Doğru H, et al. - Considering the possible role of unknown psychopathology in the management of pediatric asthma, researchers focused on the physical and psychosocial well-being of these children in correlation with self-esteem and psychosocial family environment (child-raising attitudes and parental coping strategies). Therefore, they intended to predict psychosocial factors impacting health-related quality-of-life (HRQL) in a pediatric population with asthma without a documented history of mental illness. They noted the presence of psychiatric comorbidity in 72% and 22% of asthma patients and of the controls, respectively. Generalized anxiety disorder was the most commonly experienced mental illness. A significant difference was only evident in dependency, a parental child-raising attitude, between groups. They noted a negative correlation between the PARI dependency subscale and the total HRQL score as per the parents. Rosenberg self-esteem scale score, presence of psychopathology and dependency according to the child were documented as the most influential factors related to the total HRQL score in asthma. Parents of children with asthma should be advised simple steps to overcome emotional dependency and fortify self-esteem (exercises encouraging self-awareness, opportunities improving decision-making, and a considerable freedom-of-choice to experience results). Referral for psychiatric evaluations is mandatory for patients with suspected mental illness.