Journal of Pediatric Psychology 21(5) pp. 699-717, 1996
© 1996 Society of Pediatric Psychology
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Psychosocial and Family Functioning in Children with Insulin-Dependent Diabetes at Diagnosis and One Year Later1
The Royal Children's Hospital Melbourne
2All correspondence should be sent to Elisabeth Northam, Department of Psychology Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia
Examined the initial impact and subsequent adjustment to the diagnosis of insulin-dependent diabetes mellitus (IDDM). Children between 1 and 14 years of age and their families were assessed several weeks after diagnosis and again a year later using standardized measures of child behavior, parental mental health, and family functioning. Immediately after diagnosis, the children and both parents exhibited mild symptoms of psychological distress but these had largely resolved at 12-month follow-up. The impact of IDDM diagnosis on family functioning varied with informant, SES, and the age of the child, with an overall tendency for families to become less flexible over the year. Findings suggest that most children and their parents exhibit satisfactory individual adjustment after a period of initial stress but family functioning is affected in complex ways. Serial follow-up of the cohort is planned to establish whether the current findings are predictive of longer term outcome.
Key words: chronic illness; diabetes; adjustment; behavior problems; parental mental health; family functioning.
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