title: Coping and social problem solving correlates of asthma control and quality of life.
abstract: In a sample of adults with asthma receiving care and medication in an outpatient pulmonary clinic, this study tested for statistical associations between social problem-solving styles, asthma control, and asthma-related quality of life. These variables were measured cross sectionally as a first step toward more systematic application of social problem-solving frameworks in asthma self-management training. Recruitment occurred during pulmonology clinic service hours. Forty-four adults with physician-confirmed diagnosis of asthma provided data including age, gender, height, weight, race, income, and comorbid conditions. The Asthma Control Questionnaire, the Mini Asthma Quality of Life Questionnaire (Short Form), and peak expiratory force measures offered multiple views of asthma health at the time of the study. Maladaptive coping (impulsive and careless problem-solving styles) based on transactional stress models of health were assessed with the Social Problem-Solving Inventory-Revised: Short Form. Controlling for variance associated with gender, age, and income, individuals reporting higher impulsive-careless scores exhibited significantly lower scores on asthma control (β = 0.70, p = 0.001, confidence interval (CI) [0.37-1.04]) and lower asthma-related quality of life (β = 0.79, p = 0.017, CI [0.15-1.42]). These findings suggest that specific maladaptive problem-solving styles may uniquely contribute to asthma health burdens. Because problem-solving coping strategies are both measureable and teachable, behavioral interventions aimed at facilitating adaptive coping and problem solving could positively affect patient's asthma management and quality of life.
authors.affiliation: 1Department of Public Health, Temple University, Philadelphia, PA, USA.
authors.forename: Sean P
authors.initials: SP
authors.lastname: McCormick
authors.forename: Christine M
authors.initials: CM
authors.lastname: Nezu
authors.forename: Arthur M
authors.initials: AM
authors.lastname: Nezu
authors.forename: Michael
authors.initials: M
authors.lastname: Sherman
authors.forename: Adam
authors.initials: A
authors.lastname: Davey
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Collins
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001249:Asthma / Q000150:complications / Q000523:psychology / Q000628:therapy; D003430:Cross-Sectional Studies; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods; D011340:Problem Solving / Q000502:physiology*; D011788:Quality of Life; D012648:Self Care / Q000379:methods / Q000523:psychology; D012917:Social Adjustment; D011795:Surveys and Questionnaires
keywords: Asthma; control; coping; quality of life; social problem solving; stress; transactional