Journal of Pediatric Psychology 17(6) pp. 741-755, 1992
© 1992 Society of Pediatric Psychology
research-article |
Psychological Adjustment of Children with Cystic Fibrosis: The Role of Child Cognitive Processes1 and Maternal Adjustment
Duke University Medical Center
2All correspondence should be sent to Robert J. Thompson, Jr., Division of Medical Psychology, Duke University Medical Center, Box 3362, Durham, North Carolina 27710
Found 60% of children 7–12 years old with cystic fibrosis to have a parent-reported behavior problem and 62% met the criteria for a DSM-III diagnosis based on a structured clinical interview with the child. Mixed internal and external behavior problem patterns and diagnoses of anxiety and oppositional disorder were most frequent. Support was provided for the hypothesized psycho-social/mediational roles of child perception of self-worth and maternal anxiety in child adjustment. Together, the variables of the transactional stress and coping model accounted for 39 and 43% of the variance in mother-reported internalizing and externalizing behavior problems and for 68% of the variance in child-reported problems.
Key words: cystic fibrosis; child adjustment; stress and coping.
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