{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T11:20:00Z","timestamp":1787138400359,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In managing certain clinical chronic diseases, the sense of coherence (SOC) in salutogenic theory is continuously assessed. However, no studies have yet focused on childhood asthma, a clinical condition closely associated with effective caregiver involvement. Therefore, we aimed to assess the role of maternal SOC in children's psychological stress and other modifiable factors affecting asthma control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This observational, case\u2010control study included 193 children with asthma (6\u201310 years) and their parents. The individuals were grouped into controlled (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200997) and uncontrolled (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200996) asthma groups using the Childhood Asthma Control Test. Additionally, validated questionnaires were administered to the mother\u2010child dyad. We assessed maternal SOC as a moderator of the child's psychological stress, treatment adhesion, inhalation technique, and environmental control. We used multivariate logistic regression analysis to confirm the association of these variables with asthma control, and the Breslow\u2010Day test assessed the effect of maternal SOC.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High maternal SOC was observed in 81\/97 (83.5%) and 8\/96 (8.3%) patients in the controlled and uncontrolled asthma groups, respectively. Multivariate analysis indicated that high maternal SOC, early phases of psychological stress, and low exposure to aeroallergens were associated with clinical asthma control. The Breslow\u2010Day test identified a significant interaction between high maternal SOC and children's psychological stress tolerance, treatment adhesion, and ideal inhalational technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>High maternal SOC affected psychological stress in children and primary modifiable factors, such as treatment adhesion and inhalational technique, for managing asthma in infancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71529","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T15:18:14Z","timestamp":1771600694000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Caregiver's Sense of Coherence on Psychological Stress and Modifiable Factors in Childhood Asthma"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0921-7586","authenticated-orcid":false,"given":"Georgia Veras de Ara\u00fajo Gueiros","family":"Lira","sequence":"first","affiliation":[{"name":"Allergy and Clinical Immunology Research Center Federal University of Pernambuco Recife Pernambuco Brazil"},{"name":"Child and Adolescent Health Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5310-3420","authenticated-orcid":false,"given":"Giselia Alves Pontes","family":"da Silva","sequence":"additional","affiliation":[{"name":"Child and Adolescent Health Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7432-6642","authenticated-orcid":false,"given":"Patricia Gomes de Matos","family":"Bezerra","sequence":"additional","affiliation":[{"name":"Department of Pediatric Pulmonology Institute of Integral Medicine Prof. Fernando Figueira Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-6274","authenticated-orcid":false,"given":"Emanuel Savio Cavalcanti","family":"Sarinho","sequence":"additional","affiliation":[{"name":"Allergy and Clinical Immunology Research Center Federal University of Pernambuco Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2024.2380067"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pai.13915"},{"key":"e_1_2_11_4_1","article-title":"Psychological Interventions for Asthma in Children and Adolescents","volume":"1","author":"Sharrad K. 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Global strategy for asthma prevention and treatment [Internet]. 2024 accessed August 18 2025 https:\/\/www.ginasthma.org."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23318"},{"key":"e_1_2_11_16_1","first-page":"71","article-title":"Validation of the Childhood Stress Symptom Inventory\u2010ISS\u2010I","volume":"12","author":"Lucarelli M. 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