From:  Biopsychosocial factors, prevention, and treatment strategies in the mental health difficulties of adolescents with asthma

 Biopsychosocial aspects in adolescents with asthma.

AdolescentFamily and friendsSchool
Prevention, recognition, and management of mental health problems such as anxiety disorders, anxiety-depressive disorders, phobias, ADHD, and behavioral disordersParental education programs to improve the level of knowledge and self-confidence in managing their children’s asthmaPromote school participation and positive friendships
Education and development of cognitive/behavioral skillsParenting programs for managing the difficulties in raising children and the stress caused by their adolescent child’s asthmaConduct peer mentoring interventions so that newly diagnosed asthmatics can connect with experienced asthmatic peers
Recognition of preventive factors for mental health problems, such as resiliencePromoting positive affection from family and friends towards the adolescent with asthmaTraining for schoolmates, school nurses, and physical education teachers on asthma and its implications
Regulation of risky or uncontrolled behaviorsExploration of family resilience and modification of negative family behaviors towards the asthmatic adolescent
Education and periodic review of the level of knowledge about asthma, perception of symptoms, and adherence to treatment (face-to-face, online videos, smartphones, or tablets)Treatment of mental health conditions in family members living with the adolescent
Promoting autonomy, self-efficacy, self-management, and responsibility
Identifying and improving difficulties in establishing friendships among peers
Promotion and supervision of physical activity, aerobic and recreational exercise
Complementary therapies for stress and anxiety management, such as yoga or mindfulness

ADHD: attention-deficit hyperactivity disorder.