title: A biopsychosocial approach to asthma in adolescents encountering child protective services.
abstract: OBJECTIVE
  To further test the validity of the Biobehavioral Family Model (BBFM), a biopsychosocial approach to explaining the effects of family processes on illness, by testing the model with adolescents with asthma involved in child protective services (CPS), a sample for whom the model's constructs are highly relevant.
  
  
  METHODS
  Data are from the National Survey of Child and Adolescent Well-Being, CPS sample (n = 5,501). Adolescents with asthma (n = 101, ages 11-15 years) self-reported their negative family emotional climate (NFEC; caregiver psychological aggression and caregiver relationship quality), caregiver-adolescent relational security, and depressive symptoms. Caregivers rated adolescent health quality. Models were tested using path analyses and bootstrapping.
  
  
  RESULTS
  Path analyses and bootstrapping results demonstrate support for the BBFM in explaining health quality for this sample.
  
  
  CONCLUSIONS
  Applying the BBFM to families involved with CPS demonstrates pathways by which family processes affect health quality of adolescents with asthma, underscoring the need for biopsychosocial assessments and services.
authors.affiliation: Department of Family & Child Sciences, The Florida State University, Tallahassee, FL 32306, USA. sbw09c@fsu.edu
authors.forename: Sarah B
authors.initials: SB
authors.lastname: Woods
authors.forename: Lenore M
authors.initials: LM
authors.lastname: McWey
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000523:psychology*; D017028:Caregivers / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D002669:Child Welfare; D003863:Depression / Q000523:psychology; D005190:Family / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires