Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan;58(1):178-186.
doi: 10.1002/ppul.26178. Epub 2022 Oct 14.

Family styles and quality of life in adolescents with bronchial asthma: The important role of self-esteem and perceived threat of the disease

Selene Valero-Moreno  1 , Inmaculada Montoya-Castilla  1 , Marián Pérez-Marín  1
Affiliations

Family styles and quality of life in adolescents with bronchial asthma: The important role of self-esteem and perceived threat of the disease

Selene Valero-Moreno et al. Pediatr Pulmonol. 2023 Jan.

Abstract

Objectives: Analyze the relationship between family styles and quality of life (QoL) in adolescents with bronchial asthma and study the influence of self-esteem as a protective factor and threat perception as a risk factor.

Methods: Family styles, QoL, perceived threat of the disease, and self-esteem were assessed in a total of 150 adolescents diagnosed with bronchial asthma with ages ranging from 12 to 16 years (M = 13.28; SD = 1.29), 60.7% being male. Descriptive statistics and mean comparisons were conducted according to the level of self-esteem. Relationships between variables were also studied using Pearson's correlations, and finally, the mediating role of self-esteem and the perceived threat of the disease was assessed using PROCESS.

Results: Adolescents shown healthy family characteristics (high scores on affect and parental mood and low scores on psychological control) and high scores on QoL. Thirty-five percent of adolescents showed low self-esteem and a tendency to underestimate the disease. There are existing relationships between family styles and QoL; thus, healthy family characteristics (affection, parental mood, autonomy promotion) were positively associated with QoL, while psychological control was negatively associated with QoL. Disease threat and self-esteem mediated the relationship between family styles and adolescent QoL. Disease threat was negatively, and self-esteem was positively associated with QoL.

Conclusions: Self-esteem and family support are protective factors for the well-being of adolescents with bronchial asthma; however, the high perceived threat of the disease can have negative consequences for the adolescent's health and negatively impact their QoL.

Keywords: adolescence; bronchial asthma; family styles; quality of life; self-esteem; threat.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart for selection and participation in the study
Figure 2
Figure 2
Double moderation analysis of psychological control on quality of life
Figure 3
Figure 3
Double moderation analysis of the relationship of parental mood on quality of life
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Cui W, Zack MM, Zahran HS. Health‐related quality of life and asthma among United States adolescents. J Pediatr. 2015;166(2):358‐364. 10.1016/j.jpeds.2014.10.005 - DOI - PMC - PubMed
    1. Saifi M, Bird JA. Health‐related quality of life and asthma among United States adolescents. Pediatrics. 2015;136(suppl 3):S266‐S267. 10.1542/peds.2015-2776KKKK - DOI - PMC - PubMed
    1. Stridsman C, Backman H, Eklund BM, Rönmark E, Hedman L. Adolescent girls with asthma have worse asthma control and health‐related quality of life than boys—a population based study. Pediatr Pulmonol. 2017;52(7):866‐872. 10.1002/ppul.23723 - DOI - PubMed
    1. Berbesí Fernández DY, García Jaramillo MM, Segura Cardona ÁM, Posada Saldarriaga R. Evaluación de la dinámica familiar en familias de niños con diagnóstico de asma. Rev Colomb Psiquiatr. 2013;42(1):63‐71. - PubMed
    1. Crandell JL, Sandelowski M, Leeman J, Havill NL, Knafl K. Parenting behaviors and the well‐being of children with a chronic physical condition. Fam Syst Heal. 2018;36(1):45‐61. - PMC - PubMed