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Journal of Pediatric Psychology 14(1) pp. 89-102, 1989
© 1989 Society of Pediatric Psychology

research-article

Physical Status and Psychosocial Adjustment in Children With Spina Bifida1

Jan L. Wallander2, Wendy S. Feldman and James W. Varni

Sparks Center and Department of Psychology, University of Alabama at Birmingham, Orthopaedic Hospital, Orthopaedic Hospital and University of Southern California

1All correspondence should be sent to Jan L. Wallander, Sparks Center, 1720 Seventh Avenue South, Birmingham, Alabama 35223.

Investigated the relationship between the physical status and psychosocial adjustment of chronically physically handicapped children. The status of 61 children with spina bifida regarding six specific disease or disability parameters was determined from medical charts. Their mothers completed the Child Behavior Checklist as a measure of the children's psychosocial adjustment. Children with spina bifida were reported to display on the average significantly more behavior and social competence problems than expected for children in general. However, children with differing degrees of physical problems and disability did not differ significantly in their psychosocial adjustment. The general lack of relationship between physical status and adjustment as it relates to a conceptual model guiding this research is discussed.

Key words: disease status; disability; adjustment; physically handicapped children; spina bifida.


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