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Journal of Pediatric Psychology 23(1) pp. 5-15, 1998
© 1998 Society of Pediatric Psychology


research-article

Relationship of Parental Psychological Distress to Consequences of Chronic Health Conditions in Children

Ellen Johnson Silver, PhD1, Lauren E. Westbrook, PhD and Ruth E. K. Stein, MD

Albert Einstein College of Medicine

1All correspondence should be sent to Ellen Johnson Silver, Department of Pediatrics, Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, 1300 Morris Park Avenue, NR 7S-15, Bronx, New York 10461.L. E. Westbrook is now at the Dept. of Neurology New York University Hospital for Joint Diseases.

Objective: To assess whether parents' self-reported psychological distress was related to consequences of chronic health conditions in their children as reflected by three domains: functional limitations, reliance on compensatory mechanisms, and service use above routine care.

Methods: We used telephone survey data on children's health and parents' psychiatric symptoms from an inner-city community sample (n = 380) and a population-based national sample (n = 398).

Results: In the national sample, parents of children with functional limitations were more distressed than parents whose children experienced other types of condition consequences or none. In the inner-city sample, presence of a health condition was associated with greater parental distress, but there were no significant effects by consequence type.

Conclusions: Research needs to determine if parents of children with functional limitations represent a high-risk group and to identify the factors associated with their elevated distress.

Key words: childhood chronic illness; parental psychological distress.


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