Clinical determinants for State–Trait Anxiety Inventory of the parents of children with respiratory problems

Wicharn Boonjindasup; Julie M. Marchant; Margaret S. McElrea; Stephanie T. Yerkovich; Peter A. Newcombe; Anne B. Chang

doi:10.1002/ppul.26702

Clinical determinants for State–Trait Anxiety Inventory of the parents of children with respiratory problems

Wicharn Boonjindasup, Julie M. Marchant, Margaret S. McElrea, Stephanie T. Yerkovich, Peter A. Newcombe, Anne B. Chang

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Abstract

Backgrounds: Understanding factors associated with anxiety of parents/carers of children with respiratory problems is clinically important yet there is relative paucity of data. In 106 children seen in the respiratory clinic of a pediatric hospital, we evaluated (a) the determinants for parental anxiety and (b) whether the anxiety scores correlate with quality-of-life (QoL) scores in the subset with chronic cough. Methods: We opportunistically re-analyzed data of our main study that examined the benefits of using spirometry for pediatric respiratory consultation where parents completed an anxiety questionnaire (State–Trait Anxiety Inventory, STAI) pre- and postconsultation. A subset (children with chronic cough) also completed the parent-proxy quality-of-life (PC-QoL) tool. We computed the association between clinical characteristics and anxiety scores using multivariable regression and between the two patient-reported outcome measures using Spearman's correlation. Results: The majority of parents/carers were women (n = 89, 84%). Most children (mean age = 10.9 years, SD = 3.7 years) were previously seen at the clinic (n = 67, 63.2%). In multivariate regression, parental anxiety score was significantly associated with reported presence of cough [coefficient β = 17.31 (95% confidence interval 9.62, 25.1)] and lower forced expiratory volume in first second (FEV₁)/forced vital capacity (FVC) [−3.88 (−7.05, −0.71)] at preconsultation, but associated with cough only [coefficient β = 12.04 (5.24, 18.84)] at postconsultation, all p <.05. STAI strongly correlated with PC-QoL scores at pre- but only modestly at postconsultation (r_s = −.63 and −.39, respectively, p <.05). Conclusion: Parental anxiety levels of children attending respiratory clinics are influenced by the presence of cough and low FEV₁/FVC of their child and are associated with poorer QoL. These highlight the need for on-going research to reduce parental anxiety focusing on cough and lung function indices.

Original language	English
Pages (from-to)	31-40
Number of pages	10
Journal	Pediatric Pulmonology
Volume	59
Issue number	1
Early online date	26 Sept 2023
DOIs	https://doi.org/10.1002/ppul.26702
Publication status	Published - Jan 2024

Bibliographical note

Funding Information:
W. B. is supported by a Charles Darwin University International PhD scholarship and a 6‐month Asia Pacific Society of Respirology scholarship. A. B. C. is supported by an NHMRC senior practitioner fellowship (APP1154302) and Children's Hospital Foundation (top‐up #50286) and reports multiple project grants from NHMRC and other fees to the institution from work relating to IDMC membership of an unlicensed vaccine (GSK), an unlicensed RSV monoclonal antibody (Astrazeneca) and a COVID‐19 vaccine (Moderna) outside the submitted work. J. M. M. is supported by an early career fellowship grant from the Queensland Children's Hospital Foundation (RPC0772019) and the NHMRC Centre for Research Excellence in pediatric bronchiectasis (1170958).

Publisher Copyright:
© 2023 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.

