Associations of asthma self-management and mental health in adolescents: A scoping review.

Autor: Leonard SI; Office of Scholarship and Research, Columbia University School of Nursing, United States., Turi ER; Office of Scholarship and Research, Columbia University School of Nursing, United States., Powell JS; Division of Global and Community Health, Medical University of South Carolina, United States., Usseglio J; Augustus C. Long Health Sciences Library, Columbia University Irving Medical Center, United States., MacDonell KK; Department of Family Medicine and Public Health Sciences, Wayne State University, United States., Bruzzese JM; Office of Scholarship and Research, Columbia University School of Nursing, United States. Electronic address: jb3958@cumc.columbia.edu.
Jazyk: angličtina
Zdroj: Respiratory medicine [Respir Med] 2022 Aug-Sep; Vol. 200, pp. 106897. Date of Electronic Publication: 2022 Jun 03.
DOI: 10.1016/j.rmed.2022.106897
Abstrakt: Background: Adolescent asthma is highly prevalent and frequently uncontrolled despite control being achievable with good self-management. Anxiety, depression, and stress are associated with worse asthma outcomes, and may impact self-management; no previous review has examined this relationship.
Aim: This scoping review assessed the nature of the current literature on mental health and asthma self-management among adolescents ages 11 to 24 and synthesized their relationships.
Methods: Guided by the PRISMA-ScR guidelines, we systematically searched the literature using MEDLINE, Embase, CINAHL, PsycInfo, and Scopus in September 2020 and updated it in June 2021. Included studies examined associations between anxiety, depression, and/or stress and asthma self-management in adolescents ages 11-24. We did not restrict study design, location, or date.
Results: Out of 1559 records identified, 14 met inclusion criteria. Types of self-management included trigger control, healthcare adherence, and overall symptom prevention and management. Anxiety symptoms were associated with poorer asthma self-management in four studies, but better in three. Depressive symptoms were associated with poorer asthma self-management in five studies, but better in two. Stress was associated with poorer self-management in one study. Mental health symptoms were nearly universally associated with poorer trigger control, but associations with healthcare adherence and overall symptom prevention and management varied.
Conclusion: Mental health symptoms may facilitate or hinder asthma self-management depending on the types of mental health and self-management. Further research is needed to better understand this relationship and inform future interventions. Providers might assess mental health as a potential barrier to adolescent asthma self-management.
Competing Interests: Declaration of competing interest None of the authors have any actual or perceived conflicts of interest.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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