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An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression

OBJECTIVE: Child asthma disparities are prevalent in socio‐economically stressed single‐parent families. Stress impacts childhood asthma mediated by immune and autonomic pathways, but specific family stress pathways are not well established. This study tests the hypothesis, derived from a version of...

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Autores principales: Lim, JungHa, Miller, Bruce D., Wood, Beatrice L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078754/
https://www.ncbi.nlm.nih.gov/pubmed/35075639
http://dx.doi.org/10.1111/famp.12755
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author Lim, JungHa
Miller, Bruce D.
Wood, Beatrice L.
author_facet Lim, JungHa
Miller, Bruce D.
Wood, Beatrice L.
author_sort Lim, JungHa
collection PubMed
description OBJECTIVE: Child asthma disparities are prevalent in socio‐economically stressed single‐parent families. Stress impacts childhood asthma mediated by immune and autonomic pathways, but specific family stress pathways are not well established. This study tests the hypothesis, derived from a version of the Biobehavioral Family Model, that single parent maternal depression impacts child asthma mediated by insecure attachment and child depression. METHODS: In a cross‐sectional study, children with asthma (age 7–17 years old) from a socio‐economically disadvantaged population and their single parent mothers (N = 202) were assessed for depression and attachment security. Child asthma disease activity was assessed by symptom report and lung function tests. Structural equation modeling (SEM) was used to test a model in which caregiver depression impacts child asthma disease activity mediated by insecure attachment and child depression. RESULTS: SEM results indicated that maternal depression statistically predicted child depression (β = 0.21, p < 0.01) and insecure mother–child attachment (β = 0.17, p < 0.05). In addition, insecure attachment statistically predicted child depression (β = 0.50, p < 0.001). Child depression mediated the adverse effects of maternal depression and insecure attachment on child asthma disease activity (β = 0.43, p < 0.01). There was no direct effect of insecure attachment on child asthma. CONCLUSION: In single‐parent families, maternal depression may impact child asthma disease activity, mediated serially by insecure attachment and child depression. Longitudinal and/or intervention studies are needed to establish a causal effect. These findings suggest that caregiver depression and parent–child relationships may be important targets for family intervention. These interventions may help improve child asthma outcomes and reduce health disparities.
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spelling pubmed-100787542023-04-07 An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression Lim, JungHa Miller, Bruce D. Wood, Beatrice L. Fam Process Family Research OBJECTIVE: Child asthma disparities are prevalent in socio‐economically stressed single‐parent families. Stress impacts childhood asthma mediated by immune and autonomic pathways, but specific family stress pathways are not well established. This study tests the hypothesis, derived from a version of the Biobehavioral Family Model, that single parent maternal depression impacts child asthma mediated by insecure attachment and child depression. METHODS: In a cross‐sectional study, children with asthma (age 7–17 years old) from a socio‐economically disadvantaged population and their single parent mothers (N = 202) were assessed for depression and attachment security. Child asthma disease activity was assessed by symptom report and lung function tests. Structural equation modeling (SEM) was used to test a model in which caregiver depression impacts child asthma disease activity mediated by insecure attachment and child depression. RESULTS: SEM results indicated that maternal depression statistically predicted child depression (β = 0.21, p < 0.01) and insecure mother–child attachment (β = 0.17, p < 0.05). In addition, insecure attachment statistically predicted child depression (β = 0.50, p < 0.001). Child depression mediated the adverse effects of maternal depression and insecure attachment on child asthma disease activity (β = 0.43, p < 0.01). There was no direct effect of insecure attachment on child asthma. CONCLUSION: In single‐parent families, maternal depression may impact child asthma disease activity, mediated serially by insecure attachment and child depression. Longitudinal and/or intervention studies are needed to establish a causal effect. These findings suggest that caregiver depression and parent–child relationships may be important targets for family intervention. These interventions may help improve child asthma outcomes and reduce health disparities. John Wiley and Sons Inc. 2022-01-24 2022-12 /pmc/articles/PMC10078754/ /pubmed/35075639 http://dx.doi.org/10.1111/famp.12755 Text en © 2022 The Authors. Family Process published by Wiley Periodicals LLC on behalf of Family Process Institute. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Family Research
Lim, JungHa
Miller, Bruce D.
Wood, Beatrice L.
An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title_full An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title_fullStr An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title_full_unstemmed An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title_short An application of the Biobehavioral Family Model: Examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
title_sort application of the biobehavioral family model: examining the impact of maternal depression on child asthma mediated by insecure attachment and child depression
topic Family Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078754/
https://www.ncbi.nlm.nih.gov/pubmed/35075639
http://dx.doi.org/10.1111/famp.12755
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