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Cited by 27Asthma and respiratory diseasesProblem Solving Skills DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Coping and social problem solving correlates of asthma control and quality of life

McCormick, Sean P, Nezu, Christine M, Nezu, Arthur M, Sherman, Michael, Davey, Adam, Collins, Bradley N·2014·Chronic Respiratory Disease
DOI 10.1177/1479972313516878
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Abstract

In a sample of adults with asthma receiving care and medication in an outpatient pulmonary clinic, this study tested for statistical associations between social problem-solving styles, asthma control, and asthma-related quality of life. These variables were measured cross sectionally as a first step toward more systematic application of social problem-solving frameworks in asthma self-management training. Recruitment occurred during pulmonology clinic service hours. Forty-four adults with physician-confirmed diagnosis of asthma provided data including age, gender, height, weight, race, income, and comorbid conditions. The Asthma Control Questionnaire, the Mini Asthma Quality of Life Questionnaire (Short Form), and peak expiratory force measures offered multiple views of asthma health at the time of the study. Maladaptive coping (impulsive and careless problem-solving styles) based on transactional stress models of health were assessed with the Social Problem-Solving Inventory-Revised: Short Form. Controlling for variance associated with gender, age, and income, individuals reporting higher impulsive–careless scores exhibited significantly lower scores on asthma control ( β = 0.70, p = 0.001, confidence interval (CI) [0.37–1.04]) and lower asthma-related quality of life ( β = 0.79, p = 0.017, CI [0.15–1.42]). These findings suggest that specific maladaptive problem-solving styles may uniquely contribute to asthma health burdens. Because problem-solving coping strategies are both measureable and teachable, behavioral interventions aimed at facilitating adaptive coping and problem solving could positively affect patient’s asthma management and quality of life.

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Authors
McCormick, S. P., Nezu, C. M., Nezu, A. M., Sherman, M., Davey, A., & Collins, B. N.
Affiliations
  • Temple University (US)
  • Drexel University (US)
  • Hahnemann University Hospital (US)
Corresponding author
McCormick, Sean P
ORCID
Venue
Chronic Respiratory Disease
Publisher
SAGE Publications
Published
2014-01-15
Volume
11
Issue
1
Pages
15-21
ISSN
  • 1479-9723 (ISSN-L)
  • 1479-9731
DOI
10.1177/1479972313516878
OpenAlex
W2109921320
Cited by
27
References
35
Citations by year
2023: 1 · 2022: 2 · 2021: 8 · 2020: 3 · 2019: 3 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2
FWCI
2.22
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Chronic Respiratory Disease (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Health Professions › Speech and Hearing › Problem Solving Skills Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
asthma, asthma control, asthma quality of life, social problem solving, coping styles, maladaptive coping, transactional model of stress and coping, peak expiratory flow
MeSH terms
Adaptation, Psychological, Adult, Aged, Ambulatory Care Facilities, Asthma, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Patient Education as Topic, Problem Solving, Quality of Life, Surveys and Questionnaires, Self Care, Social Adjustment, Outcome Assessment, Health Care, Disease Management

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