Evidence map›Paper›PMID 41830961›Full record

ArticleJournal of pediatric psychology2026

A dyadic perspective on trust in physicians and quality of life in pediatric asthma: an actor-partner interdependence model on children and their parents.

Serena Petrocchi

Abstract read
In one paragraph

Article in Journal of pediatric psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Serena PetrocchiInstitute of Family Medicine, Università della Svizzera italiana, Lugano, Switzerland.ORCID 0000-0002-7223-8240

Funding

7th Eropean Union Marie Skłodowska-Curie Actions Postdoctoral Fellowship7th Eropean Union Marie Skłodowska-Curie Actions Postdoctoral Fellowship N°253770N°253770
6 · The paper itself

Abstract

objectivesThis study examined the effects of dyadic trust in physicians as a determinant of children's quality of life (QoL) in pediatric asthma. Actor and partner effects of children's and parents' trust towards physician were tested, and linear vs. curvilinear associations were compared within an Actor-Partner Interdependence Model (APIM).

methodsA longitudinal design included 222 child-mother dyads (children's Mage = 12.6 years) assessed at two time points 1 year apart. Children completed trust in physician scale and a QoL questionnaire; parents reported their own trust in physicians, asthma severity, adherence, and illness-related conflict with the child.

resultsThe linear APIM demonstrated a good fit (χ2(12) = 24.53, Comparative Fit Index (CFI) = 0.97, Tucker-Lewis Index (TLI) = 0.93, Root Mean Square Error of Approximation (RMSEA) = 0.07, Standardized Root Mean Square Residual (SRMR) = 0.08) and explained 50% of the variance in children's QoL at Time 2. Both actor (β = .18, p = .018) and partner (β = .18, p = .007) effects of trust were significant and statistically equivalent (Wald χ2 (1) = 0.25, p = .62). The quadratic model showed poorer fit (CFI = 0.89, RMSEA = 0.11), and model comparisons favored the linear specification (Δχ2 (2) = 8.63, p = .013). DISCUSSION: Findings highlight children's and mothers' trust in physicians as a dyadic, mutually reinforcing predictor of children's well-being. In pediatric asthma, higher trust, whether from the child or the parent, consistently benefits QoL, supporting a linear rather than curvilinear relationship. Strengthening trust on both sides of the parent-child dyads may enhance adherence, engagement, and long-term health outcomes.

Indexed as

AsthmaPhysician-Patient RelationsQuality of LifeTrustAdolescentAdultChildFemaleHumansLongitudinal StudiesMaleParentsAPIM Data is available on requestasthmachildrendyadic dataparentsquality of lifetrust

Identifiers

PMID41830961
PMCPMC13373574

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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.