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Journal of Pediatric Psychology, Vol. 28, No. 3, 2003, pp. 197-201
© 2003 Society of Pediatric Psychology

Stress and Adaptation in Mothers of Children With Cerebral Palsy

Janeen Manuel, PhD, Michelle J. Naughton, PhD, MPH, Rajesh Balkrishnan, PhD, Beth Paterson Smith, PhD and L. Andrew Koman, MD

Wake Forest University School of Medicine

All correspondence should be sent to Janeen Manuel, Wake Forest University School of Medicine, Department of Public Health Sciences, Medical Center Boulevard, Winston-Salem, North Carolina 27157. E-mail: jmanuel{at}wfubmc.edu. Anne Kazak, PhD, ABPP, former Editor, served as accepting editor on this article.

Objective To assess the importance of disability severity and child functional status as predictors of maternal depressive symptoms and the moderating effects of maternal appraisal, social support, and family income on the relationship between disability factors (severity and functional status) and maternal depressive symptoms. Method Mothers of 270 children with cerebral palsy completed surveys on their appraisal of the child's disability, social support, and family demographics. Physicians assessed the severity of the disability and the child's functional status. Results Thirty percent of the mothers had depressive symptoms above the cutoff on a depression screening instrument. Disability severity and child's functional status did not predict maternal depression. Perceived social support moderated the relationship between the child's functional status and maternal depressive symptoms. Conclusions Mothers of children with cerebral palsy may be at risk for depression. Interventions that take into account the moderating effects of social support may increase maternal adaptation.

Key words: cerebral palsy; mothers; depression; disabilities; coping; adaptation.


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