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Cite this

@article{471b5207b1e947d5829bb5e07d2e5791,

title = "Clinical determinants for State–Trait Anxiety Inventory of the parents of children with respiratory problems",

abstract = "Backgrounds: Understanding factors associated with anxiety of parents/carers of children with respiratory problems is clinically important yet there is relative paucity of data. In 106 children seen in the respiratory clinic of a pediatric hospital, we evaluated (a) the determinants for parental anxiety and (b) whether the anxiety scores correlate with quality-of-life (QoL) scores in the subset with chronic cough. Methods: We opportunistically re-analyzed data of our main study that examined the benefits of using spirometry for pediatric respiratory consultation where parents completed an anxiety questionnaire (State–Trait Anxiety Inventory, STAI) pre- and postconsultation. A subset (children with chronic cough) also completed the parent-proxy quality-of-life (PC-QoL) tool. We computed the association between clinical characteristics and anxiety scores using multivariable regression and between the two patient-reported outcome measures using Spearman's correlation. Results: The majority of parents/carers were women (n = 89, 84\%). Most children (mean age = 10.9 years, SD = 3.7 years) were previously seen at the clinic (n = 67, 63.2\%). In multivariate regression, parental anxiety score was significantly associated with reported presence of cough [coefficient β = 17.31 (95\% confidence interval 9.62, 25.1)] and lower forced expiratory volume in first second (FEV1)/forced vital capacity (FVC) [−3.88 (−7.05, −0.71)] at preconsultation, but associated with cough only [coefficient β = 12.04 (5.24, 18.84)] at postconsultation, all p <.05. STAI strongly correlated with PC-QoL scores at pre- but only modestly at postconsultation (rs = −.63 and −.39, respectively, p <.05). Conclusion: Parental anxiety levels of children attending respiratory clinics are influenced by the presence of cough and low FEV1/FVC of their child and are associated with poorer QoL. These highlight the need for on-going research to reduce parental anxiety focusing on cough and lung function indices.",

keywords = "anxiety, burden, child, cough, lung, quality-of-life, respiratory, spirometry",

author = "Wicharn Boonjindasup and Marchant, \{Julie M.\} and McElrea, \{Margaret S.\} and Yerkovich, \{Stephanie T.\} and Newcombe, \{Peter A.\} and Chang, \{Anne B.\}",

note = "Funding Information: W. B. is supported by a Charles Darwin University International PhD scholarship and a 6‐month Asia Pacific Society of Respirology scholarship. A. B. C. is supported by an NHMRC senior practitioner fellowship (APP1154302) and Children's Hospital Foundation (top‐up \#50286) and reports multiple project grants from NHMRC and other fees to the institution from work relating to IDMC membership of an unlicensed vaccine (GSK), an unlicensed RSV monoclonal antibody (Astrazeneca) and a COVID‐19 vaccine (Moderna) outside the submitted work. J. M. M. is supported by an early career fellowship grant from the Queensland Children's Hospital Foundation (RPC0772019) and the NHMRC Centre for Research Excellence in pediatric bronchiectasis (1170958). Publisher Copyright: {\textcopyright} 2023 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.",

year = "2024",

month = jan,

doi = "10.1002/ppul.26702",

language = "English",

volume = "59",

pages = "31--40",

journal = "Pediatric Pulmonology",

issn = "8755-6863",

publisher = "John Wiley \& Sons",

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TY - JOUR

T1 - Clinical determinants for State–Trait Anxiety Inventory of the parents of children with respiratory problems

AU - Boonjindasup, Wicharn

AU - Marchant, Julie M.

AU - McElrea, Margaret S.

AU - Yerkovich, Stephanie T.

AU - Newcombe, Peter A.

AU - Chang, Anne B.

N1 - Funding Information: W. B. is supported by a Charles Darwin University International PhD scholarship and a 6‐month Asia Pacific Society of Respirology scholarship. A. B. C. is supported by an NHMRC senior practitioner fellowship (APP1154302) and Children's Hospital Foundation (top‐up #50286) and reports multiple project grants from NHMRC and other fees to the institution from work relating to IDMC membership of an unlicensed vaccine (GSK), an unlicensed RSV monoclonal antibody (Astrazeneca) and a COVID‐19 vaccine (Moderna) outside the submitted work. J. M. M. is supported by an early career fellowship grant from the Queensland Children's Hospital Foundation (RPC0772019) and the NHMRC Centre for Research Excellence in pediatric bronchiectasis (1170958). Publisher Copyright: © 2023 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC.

