Psychological Flexibility in Parents of Children with Asthma: Analysis Using a Structural Equation Model

Yuen Yu Chong, Yim Wah Mak, Jean Tak Alice Loke Yuen

Research output: Journal article publicationJournal articleAcademic researchpeer-review

12 Citations (Scopus)


Psychological flexibility (PF) refers to an individual’s capacity to deal with the present moment non-judgmentally and to commit to value-based actions. This study evaluated how parental PF, psychological adjustment to a child’s illness, and psychological symptoms including anxiety, depression, and stress in parents are associated with asthma morbidity in children. Three-hundred and twenty-four parents of children aged 3–12 years with asthma completed a self-administered questionnaire to measure their PF, psychological adjustment, and symptoms of anxiety, depression, and stress, their children’s asthma symptoms and their use of bronchodilators. Structural equation modeling was used to explore the relationships among these constructs. The results showed that poor PF was significantly associated with poor psychological adjustment to the child’s illness and increased psychological symptoms in parents. Parental PF was found to be the only latent construct possessing a significant association with the child’s asthma morbidity (β = 0.27, 95% CI [0.09, 0.42], p =.002). These results suggest that by fostering their PF parents may improve their own psychological well-being as well as their child’s asthma condition.
Original languageEnglish
Pages (from-to)2610-2622
Number of pages13
JournalJournal of Child and Family Studies
Issue number9
Publication statusPublished - 1 Sept 2017


  • Asthma
  • Children
  • Parents
  • Psychological adjustment
  • Psychological flexibility

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies


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