The role of parental psychological flexibility in childhood asthma management: An analysis of cross-lagged panel models

Yuen Yu Chong, Yim Wah Mak, Alice Yuen Loke

Research output: Journal article publicationJournal articleAcademic researchpeer-review

2 Citations (Scopus)

Abstract

Objective: This is a secondary analysis of a previously reported randomized controlled trial, aimed at examining the mediating role of parental psychological flexibility (PF) in an Acceptance and Commitment Therapy (ACT)-based childhood asthma management program for parents. Methods: The participants were 168 parents (mean age (SD) = 38.40 (5.90) years; 88.1% mothers) and their children who had been diagnosed with asthma (mean age (SD) = 6.81 (2.50) years; 62% boys). They were randomly allocated to either the program composed of a four-session, group-based ACT plus asthma education (ACT Group) or to a group-based asthma education talk plus three telephone follow-ups (Control Group). The parents underwent assessments at baseline, and immediately, 3-months, and 6-months after the intervention for the following outcomes: PF (Acceptance and Action Questionnaire-II), psychological distress of the parents (Depression Anxiety Stress Scale-21); and the asthma symptoms and use of inhaled bronchodilators of their children. Results: Cross-lagged panel models showed that the improvement in parental PF at post-intervention mediated the effect of ACT on reducing parental psychological distress (all beta coefficients (βs) ranged from −2.20 to - 2.30, all Ps < 0.01) and childhood asthma symptoms in terms of daytime symptoms (β = −0.22, 95% CI [−0.52, −0.02], P = 0.04), nighttime symptoms (β = −0.17, 95% CI [−0.33, −0.02], P = 0.04), and the use of bronchodilators (β = −0.22, 95% CI [−0.48, −0.02], P = 0.03) at 6-months post-intervention. Conclusion: ACT makes a unique contribution to improving the health outcomes of parents and their children diagnosed with asthma through fostering parental PF.

Original languageEnglish
Article number110208
JournalJournal of Psychosomatic Research
Volume137
DOIs
Publication statusPublished - Oct 2020

Keywords

  • Acceptance and commitment therapy
  • Children
  • Cross-lagged panel model
  • Parents
  • Psychological flexibility

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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