{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:14:03Z","timestamp":1792790043306,"version":"4.5.0"},"reference-count":52,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T00:00:00Z","timestamp":1645660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Asthma is the most common chronic disease in childhood. The presence of this pathology in children leads to the appearance of different alterations (physical, psychological, social, etc.). Due to their high influence, the aim of this study is to understand these psychological and sociocultural determinants and their impact on the quality of life of asthmatic children. In order to determine the influence of these determinants on quality of life, a narrative review of 48 articles collected in different databases was carried out. Emotions are the most powerful precursor to producing an asthmatic attack. Anxiety and depression are the pathologies that appear frequently associated with childhood asthma, together with Attention-Deficit\/Hyperactivity Disorder. In addition, the personality of these children seems to be characterized by shyness and impulsivity, although exceptionally it has been associated with psychopathic behaviors, aggressiveness, and cases of psychosis. School performance is impaired and bullying occurs more frequently. Likewise, dysfunctional family relationships and lower socioeconomic status have a negative impact on the severity and management of asthma. In short, the quality of life of asthmatic children is lower due to the presence of the aforementioned psychological and sociocultural determinants.<\/jats:p>","DOI":"10.3390\/ijerph19052652","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T21:11:07Z","timestamp":1645737067000},"page":"2652","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["Psychological and Sociocultural Determinants in Childhood Asthma Disease: Impact on Quality of Life"],"prefix":"10.3390","volume":"19","author":[{"given":"Sheila","family":"Plaza-Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Nursing Department, Puerta de Hierro University Hospital, Majadahonda, 28222 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0911-5248","authenticated-orcid":false,"given":"Mar\u00eda del Carmen","family":"Zabala-Ba\u00f1os","sequence":"additional","affiliation":[{"name":"Physiotherapy, Nursing and Physiology Department, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9915-0567","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Astasio-Picado","sequence":"additional","affiliation":[{"name":"Physiotherapy, Nursing and Physiology Department, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2379-9620","authenticated-orcid":false,"given":"Jes\u00fas","family":"Jurado-Palomo","sequence":"additional","affiliation":[{"name":"Physiotherapy, Nursing and Physiology Department, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"ref_1","first-page":"49","article-title":"Asma de inicio en la infancia: Descripci\u00f3n de su impacto en la personalidad y en el bienestar emocional en una muestra de mujeres adolescentes","volume":"24","year":"2019","journal-title":"Rev. Psicopatolog\u00eda Psicol. Cl\u00ednica"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"276","DOI":"10.18863\/pgy.628562","article-title":"Pediatrik Ast\u0131mda Anksiyete, Depresyon, Somatizasyon ve Ya\u015fam Kalitesi ile Serum IgE D\u00fczeyi \u0130li\u015fkisi","volume":"11","author":"Aktan","year":"2019","journal-title":"Psikiyatr. Guncel Yaklasimlar\u2014Curr. Approaches Psychiatry"},{"key":"ref_3","unstructured":"Secinti, E., Thompson, E.J., Richards, M., and Gaysina, D. (2021, November 25). Research Review: Childhood Chronic Physical Illness and Adult Emotional Health\u2014A Systematic Review and Meta-Analysis. Available online: https:\/\/click.endnote.com\/viewer?doi=10.1111%2Fjcpp.12727&token=WzMxNjMzOTcsIjEwLjExMTEvamNwcC4xMjcyNyJd.OTZ4Cra1Qo1aiH2U2zLw1vl2MaU."},{"key":"ref_4","first-page":"20","article-title":"Adaptaci\u00f3n al Asma Bronquial en Pediatr\u00eda: Ansiedad y Bienestar Psicol\u00f3gico","volume":"7","author":"Asensi","year":"2019","journal-title":"Rev. Psicol. Salud."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1111\/cea.13417","article-title":"Associations of atopic dermatitis and asthma with child behaviour: Results from the PROBIT cohort","volume":"49","author":"Ballardini","year":"2019","journal-title":"Clin. Exp. Allergy"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1080\/02770903.2018.1488978","article-title":"Asthma symptoms, interactive physical play and behavioral and academic outcomes in urban children with persistent asthma","volume":"56","author":"Bhagat","year":"2018","journal-title":"J. Asthma"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2883","DOI":"10.1002\/ppul.25034","article-title":"Quality of life and psychosocial outcomes in children with severe acute asthma and their parents","volume":"55","author":"Boeschoten","year":"2020","journal-title":"Pediatr. Pulmonol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1080\/0075417X.2014.922752","article-title":"\u2018I am not crying. I am rubbing my eyes\u2019: Annie and the hollow object","volume":"40","author":"Bronstein","year":"2014","journal-title":"J. Child Psychother."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"315","DOI":"10.4168\/aair.2013.5.5.315","article-title":"Allergic Diseases in Preschoolers Are Associated with Psychological and Behavioural Problems","volume":"5","author":"Chang","year":"2013","journal-title":"Allergy Asthma Immunol. