The role of positive affect in asthma control and symptom severity in adolescents

Author:

Jenkins Brooke N.123ORCID,Martin Logan T.4,Halterman Jill S.5,Moskowitz Judith T.6,Glynn Laura M.1,Tirakitsoontorn Pornchai78,Kamath Sunil78,Kain Zeev N.23

Affiliation:

1. Department of Psychology Chapman University Orange California USA

2. Center on Stress & Health University of California Irvine California USA

3. Department of Anesthesiology and Perioperative Care University of California Irvine California USA

4. Department of Psychological Science University of California Irvine California USA

5. Department of Pediatrics University of Rochester Medical Center Rochester New York USA

6. Department of Medical Social Sciences, Feinberg School of Medicine Northwestern University Chicago Illinois USA

7. Children's Hospital of Orange County Pulmonology Division Orange California USA

8. Department of Pediatrics University of California Irvine California USA

Abstract

AbstractIntroductionWe test the effects of positive affect and its arousal subscale components of calm, wellbeing, and vigor on asthma control and symptom severity in adolescents with moderate to severe asthma. Additionally, we test whether positive affect (and its arousal components) moderate how stress impacts asthma control and symptom severity.MethodsAdolescents with asthma (N = 66, ages 12–17) completed brief surveys 4 times a day for 7 days reporting on their positive affect, stress, and asthma symptom severity and conducted a morning peak expiratory flow assessment each day. Asthma control and psychological asthma triggers were assessed at the end of the 7 days.ResultsPositive affect moderated the association between stress and asthma control (b = −0.33, p = 0.009) as well as the association between psychological triggers and asthma control (b = −0.74, p = 0.007). When assessing the positive affect arousal components, calm and wellbeing seemed to be driving these effects. Additionally, calm moderated the association between stress and asthma symptom severity (b = −0.33, p = 0.036) as well as the association between psychological triggers and asthma symptom severity (b = −0.75, p = 0.021).ConclusionsWhen considering patient stress (e.g., general stress, psychological asthma triggers), positive affect and its arousal components of calm and wellbeing may be helpful for patients with higher levels of stress and/or for patients experiencing greater numbers of psychological triggers.

Publisher

Wiley

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