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Journal of Pediatric Psychology 17(1) pp. 33-47, 1992
© 1992 Society of Pediatric Psychology


research-article

Childhood Chronic Illness as a Family Stressor1

Kim W. Hamlett2,, David S. Pellegrini and Kathy S. Katz

University of Virginia School of Medicine, Catholic University of America, Georgetown University Hospital, Child Development Center

2A11 correspondence should be sent to Kim W. Hamlett, University of Virginia Health Sciences Center, Department of Pediatrics, Pediatric Psychology, Kluge Children's Rehabilitation Center, 2270 Ivy Road, Charlottesville, Virginia 22901

Investigated the impact of childhood chronic illness within a family context. We interviewed 30 mothers of 6- to 14-year-old children with asthma or diabetes and 30 mothers of healthy children of the same age and sex. Family functioning, extrafamilial social support available to mothers, and child life stress events were examined in relation to the children's psychological adjustment and illness events. The mothers of asthmatic children reported a greater number of internalizing behavior problems in their children, perceived their own social support as less adequate, and reported a greater number of stressful events. Regression analyses demonstrated that family functioning, maternal social support, and chronic illness were significantly related to the psychological adjustment of the child. The importance of family functioning and resources available to the family, such as social support, are discussed as protective influences in coping with childhood chronic illness.

Key words: childhood chronic illness; families; social support.


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