Quality of Life / psychology*
  • Surveys and Questionnaires