The role of coping strategies in quality of life of adolescents with asthma

Monique O.M. Van De Ven*, Rutger C.M.E. Engels, Susan M. Sawyer, Roy Otten, Regina J.J.M. Van Den Eijnden

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

This study aimed to determine which coping strategies are associated with better quality of life (QOL) in adolescents with asthma. Furthermore, because coping can mediate the effects of health stressors on QOL, this study also examined the indirect effect of asthma severity on QOL via coping. Between January and May 2003, 553 Dutch adolescents with asthma (aged 12-16 years) completed questionnaires assessing coping strategies, symptom severity, overall QOL and positive QOL domain (positive effects of asthma domain). The relations between symptom severity, coping strategies and QOL were tested with structural equation modelling (SEM). Symptom severity affected overall and positive QOL, both directly and indirectly via coping. The coping strategies restricted lifestyle and worrying about asthma were associated with poorer overall QOL. The use of the coping strategies restricted lifestyle, positive reappraisal, and information seeking was related to increased scores on the positive QOL domain, whereas hiding asthma was related to lower scores on the positive QOL domain. The findings of this study suggest that coping mediates the effect of symptoms of asthma on QOL among adolescents with asthma. Several suggestions for interventions to improve asthma-specific QOL are discussed.

Original languageEnglish
Pages (from-to)625-634
Number of pages10
JournalQuality of Life Research
Volume16
Issue number4
DOIs
Publication statusPublished - May 2007
Externally publishedYes

Bibliographical note

Funding Information:
Acknowledgements This research was funded by a grant from the Dutch Asthma Foundation. The contribution of Rutger Engels was supported by the Netherlands Organisation for Scientific Research. The authors are grateful to all adolescents who participated in the project.

Funding

Acknowledgements This research was funded by a grant from the Dutch Asthma Foundation. The contribution of Rutger Engels was supported by the Netherlands Organisation for Scientific Research. The authors are grateful to all adolescents who participated in the project.

Keywords

  • Adolescent
  • Asthma
  • Psychological adaptation
  • Quality of life

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