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Daily global stress is associated with nocturnal asthma awakenings in school-age children

Published:April 20, 2016DOI:https://doi.org/10.1016/j.jaci.2016.01.054
      Asthma guidelines use nocturnal awakenings to categorize asthma impairment. Even with daily controller therapy in a clinical trial, nocturnal asthma symptoms occurred in the absence of exacerbations and in up to 26% of children at least monthly.
      • Horner C.C.
      • Mauger D.
      • Strunk R.C.
      • Graber N.J.
      • Lemanske Jr., R.F.
      • Sorkness C.A.
      • et al.
      Most nocturnal asthma symptoms occur outside of exacerbations and associate with morbidity.
      Because psychological stress is associated with the risk of asthma exacerbations in children
      • Sandberg S.
      • Paton J.Y.
      • Ahola S.
      • McCann D.C.
      • McGuinness D.
      • Hillary C.R.
      • et al.
      The role of acute and chronic stress in asthma attacks in children.
      and affects sleep quality,
      • Mezick E.J.
      • Matthews K.A.
      • Hall M.
      • Kamarck T.W.
      • Buysse D.J.
      • Owens J.F.
      • et al.
      Intra-individual variability in sleep duration and fragmentation: associations with stress.
      stress is a potential modifiable predisposing factor for nocturnal asthma symptoms. We hypothesized that acute child and caregiver stress would be associated with increased likelihood of nocturnal asthma symptom occurrence in school-age children.
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      References

        • Horner C.C.
        • Mauger D.
        • Strunk R.C.
        • Graber N.J.
        • Lemanske Jr., R.F.
        • Sorkness C.A.
        • et al.
        Most nocturnal asthma symptoms occur outside of exacerbations and associate with morbidity.
        J Allergy Clin Immunol. 2011; 128 (e1-2): 977-982
        • Sandberg S.
        • Paton J.Y.
        • Ahola S.
        • McCann D.C.
        • McGuinness D.
        • Hillary C.R.
        • et al.
        The role of acute and chronic stress in asthma attacks in children.
        Lancet. 2000; 356: 982-987
        • Mezick E.J.
        • Matthews K.A.
        • Hall M.
        • Kamarck T.W.
        • Buysse D.J.
        • Owens J.F.
        • et al.
        Intra-individual variability in sleep duration and fragmentation: associations with stress.
        Psychoneuroendocrinology. 2009; 34: 1346-1354
        • Varni J.W.
        • Rapoff M.A.
        • Waldron S.A.
        • Gragg R.A.
        • Bernstein B.H.
        • Lindsley C.B.
        Effects of perceived stress on pediatric chronic pain.
        J Behav Med. 1996; 19: 515-528
        • Bolger N.
        • DeLongis A.
        • Kessler R.C.
        • Schilling E.A.
        Effects of daily stress on negative mood.
        J Pers Soc Psychol. 1989; 57: 808-818
        • Reynolds C.
        • Richmond B.
        Revised Children's Manifest Anxiety Scale, Second Edition (RCMAS-2).
        Western Psychological Service (WPS), Torrance, CA2008
        • Wright R.J.
        • Mitchell H.
        • Visness C.M.
        • Cohen S.
        • Stout J.
        • Evans R.
        • et al.
        Community violence and asthma morbidity: the Inner-City Asthma Study.
        Am J Public Health. 2004; 94: 625-632
        • Theoharides T.C.
        • Enakuaa S.
        • Sismanopoulos N.
        • Asadi S.
        • Papadimas E.C.
        • Angelidou A.
        • et al.
        Contribution of stress to asthma worsening through mast cell activation.
        Ann Allergy Asthma Immunol. 2012; 109: 14-19
        • Busse W.W.
        The brain and asthma: what are the linkages?.
        Chem Immunol Allergy. 2012; 98: 14-31

      References

        • Varni J.W.
        • Rapoff M.A.
        • Waldron S.A.
        • Gragg R.A.
        • Bernstein B.H.
        • Lindsley C.B.
        Effects of perceived stress on pediatric chronic pain.
        J Behav Med. 1996; 19: 515-528
        • Wilson K.E.
        • Lumeng J.C.
        • Kaciroti N.
        • Chen S.Y.
        • LeBourgeois M.K.
        • Chervin R.D.
        • et al.
        Sleep Hygiene Practices and Bedtime Resistance in Low-Income Preschoolers: Does Temperament Matter?.
        Behav Sleep Med. 2015; 13: 412-423
        • Bolger N.
        • DeLongis A.
        • Kessler R.C.
        • Schilling E.A.
        Effects of daily stress on negative mood.
        J Pers Soc Psychol. 1989; 57: 808-818
        • Liu A.H.
        • Zeiger R.
        • Sorkness C.
        • Mahr T.
        • Ostrom N.
        • Burgess S.
        • et al.
        Development and cross-sectional validation of the Childhood Asthma Control Test.
        J Allergy Clin Immunol. 2007; 119: 817-825