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Disease and family contributors to adaptation in juvenile rheumatoid arthritis and juvenile diabetes
Journal article   Open access   Peer reviewed

Disease and family contributors to adaptation in juvenile rheumatoid arthritis and juvenile diabetes

Robert G. Frank, Kristofer J. Hagglund, Laura H. Schopp, Julian F. Thayer, Angela Z. Vieth, James T. Cassidy, David E. Goldstein, Niels C. Beck, Daniel L. Clay, John E. Hewett, …
Arthritis and rheumatism, Vol.11(3), pp.166-176
06/01/1998
DOI: 10.1002/art.1790110304
PMID: 9782808
url
https://doi.org/10.1002/art.1790110304View
Published (Version of record) Open Access

Abstract

Objective. Research in the areas of pediatric rheumatology and pediatric chronic illness has emphasized comprehensive models of adaptation involving risk and resistance factors. This study examined adaptation, within this framework, among a large sample of children with chronic illness and children without chronic illness. Methods. A comprehensive battery of adaptation measures was administered to a sample of 107 children with juvenile rheumatoid arthritis, 124 children with insulin-dependent diabetes mellitus, and 88 healthy controls. Results. Medical diagnosis was associated with mothers' depression and a composite measure of parental (mother and father) distress and passive coping. Children's emotional and behavioral functioning was not related to medical diagnosis, but mothers' depression and parental distress were associated with child behavior problems. Conclusion. Because parental distress was associated with child functioning, interventions to ameliorate parental distress may have beneficial effects on the children's behavior and on parents' reactions to their children.

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