Conflict of interest statement: No conflicts declared.
Do family mealtime interactions mediate the association between asthma symptoms and separation anxiety?
Article first published online: 14 SEP 2009
© 2009 The Authors. Journal compilation © 2009 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 51, Issue 2, pages 144–151, February 2010
How to Cite
Fiese, B. H., Winter, M. A., Wamboldt, F. S., Anbar, R. D. and Wamboldt, M. Z. (2010), Do family mealtime interactions mediate the association between asthma symptoms and separation anxiety?. Journal of Child Psychology and Psychiatry, 51: 144–151. doi: 10.1111/j.1469-7610.2009.02138.x
- Issue published online: 4 JAN 2010
- Article first published online: 14 SEP 2009
- Manuscript accepted 27 April 2009
- Separation anxiety;
- family mealtimes;
- pediatric asthma;
- family interaction;
- child behavior
Background: Respiratory problems have been shown to be associated with the development of panic anxiety. Family members play an essential role for children to emotionally manage their symptoms. This study aimed to examine the relation between severity of respiratory symptoms in children with asthma and separation anxiety. Relying on direct observation of family interactions during a mealtime, a model is tested whereby family interactions mediate the relation between asthma severity and separation anxiety symptoms.
Methods: Sixty-three children (ages 9–12 years) with persistent asthma were interviewed via the Diagnostic Interview Schedule for Children IV; family interactions were assessed via direct observation of a mealtime; primary caregivers completed the Childhood Asthma Severity Scale; youth pulmonary function was ascertained with pre- and post-bronchodilator spirometry; adherence to asthma medications was objectively tracked for six weeks.
Results: Poorer pulmonary function and higher functional asthma severity were related to higher numbers of separation anxiety symptoms. Controlling for medication adherence, family interaction patterns mediated the relationship between poorer pulmonary function and child separation anxiety symptoms.
Conclusions: Family mealtime interactions may be a mechanism by which respiratory disorders are associated with separation anxiety symptoms in children, potentially through increasing the child’s capacity to cognitively frame asthma symptoms as less threatening, or through increasing the child’s sense of security within their family relationships.