Knowledge on multiple interdependences between quality of life (QoL) and behavioural problems in relation to asthma severity and control is undetermined. The aims of the study were: (i) to assess the relationship of QoL and behavioural problems with asthma severity and control (ii) to predict children’s “abnormal/borderline” status with variation in QoL. For these purposes a multicenter case-control study on 47 Severe Asthma (SA) and 94 Moderate Asthma (MA) children was performed. The MIMIC approach was applied to investigate the effect of SA and non-controlled asthma (NC) on QoL and behavioural disorders. Logistic regression was used to estimate probabilities of having an “abnormal/borderline” status with variation in QoL. The MIMIC model showed that the magnitude of the effect of SA and NC was larger on QoL (β = −0.37 and β = −0.30, respectively) than on behavioural problems (β = 0.27). With regards to the probability of having a borderline status, in MA a QoL of 1 returned a probability of 0.81, whereas in SA a QoL of 1 returned a probability of 0.89. In conclusion, SA children are highly affected by impaired QoL and behavioural problems. The MIMIC model allowed us to obtain a comprehensive assessment of QoL and behavioural problems with asthma severity and control.
Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model / Montalbano, Laura; Ferrante, Giuliana; Montella, Silvia; Cilluffo, Giovanna; Di Marco, Antonio; Bozzetto, Sara; Di Palmo, Emanuela; Licari, Amelia; Leonardi, Lucia; Caldarelli, Valeria; Ghezzi, Michele; La Grutta, Stefania; Rusconi, Franca; Null, Null; Amarri, S.; Barni, S.; Capizzi, A.; Cardinale, F.; Carraro, S.; Cazzato, S.; Cutrera, R.; Di Pillo, S.; Duse, M.; Fenu, G.; Kantar, A.; Leonardi, S.; Lombardi, E.; Marseglia, G. L.; Nosetti, L.; Novembre, E.; Patria, M. F.; Piacentini, G.; Pisi, G.; Ricci, G.; Sacco, O.; Santamaria, F.; Tenero, L.; Tosca, M. A.; Tripodi, M. C.; Volpini, A.. - In: SCIENTIFIC REPORTS. - ISSN 2045-2322. - 10:1(2020), pp. 1-9. [10.1038/s41598-020-62264-9]
Relationship between quality of life and behavioural disorders in children with persistent asthma: a Multiple Indicators Multiple Causes (MIMIC) model
Di Marco, Antonio;Leonardi, Lucia;La Grutta, Stefania;Rusconi, Franca;Cardinale, F.;Cazzato, S.;Duse, M.;Fenu, G.;Volpini, A.
2020
Abstract
Knowledge on multiple interdependences between quality of life (QoL) and behavioural problems in relation to asthma severity and control is undetermined. The aims of the study were: (i) to assess the relationship of QoL and behavioural problems with asthma severity and control (ii) to predict children’s “abnormal/borderline” status with variation in QoL. For these purposes a multicenter case-control study on 47 Severe Asthma (SA) and 94 Moderate Asthma (MA) children was performed. The MIMIC approach was applied to investigate the effect of SA and non-controlled asthma (NC) on QoL and behavioural disorders. Logistic regression was used to estimate probabilities of having an “abnormal/borderline” status with variation in QoL. The MIMIC model showed that the magnitude of the effect of SA and NC was larger on QoL (β = −0.37 and β = −0.30, respectively) than on behavioural problems (β = 0.27). With regards to the probability of having a borderline status, in MA a QoL of 1 returned a probability of 0.81, whereas in SA a QoL of 1 returned a probability of 0.89. In conclusion, SA children are highly affected by impaired QoL and behavioural problems. The MIMIC model allowed us to obtain a comprehensive assessment of QoL and behavioural problems with asthma severity and control.| File | Dimensione | Formato | |
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