title: Naturalistically observed conflict and youth asthma symptoms.
abstract: OBJECTIVE
  To investigate the links between naturalistically observed conflict, self-reported caregiver-youth conflict, and youth asthma symptoms.
  
  
  METHODS
  Fifty-four youth with asthma (age range: 10-17 years) wore the Electronically Activated Recorder (EAR) for a 4-day period to assess interpersonal conflict and caregiver-youth conflict as they occur in daily life. Conflict also was assessed with baseline self-report questionnaires and daily diaries completed by youth participants and their caregivers. Asthma symptoms were assessed using daily diaries, baseline self-reports, and wheezing, as coded from the EAR.
  
  
  RESULTS
  EAR-observed measures of conflict were strongly associated with self-reported asthma symptoms (both baseline and daily diaries) and wheezing coded from the EAR. Further, when entered together in regression analyses, youth daily reports of negative caregiver-youth interactions and EAR-observed conflict uniquely predicted asthma symptoms; only EAR-observed conflict was associated with EAR-observed wheezing.
  
  
  CONCLUSIONS
  These findings demonstrate the potential impact of daily conflict on youth asthma symptoms and the importance of assessing conflict as it occurs in everyday life. More broadly, they point to the importance of formulating a clear picture of family interactions outside of the lab, which is essential for understanding how family relationships "get under the skin" to affect youth health.
authors.affiliation: Department of Psychology, Wayne State University.
authors.forename: Erin T
authors.initials: ET
authors.lastname: Tobin
authors.affiliation: School of Behavioral and Brain Sciences, University of Texas at Dallas.
authors.forename: Heidi S
authors.initials: HS
authors.lastname: Kane
authors.affiliation: Department of Psychology, Wayne State University.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Saleh
authors.affiliation: Department of Pediatrics, Wayne State University.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Naar-King
authors.affiliation: Division of Allergy/Immunology, Children's Hospital of Michigan.
authors.forename: Pavadee
authors.initials: P
authors.lastname: Poowuttikul
authors.affiliation: Division of Allergy/Immunology, Children's Hospital of Michigan.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Secord
authors.affiliation: Grosse Pointe Allergy and Asthma Centers.
authors.forename: Wayne
authors.initials: W
authors.lastname: Pierantoni
authors.affiliation: Department of Psychology, Wayne State University.
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Simon
authors.affiliation: Department of Psychology, Wayne State University.
authors.forename: Richard B
authors.initials: RB
authors.lastname: Slatcher
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000503:physiopathology*; D017028:Caregivers / Q000523:psychology; D002648:Child; D003220:Conflict, Psychological; D005195:Family Relations; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D057566:Self Report; D011795:Surveys and Questionnaires