Evidence map›Paper›PMID 33677079›Full record

ArticleThe journal of allergy and clinical immunology. In practice2021

Multivariate Association of Child Depression and Anxiety with Asthma Outcomes.

Alexandra Kulikova, Josseline Lopez, Anna Antony, Dave A Khan, Donna Persaud, Jasmine Tiro, Elena I Ivleva, Alyson Nakamura, Zena Patel, Shane Tipton and 12 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05633823 (The Effect of Mobile Application Game Training Designed for Children With Asthma on Asthma Management), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05633823 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Mobile Application Game Training Designed for Children With Asthma on Asthma Management

TypeinterventionalSponsorTarsus UniversityRan2023 to 2023Enrolled74ConditionsAsthma in Children, Life Style, Quality of LifeArmsMobile Application Game Training
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
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  7. The Association of Mental Health, Asthma Control and Acute Care Visits Among Rural Adolescents with Poorly Controlled Asthma.The Journal of school nursing : the official publication of the National Association of School Nurses · 2025
    Article
  8. The COVID-19 pandemic and asthma management: a family caregiver perspective.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025
    Article
  9. Article
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  11. Review
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  14. Associations between psychosocial stress, child's anxiety, and lung function in mid-childhood.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  15. Article
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  18. Paediatric asthma and non-allergic comorbidities: A review of current risk and proposed mechanisms.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 3 institutions in 1 country.

Alexandra KulikovaDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: alexandra.kulikova@utsouthwestern.edu.
Josseline LopezDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Anna AntonyDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Dave A KhanDivision of Allergy & Immunology in the Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX.
Donna PersaudParkland Health & Hospital System, Dallas, TX.
Jasmine TiroDepartment of Clinical Sciences, The University of Texas Southwestern Medical Center, Dallas, TX.
Elena I IvlevaDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Alyson NakamuraDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Zena PatelDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Shane TiptonDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
Tressa LloydDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Karen AllenDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Savitoj KaurDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
M Seth OwitzDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Ray J PakDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Michael S AdragnaDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Raymond ChankalalDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Quratulain HumayunDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Heather K LehmanDepartment of Allergy and Immunology, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Bruce D MillerDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
Beatrice L WoodDepartment of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY.
E Sherwood BrownDepartment of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX.
University at Buffalo, State University of New York · USThe University of Texas Southwestern Medical Center · USParkland Health & Hospital System · US

Funding

Treating Caregiver Depression to Improve Childhood Asthma: Impact and Mediators -R01HL123609 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI BROWN, E SHERWOOD, MILLER, BRUCE D · 2015 to 2019
$3.9M
NHLBI NIH HHS R01 HL123609
6 · The paper itself

Abstract

backgroundPediatric asthma is associated with increased health services utilization, missed school days, and diminished quality of life. Children with asthma also report more frequent depressive and anxiety symptoms than children without asthma, which may further worsen asthma outcomes.

objectiveThe current study investigated the relationship between depressive and anxiety symptoms and 4 asthma outcomes (asthma control, asthma severity, lung function, and asthma-related quality of life) in children (N = 205) with moderate to severe persistent asthma.

methodsThe data were analyzed using a canonical correlation analysis, a multivariate framework that allows examination of all variables of interest in the same model.

resultsWe found a statistically significant relationship between symptoms of depression and anxiety and asthma outcomes (1 - Λ = .372; P < .001). A large effect size suggests that 37.2% of variance is shared between depression and anxiety symptoms and 4 asthma outcomes (particularly asthma control and asthma-related quality of life) in the overall sample. Among girls (vs. boys), asthma control (measured by the Asthma Control Test) emerged as a stronger contributor to asthma outcomes compared with boys.

conclusionsThese results suggest that psychiatric symptoms, especially anxiety, are associated with poor asthma-related quality of life, and more negative perception of asthma control in girls compared with boys (with no observed sex difference in physiological lung function). Clinicians should consider incorporating questions about psychiatric symptoms as part of routine asthma management, and focus patient education on unique differences in which boys and girls perceive their asthma symptoms.

Indexed as

AsthmaQuality of LifeAnxietyAnxiety DisordersChildDepressionFemaleHumansMaleAnxietyAsthmaDepressionMultivariatePediatric

Identifiers

PMID33677079
PMCPMC8195858
OpenAlexW3135093650

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.