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Learning, School Performance, and Children with Asthma

How Much at Risk?

Marianne P. Celano, PhD, is a licensed psychologist who specializes in child and adolescent treatment. She is currently an assistant professor in the Department of Psychiatry at the Emory University School of Medicine. She practices in the Child and Adolescent Psychiatry Outpatient Clinic of Grady Memorial Hospital in Atlanta.

Robert J. Geller

Robert J. Geller, MD, is a physician who is board certified in both pediatrics and medical toxicology. He currently serves as the medical director of the Georgia Poison Center, Atlanta, as assistant professor of pediatrics, Emory University, and as an attending physician in the Pediatric Allergy Clinic at Grady Memorial Hospital, Atlanta. Address: Marianne P. Celano, Department of Psychiatry, Box 26064, Grady Memorial Hospital, 80 Butler St. SE, Atlanta, GA 30335.

Children with asthma may be at risk for decreased school functioning due to acute exacerbations, increased absenteeism, iatrogenic effects of their asthma medication, and the stress associated with a chronic illness. The purpose of this article is to critically review extant research pertaining to the school functioning of children with asthma, including studies of school attendance, school performance, the effects of asthma medications on learning and behavior, and the role of psychological variables in the development of functional impairments. There is not sufficient evidence to suggest that children with asthma are at significantly higher risk for poor school performance than children without asthma. Factors that may contribute to poor school performance among children with asthma include iatrogenic effects of oral steroids, poor medical management of the disease, and psychological problems. Recommendations for improving the school functioning of children with asthma are discussed.

Journal of Learning Disabilities, Vol. 26, No. 1, 23-32 (1993)
DOI: 10.1177/002221949302600103


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