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1111\/bjhp.12181","article-title":"Children\u2019s implicit understanding of the stress-illness link: Testing development of health cognitions","volume":"21","author":"Cheetham","year":"2016","journal-title":"Br. J. Health Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1016\/j.jaci.2011.06.040","article-title":"Resilience in low-socioeconomic-status children with asthma: Adaptations to stress","volume":"128","author":"Chen","year":"2011","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1111\/jcpp.12087","article-title":"Asthma and attention-deficit\/hyperactivity disorder: A nationwide population-based prospective cohort study","volume":"54","author":"Chen","year":"2013","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"406","DOI":"10.3389\/fped.2018.00406","article-title":"Dysfunctional Breathing in Children and Adults with Asthma","volume":"6","author":"Connett","year":"2018","journal-title":"Front. Pediatr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1353\/hpu.2014.0099","article-title":"Asthma and Adaptive Functioning among Homeless Kindergarten-Aged Children in Emergency Housing","volume":"25","author":"Cutuli","year":"2014","journal-title":"J. Health Care Poor Underserved"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1111\/apa.15709","article-title":"Asthma and allergies correlate with mental health problems in preschool children","volume":"110","author":"Sollander","year":"2020","journal-title":"Acta Paediatr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.psyneuen.2018.02.011","article-title":"Socioeconomic status, family negative emotional climate, and anti-inflammatory gene expression among youth with asthma","volume":"91","author":"Farrell","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e012637","DOI":"10.1136\/bmjopen-2016-012637","article-title":"Mental health associations with eczema, asthma and hay fever in children: A cross-sectional survey","volume":"6","author":"Linneberg","year":"2016","journal-title":"BMJ Open"},{"key":"ref_18","unstructured":"Henrr\u00edquez, H., and Paola, C. (2016). Competencias Socioemocionales Como Factor Protector ante el Desarrollo de S\u00edndromes Internalizantes y Externalizantes en los Adolescentes V\u00edctimas del Conflicto Armado. [Master\u2019s Thesis, Universidad del Norte]."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2689","DOI":"10.1016\/j.jaip.2020.03.036","article-title":"Comorbid Obesity and Depressive Symptoms in Childhood Asthma: A Harmful Synergy","volume":"8","author":"Hsu","year":"2020","journal-title":"J. Allergy Clin. Immunol. Pract."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1093\/jpepsy\/jsu066","article-title":"Effects of Socioeconomic Status on Maternal and Child Positive Behaviors in Daily Life Among Youth with Asthma","volume":"40","author":"Imami","year":"2014","journal-title":"J. Pediatr. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1111\/cea.13407","article-title":"Perceived triggers of asthma impair quality of life in children with asthma","volume":"49","author":"Kansen","year":"2019","journal-title":"Clin. Exp. Allergy"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1111\/scs.12001","article-title":"Perceptions of patient education during hospital visit-described by school-age children with a chronic illness and their parents","volume":"27","author":"Kelo","year":"2012","journal-title":"Scand. J. Caring Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.3889\/oamjms.2018.287","article-title":"Quality of Life in Children with Asthma versus Healthy Children","volume":"6","author":"Kouzegaran","year":"2018","journal-title":"Open Access Maced. J. Med. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1517","DOI":"10.1007\/s00787-019-01313-9","article-title":"Somatic comorbidity in children and adolescents with psychiatric disorders","volume":"28","author":"Agnafors","year":"2019","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s11136-012-0194-7","article-title":"Predicting quality of life in pediatric asthma: The role of emotional competence and personality","volume":"22","author":"Lahaye","year":"2012","journal-title":"Qual. Life Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1080\/08870446.2011.562606","article-title":"Emotional competence and quality of life of children with asthma: The mediating effect of coping strategies","volume":"26","author":"Lahaye","year":"2011","journal-title":"Psychol. Health"},{"key":"ref_27","first-page":"1307","article-title":"Paediatric chronic illness and educational failure: The role of emotional and behavioural problems","volume":"48","author":"Layte","year":"2012","journal-title":"Soc. Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1037\/a0022452","article-title":"Effects of paternal and maternal depressive symptoms on child internalizing symptoms and asthma disease activity: Mediation by interparental negativity and parenting","volume":"25","author":"Lim","year":"2011","journal-title":"J. Fam. Psychol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1080\/02699931.2015.1036842","article-title":"Attentional bias to respiratory- and anxiety-related threat in children with asthma","volume":"30","author":"Lowther","year":"2015","journal-title":"Cogn. Emot."},{"key":"ref_30","first-page":"1723","article-title":"Childhood Bullying: Implications for Physicians","volume":"70","author":"Lyznicki","year":"2004","journal-title":"Am. Fam. Physician"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1590\/s1806-37562015000000186","article-title":"Evaluation of quality of life according to asthma control and asthma severity in children and adolescents","volume":"41","author":"Matsunaga","year":"2015","journal-title":"J. Bras. Pneumol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.rmed.2016.05.008","article-title":"Comorbidities of asthma in U.S. children","volume":"116","author":"Mirabelli","year":"2016","journal-title":"Respir. