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Associations of psychosocial factors with health outcomes among youth with cystic fibrosis
Author(s) -
Patterson Joän M.,
Wall Melanie,
Berge Jerica,
Milla Carlos
Publication year - 2009
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.20925
Subject(s) - medicine , cystic fibrosis , psychosocial , pulmonary function testing , feeling , interquartile range , receipt , pediatrics , psychiatry , psychology , social psychology , world wide web , computer science
Purpose The purpose of this study was to examine the relationship of strains, resources, feelings, and behaviors about treatment adherence reported by youth with cystic fibrosis (CF) with repeated clinic measures of their pulmonary function and nutritional status. Methods Linear mixed models, stratified by gender, adjusting for age, were used to examine the effects of strains, resources, and adherence behaviors on repeated pulmonary function and nutritional status measures. All 10–21 years old with CF at the Minnesota Cystic Fibrosis Center were invited by mail to participate. Of these 177 youth, 51% (43 boys, 47 girls) returned surveys. Forced expiratory volume in 1 sec and predicted weight‐for‐height were extracted from participants' clinic records for the 18 months following receipt of the survey. Results Females showed significantly greater variability in repeated measures of pulmonary function and nutritional status compared to males. Parent–youth strains, physical strains, activity limitations, and cough suppression had significant effects on the 18‐month mean of pulmonary function measures for females, but only physical strains had a significant effect for males. Conclusion Compared to males, females experienced more strains and poorer treatment adherence, which may be factors associated with declines in pulmonary function observed among females with CF during the adolescent years. Pediatr Pulmonol. 2009; 44:46–53. © 2008 Wiley‐Liss, Inc.