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Journal of Pediatric Psychology, Vol. 28, No. 3, 2003, pp. 185-190
© 2003 Society of Pediatric Psychology

Brief Report: Parental Perceptions of Child Vulnerability in Children With Chronic Illness

Kelly K. Anthony, MA1, Karen M. Gil, PhD1 and Laura E. Schanberg, MD2

1 University of North Carolina at Chapel Hill, 2 Duke University Medical Center

All correspondence should be sent to Karen M. Gil, Department of Psychology, Davie Hall, CB# 3270, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-3270. E-mail: kgil{at}email.unc.edu. Anne Kazak, PhD, ABPP, former Editor, served as accepting editor on this article.

Objective To determine the extent to which parental perceptions of child vulnerability predict school and social adjustment in children with chronic illness. Methods Sixty-nine child-parent dyads were recruited from pediatric rheumatology and pulmonary clinics. Parents completed a self-report measure of parental perceptions of child vulnerability. Children completed measures of social adjustment. Parents also provided written permission to obtain school attendance records. Physicians provided a global assessment of children's disease severity. Results Increased parental perceptions of child vulnerability were related to increased social anxiety in children, even after controlling for child age and disease severity. Lower levels of parental education related to both increased perceptions of child vulnerability and increased school absences. Conclusions Health providers should assess parental beliefs and parenting practices in assessing the adjustment of children with chronic illness. Moreover, interventions aimed at enhancing child adjustment to chronic illness might best target parents as well as children.

Key words: chronic illness; parental perceptions of child vulnerability; social adjustment; school attendance; parental beliefs.


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