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Family—school connections and internalizing problems among children living with asthma in urban, low-income neighborhoods

Department of Psychology, Washington and Lee University, Lexington, VA, USA, MurdockK{at}wlu.edu

Elizabeth M. Robinson, BA

Prevention Research Branch, Eunice Kennedy Shriver National Institute for Child Health and Human Development, Bethesda, MD, USA

Sue K. Adams, PhD

Department of Human Development and Family Studies, University of Rhode Island, Kingston, RI, USA

Jennifer Berz, PhD

Family and Child Clinician, Brookline Community Mental Health Center, Boston, MA, USA

Michael J.D. Rollock, MA

Clinical Psychology PhD Candidate, University of Massachusetts, Boston, MA, USA

Children with asthma living in urban environments are at risk for experiencing internalizing problems and difficulties at school due to social context and health-related stressors. Parent confidence and participation in the school and children’s attitudes about school were explored in association with children’s depressed mood and school anxiety. Forty-five parent—child dyads were recruited from urban community health centers. Most participants were members of ethnic minority groups. Hierarchical multiple regression analyses revealed that higher levels of parent confidence in the school were associated with fewer symptoms of school anxiety in children. Children’s attitudes toward school moderated the relation between parent participation in the school and children’s depressed mood. Specifically, lower levels of parent participation were associated with higher levels of depressed mood only for children with the least positive school attitudes. Although preliminary, these results suggest the importance of attending to family—school connections to optimize the school-related psychological functioning of children living with asthma in urban environments.

Key Words: child and adolescent mental health • child health • inequalities in health • parenting support

Journal of Child Health Care, Vol. 13, No. 3, 275-294 (2009)
DOI: 10.1177/1367493509336682


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