Cognitive-behavioral predictors of asthma morbidity in inner-city children

Shari L. Wade, Gary Holden, Henry Lynn, Herman Mitchell, Craig Ewart

Research output: Contribution to journalArticlepeer-review


Asthma is a growing health problem among children in the United States, particularly in urban, inner-city areas. This article examines the relationship between cognitive-behavioral aspects of asthma management (caretaker asthma knowledge, expectations, and problem-solving) and asthma morbidity in a sample of 1376 inner-city children with physician-diagnosed asthma. In the analyses, baseline symptom severity served as a covariate, and the average of the 3-, 6-, and 9-month follow-up data served as the outcome measure. Children of caregivers with ineffective problem-solving strategies had significantly more days of wheezing over a 14-day period. Ineffective problem-solving capabilities were also associated with poorer functional status; however, positive caregiver expectations were associated with better functional status. Of the cognitive-behavioral factors studied in a high-risk urban population, caregiver problem-solving skills and expectations emerged as meriting further investigation and possible intervention.

Original languageEnglish (US)
Pages (from-to)340-346
Number of pages7
JournalJournal of Developmental and Behavioral Pediatrics
Issue number5
StatePublished - Oct 2000


  • Asthma
  • Expectations
  • Problem solving

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health


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