title: Patterns of asthma control perception in adolescents: associations with psychosocial functioning.
abstract: OBJECTIVE
  The purpose was to identify and describe the patterns of asthma control perception in relation to actual symptom reports in adolescents and to compare the group with accurate control perception with those of inaccurate perception in relationship to sociodemographic characteristics, illness-related factors, and psychosocial factors.
  
  
  METHODS
  A sample of 126 adolescents from 13 through 20 years of age participated in the study. Patterns of control perception were constructed based on participants' rating of their perception of asthma control and self-reported asthma symptoms using Latent Class Analysis. Analyses of variance (ANOVAs) and multinomial logistic regressions were computed for group comparisons.
  
  
  RESULTS
  Participants were classified into four groups according to the patterns of control perception. Accurate groups were divided into either the well-controlled (62%) or the poorly-controlled group (7%), and inaccurate groups were manifested inaccuracy either with nighttime symptoms (25%) or daytime symptoms (6%). Minority participants (p < 0.001) or those with low socioeconomic status (p < 0.001) were more likely to be represented in the inaccurate group than their counterparts. The well-controlled accurate group consistently reported higher asthma-related knowledge (p = 0.02), more positive attitude toward asthma (p < 0.001), fewer barriers to self-management (p = 0.04), and higher quality of life (p < 0.001) than the inaccurate group.
  
  
  CONCLUSIONS
  This study demonstrated that accuracy of asthma control perception can be classified into four criteria based on patterns of various asthma symptoms. Adolescents' tendency toward underperception was evident. The inaccurate groups are at greater risk for psychosocial impairments. This study underscores the importance of an intervention that improves the accuracy of asthma control perception in adolescents while promoting psychosocial well-being among adolescents with inaccurate perception.
authors.affiliation: School of Nursing, University of Rochester, Rochester, New York 14642, USA. hyekyun_ rhee@urmc.rochester.edu
authors.forename: Hyekyun
authors.initials: H
authors.lastname: Rhee
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Belyea
authors.forename: Kurtis S
authors.initials: KS
authors.lastname: Elward
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010465:Perception; D012307:Risk Factors; D012720:Severity of Illness Index; D012923:Social Class
references.citation: Ann Allergy Asthma Immunol. 2002 Mar;88(3):283-91
references.pmid: 11926622
references.citation: Ann Allergy Asthma Immunol. 2006 Oct;97(4):484-9
references.pmid: 17069103
references.citation: J Asthma. 1998;35(2):137-46
references.pmid: 9576139
references.citation: J Pediatr Health Care. 2007 Mar-Apr;21(2):99-107
references.pmid: 17321909
references.citation: Pediatrics. 2006 Aug;118(2):619-25
references.pmid: 16882815
references.citation: J Pediatr Psychol. 2003 Sep;28(6):383-92
references.pmid: 12904450
references.citation: Chest. 1985 Sep;88(3):364-8
references.pmid: 4028846
references.citation: Arch Dis Child. 2006 Sep;91(9):766-70
references.pmid: 16705016
references.citation: J Asthma. 2007 Sep;44(7):535-41
references.pmid: 17885856
references.citation: Patient Educ Couns. 2000 Feb;39(2-3):269-80
references.pmid: 11040726
references.citation: Pediatr Pulmonol. 2007 Jan;42(1):15-22
references.pmid: 17106900
references.citation: Respirology. 2001 Dec;6(4):297-304
references.pmid: 11844120
references.citation: Chest. 2000 Feb;117(2):434-9
references.pmid: 10669687
references.citation: J Pediatr Psychol. 2006 Sep;31(8):846-58
references.pmid: 16401680
references.citation: J Pediatr Psychol. 1993 Aug;18(4):467-80
references.pmid: 8410570
references.citation: J Allergy Clin Immunol. 2006 Mar;117(3):549-56
references.pmid: 16522452
references.citation: Thorax. 2006 May;61(5):457-8
references.pmid: 16648355
references.citation: Pediatr Pulmonol. 2003 Jan;35(1):23-8
references.pmid: 12461735
references.citation: Curr Med Res Opin. 2007 Feb;23(2):369-77
references.pmid: 17288691
references.citation: Qual Life Res. 2005 Feb;14(1):265-72
references.pmid: 15789960
references.citation: Qual Life Res. 1996 Feb;5(1):35-46
references.pmid: 8901365
references.citation: Pediatrics. 2003 May;111(5 Pt 1):e615-21
references.pmid: 12728120
references.citation: J Pediatr Psychol. 2003 Jul-Aug;28(5):323-33
references.pmid: 12808009
references.citation: J Asthma. 2000;37(7):613-24
references.pmid: 11059529
references.citation: J Pediatr. 2004 Oct;145(4):523-9
references.pmid: 15480379
references.citation: J Asthma. 1999;36(1):115-28
references.pmid: 10077141
references.citation: Chest. 2002 Feb;121(2):329-33
references.pmid: 11834639
references.citation: J Asthma. 2006 Apr;43(3):199-202
references.pmid: 16754521
references.citation: J Am Acad Child Adolesc Psychiatry. 1996 Aug;35(8):1033-41
references.pmid: 8755800
references.citation: Cochrane Database Syst Rev. 2006 Jul 19;(3):CD005306
references.pmid: 16856090
references.citation: Braz J Med Biol Res. 2002 Mar;35(3):319-27
references.pmid: 11887209
references.citation: J Asthma. 2003 Apr;40(2):207-11
references.pmid: 12765323