PY - 2024/1

Y1 - 2024/1

N2 - Backgrounds: Understanding factors associated with anxiety of parents/carers of children with respiratory problems is clinically important yet there is relative paucity of data. In 106 children seen in the respiratory clinic of a pediatric hospital, we evaluated (a) the determinants for parental anxiety and (b) whether the anxiety scores correlate with quality-of-life (QoL) scores in the subset with chronic cough. Methods: We opportunistically re-analyzed data of our main study that examined the benefits of using spirometry for pediatric respiratory consultation where parents completed an anxiety questionnaire (State–Trait Anxiety Inventory, STAI) pre- and postconsultation. A subset (children with chronic cough) also completed the parent-proxy quality-of-life (PC-QoL) tool. We computed the association between clinical characteristics and anxiety scores using multivariable regression and between the two patient-reported outcome measures using Spearman's correlation. Results: The majority of parents/carers were women (n = 89, 84%). Most children (mean age = 10.9 years, SD = 3.7 years) were previously seen at the clinic (n = 67, 63.2%). In multivariate regression, parental anxiety score was significantly associated with reported presence of cough [coefficient β = 17.31 (95% confidence interval 9.62, 25.1)] and lower forced expiratory volume in first second (FEV1)/forced vital capacity (FVC) [−3.88 (−7.05, −0.71)] at preconsultation, but associated with cough only [coefficient β = 12.04 (5.24, 18.84)] at postconsultation, all p <.05. STAI strongly correlated with PC-QoL scores at pre- but only modestly at postconsultation (rs = −.63 and −.39, respectively, p <.05). Conclusion: Parental anxiety levels of children attending respiratory clinics are influenced by the presence of cough and low FEV1/FVC of their child and are associated with poorer QoL. These highlight the need for on-going research to reduce parental anxiety focusing on cough and lung function indices.

AB - Backgrounds: Understanding factors associated with anxiety of parents/carers of children with respiratory problems is clinically important yet there is relative paucity of data. In 106 children seen in the respiratory clinic of a pediatric hospital, we evaluated (a) the determinants for parental anxiety and (b) whether the anxiety scores correlate with quality-of-life (QoL) scores in the subset with chronic cough. Methods: We opportunistically re-analyzed data of our main study that examined the benefits of using spirometry for pediatric respiratory consultation where parents completed an anxiety questionnaire (State–Trait Anxiety Inventory, STAI) pre- and postconsultation. A subset (children with chronic cough) also completed the parent-proxy quality-of-life (PC-QoL) tool. We computed the association between clinical characteristics and anxiety scores using multivariable regression and between the two patient-reported outcome measures using Spearman's correlation. Results: The majority of parents/carers were women (n = 89, 84%). Most children (mean age = 10.9 years, SD = 3.7 years) were previously seen at the clinic (n = 67, 63.2%). In multivariate regression, parental anxiety score was significantly associated with reported presence of cough [coefficient β = 17.31 (95% confidence interval 9.62, 25.1)] and lower forced expiratory volume in first second (FEV1)/forced vital capacity (FVC) [−3.88 (−7.05, −0.71)] at preconsultation, but associated with cough only [coefficient β = 12.04 (5.24, 18.84)] at postconsultation, all p <.05. STAI strongly correlated with PC-QoL scores at pre- but only modestly at postconsultation (rs = −.63 and −.39, respectively, p <.05). Conclusion: Parental anxiety levels of children attending respiratory clinics are influenced by the presence of cough and low FEV1/FVC of their child and are associated with poorer QoL. These highlight the need for on-going research to reduce parental anxiety focusing on cough and lung function indices.

KW - anxiety

KW - burden

KW - child

KW - cough

KW - lung

KW - quality-of-life

KW - respiratory

KW - spirometry

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U2 - 10.1002/ppul.26702

DO - 10.1002/ppul.26702

M3 - Article

AN - SCOPUS:85172082223

SN - 8755-6863

VL - 59

SP - 31

EP - 40

JO - Pediatric Pulmonology

JF - Pediatric Pulmonology

IS - 1

ER -

Clinical determinants for State–Trait Anxiety Inventory of the parents of children with respiratory problems

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