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1111\/cch.12114","article-title":"The psychological and social impact of camp for children with chronic illnesses: A systematic review update","volume":"40","author":"Moola","year":"2013","journal-title":"Child Care Health Dev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e20151922","DOI":"10.1542\/peds.2015-1922","article-title":"Allergic Diseases and Internalizing Behaviors in Early Childhood","volume":"137","author":"Nanda","year":"2016","journal-title":"Pediatrics"},{"key":"ref_35","first-page":"A162","article-title":"P16 The emotional state in bronchial asthma in children","volume":"104","author":"Nicu","year":"2019","journal-title":"Abstracts"},{"key":"ref_36","unstructured":"(2021, April 27). Organizaci\u00f3n Mundial de la Salud. (s. f.). Asma. Who. It. Available online: https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/asthma."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4081\/pr.2016.6370","article-title":"Sibship and Self-Esteem in Children with Asthma","volume":"8","author":"Polizzi","year":"2016","journal-title":"Pediatr. Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1093\/jpepsy\/jss001","article-title":"Helpful Hints: Caregiver-Generated Asthma Management Strategies and Their Relation to Pediatric Asthma Symptoms and Quality of Life","volume":"37","author":"Raymond","year":"2012","journal-title":"J. Pediatr. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1152\/japplphysiol.01018.2018","article-title":"Central nervous system signatures of affect in asthma: Associations with emotion-induced bronchoconstriction, airway inflammation, and asthma control","volume":"126","author":"Ritz","year":"2019","journal-title":"J. Appl. Physiol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1037\/fsh0000299","article-title":"Physician perceptions of children\u2019s coping with asthma are associated with children\u2019s psychosocial and disease functioning","volume":"36","author":"Kumar","year":"2018","journal-title":"Fam. Syst. Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/02739615.2015.1124771","article-title":"Coping with asthma in racially and ethnically diverse urban children: The role of emotional problems in disease control","volume":"46","author":"Rodriguez","year":"2015","journal-title":"Child. Health Care"},{"key":"ref_42","unstructured":"Rosenberg, S.L., Miller, G.E., Brehm, J.M., and Celed\u00f3n, J.C. (2021, November 25). Stress and Asthma: Novel Insights on Genetic, Epigenetic, and Immunologic Mechanisms. Available online: http:\/\/europepmc.org\/backend\/ptpmcrender.fcgi?accid=PMC4252392&blobtype=pdf."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"2050312120973500","DOI":"10.1177\/2050312120973500","article-title":"Quality of life among caregivers of asthmatic children attending pulmonology clinics at Hamad General Hospital, Qatar","volume":"8","author":"Shaikhan","year":"2020","journal-title":"SAGE Open Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1016\/j.jpeds.2013.06.046","article-title":"Children with Both Asthma and Depression Are at Risk for Heightened Inflammation","volume":"163","author":"Shanahan","year":"2013","journal-title":"J. Pediatr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1111\/cch.12147","article-title":"Why the (dis)agreement? Family context and child-parent perspectives on health-related quality of life and psychological problems in paediatric asthma: Child-parent (dis)agreement on adaptation outcomes","volume":"41","author":"Silva","year":"2014","journal-title":"Child Care Health Dev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"62","DOI":"10.3109\/01460862.2011.572638","article-title":"\u201cI Want to Meet Other Kids Like Me\u201d: Support Needs of Children with Asthma and Allergies","volume":"34","author":"Stewart","year":"2011","journal-title":"Issues Compr. Pediatr. Nurs."},{"key":"ref_47","first-page":"CD012489","article-title":"E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions","volume":"2018","author":"Thabrew","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_48","first-page":"25","article-title":"Psicopat\u00eda: Una entidad cl\u00ednica controvertida pero necesaria en psiquiatr\u00eda forense","volume":"34","author":"Beltri","year":"2008","journal-title":"Rev. Espa\u00f1ola Med. Leg."},{"key":"ref_49","unstructured":"(2021, May 02). Trastornos Psic\u00f3ticos. (s. f.). National Library of Medicine, Available online: https:\/\/medlineplus.gov\/spanish\/psychoticdisorders.html."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"406","DOI":"10.3109\/01612840.2012.682327","article-title":"Factors Related to Emotional Responses in School-aged Children Who Have Asthma","volume":"33","author":"Walker","year":"2012","journal-title":"Issues Ment. Health Nurs."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.pedn.2016.11.008","article-title":"Exploration of the Influence of Factors Identified in the Literature on School-aged Children\u2019s Emotional Responses to Asthma","volume":"33","author":"Walker","year":"2017","journal-title":"J. Pediatr. Nurs."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1037\/a0026191","article-title":"Asthma severity, child security, and child internalizing: Using story stem techniques to assess the meaning children give to family and disease-specific events","volume":"25","author":"Winter","year":"2011","journal-title":"J. Fam. Psychol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/5\/2652\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:26:59Z","timestamp":1760135219000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/5\/2652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,24]]},"references-count":52,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["ijerph19052652"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19052652","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,24]]}}}