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Journal of Pediatric Psychology 17(5) pp. 587-605, 1992
© 1992 Society of Pediatric Psychology

research-article

Stress, Appraisal, and Coping in Mothers of Disabled and Nondisabled Children1

A. Cate Miller2, Robert M. Gordon, Richard J. Daniele and Leonard Diller

Columbia University, New York University Medical Center

2All correspondence should be sent to A. Cate Miller, Rusk Institute RR5O6, New York University Medical Center, 400 East 34th Street, New York, New York 10016

The cognitive-behavioral model of stress and coping provided the framework for this study of mothers of physically disabled children (n = 69) and mothers of nondisabled children (n = 63). The first aim was to test for differences between groups in responses to stressful parenting events. As hypothesized, mothers of disabled children reported higher levels of depressive symptomatology. Differences in psychological distress and health status approached significance. The second aim was to explore the mediating influences of coping strategies and cognitive appraisals. As predicted, emotion-focused coping was related to increased psychological distress in mothers of disabled children whereas problemfocused coping was associated with decreased distress. Both relationships were significant even after controlling for differences in type of parenting stressor. Hierarchical regressions showed that 58 and 25% of the variance in psychological distress was explained by the independent variables; however, the predictors were different for the two groups of mothers. Factors that may explain the differential effectiveness of coping and appraisal, and clinical implications of this study are discussed.

Key words: stress; coping; appraisal; disabled; depression; mothers.


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