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Journal of Pediatric Psychology 14(2) pp. 157-173, 1989
© 1989 Society of Pediatric Psychology


research-article

Family Resources as Resistance Factors for Psychological Maladjustment in Chronically Ill and Handicapped Children1

Jan L. Wallander2, James W. Varni, Lina Babani, Heatger Tweddle Banis and Karen Thompson Wilcox

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

2All correspondence should be sent to Jan L. Wallander, Sparks Center, University of Alabama at Birmingham, 1720 Seventh Avenue South, Birmingham, Alabama 35233.

The hypothesis that their psychological adjustment is related in part to resources present in their families was investigated in 153 children, age 4–16, who had one of five chronic physical disorders: juvenile diabetes, juvenile rheumatoid arthritis, chronic obesity, spina bifida, or cerebral palsy. Their mothers completed standardized psychometric instruments to measure specific dimensions of family psychological and utilitarian resources and of child adjustment. Variation in children's psychological adjustment was related both to their psychological and utilitarian family resources. Psychological family resources contributed uniquely to the prediction of adjustment beyond that provided by utilitarian family resources. These results are discussed as having implications for the identification of chronically ill and hadicapped children at risk for adjustment dificulties.

Key words: family resources; psychological adjustment; chronic physical illness; physical handicap; resistance factors.


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