Sunday, January 16, 2022
Independence BR A, ML 4 (Marriott Marquis Washington, DC)
* noted as presenting author
Low-income mothers of children with uncontrolled asthma are an underserved population at risk for psychological distress. We examined the impact of violence exposure and child asthma morbidity on depressive symptoms in mothers of youths with uncontrolled asthma. Asthma symptoms and health care utilization, socio-demographics, and standardized measures of depressive symptoms and violence exposure were ascertained by self-report. Latent Growth Curve Modeling tested the associations of violence and asthma morbidity with depressive symptoms at baseline (T1), six-months (T2) and 12-months (T3). Participating mothers (N=276) reported high baseline violence exposure (59.5%) and depressive symptoms (34.4%); nearly a quarter (n=62) had clinically significant depressive symptoms at 12-months. Violence exposure was consistently associated with maternal depressive symptoms across all three time points (T1:β=.32, p<.05;T2:β=.28, p<.05;T3:β=.18, p<.05). Individual indicators of child asthma morbidity were non-significant, but the cumulative effect of asthma morbidity was predictive of higher caregiver depressive symptoms at T2(β=.09, p<.05) and T3(β=.13, p<.05). Findings underscore the importance of holistic risk assessment and social work interventions to ameliorate the chronic distress observed in mothers of youths with uncontrolled asthma.