Psychosocial risk and resistance factors among children with chronic illness, healthy siblings, and healthy controls

  title={Psychosocial risk and resistance factors among children with chronic illness, healthy siblings, and healthy controls},
  author={Denise Daniels and Rudolf H. Moos and Andrew G. Billings and J. Jay Miller},
  journal={Journal of Abnormal Child Psychology},
Psychosocial risk and resistance factors within the domains of parental functioning, family Stressors, and family resources were examined as predictors of psychological adjustment and physical problems in juvenile rheumatic disease patients (N=93), their healthy siblings (N=72), and demographically matched healthy controls (N=93). Family socioeconomic status and background variables showed few consistent relationships with child functioning. However, a constellation of risk and resistance… 

A Longitudinal Study of Risk and Resistance Factors Among Children With Juvenile Rheumatic Disease

Some of the same factors that influence psychosocial adjustment among physically healthy children appear to also influence the adjustability of mothers who were not depressed and had a sense of mastery over their child's illness.

Parental risk and resistance factors among children with juvenile rheumatic disease: A four-year predictive study

Poorer baseline functioning was a strong risk factor that predicted poorer functioning 4 years later, and parental risk and resistance factors at baseline predicted patients' adjustment after patients' age and baseline functioning were controlled.

Mothers' perceptions of sibling adjustment and family life in childhood chronic illness.

Two major differences were found between mothers who rated healthy siblings either poorly or very well adjusted: effects of illness on the healthy sibling, the ill child, and the marital relationship and perceived controllability of the chronic illness.

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The results indicated that juvenile rheumatic disease (JRD) children and their families actively utilize multiple coping strategies and stress the importance of including and examining the family and peer systems as contexts for coping in future research.

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It is evident that a range of factors, many amenable to interventions, can influence outcomes for these young people.

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This study examined the relations of acute and chronic life stressors and stable social resources to disease-related and psychosocial functioning among 94 adolescents with a chronic physical

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Research needs to determine if parents of children with functional limitations represent a high-risk group and to identify the factors associated with their elevated distress.



Psychosocial functioning of siblings of children with rheumatic disease.

Correlates of psychopathology in sick children: an empirical model.

The severity of the disease was the most important predictor of psychopathology in cystic fibrosis patients, followed by only few family variables, and among asthmatic patients, nearly all family-functioning variables, recent life events, and prior undesirable life events predicted individual psychopathology.

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The severe patient group showed more parent-reported psychological and physical problems than both the mild patient group and the healthy controls, and older children in the severe group were more likely to miss school due to illness and to participate in fewer social activities with their families and friends than the controls.

Children of parents with unipolar depression: A controlled 1-year follow-up

Although remitted parents and their family social environments improved, their children were still functioning more poorly than children of controls and both the children and the families of nonremitted parents continued to function more well than controls.

Comparisons of children of depressed and nondepressed parents: A social-environmental perspective

A social-environmental perspective helped to identify aspects of parents' functioning, family stressors, and resources that were related to children's health that were strongly related to the probability of disturbance among children of depressed parents.

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Findings demonstrated that those who adapted to life stress with little physical or psychological strain were more easy-going and less inclined to use avoidance coping than individuals who became ill under stress.

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Eisenson provides an interesting description of normal language and speech development and then describes a range of disorders with which children may present. Although it will be a useful text for