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Journal of Pediatric Psychology, Vol. 28, No. 5, 2003, pp. 347-353
© 2003 Society of Pediatric Psychology

Brief Report: Adjustment to Juvenile Rheumatoid Arthritis: A Family Systems Perspective

Vicki S. Helgeson, PHD1, Denise Janicki, MA2, Jennifer Lerner, PHD3 and Oscar Barbarin, PHD4

1 Carnegie Mellon University, 2 University of Pittsburgh, 3 Carnegie Mellon University, 4 University of North Carolina–Chapel Hill

All correspondence should be sent to Vicki S. Helgeson, PhD, Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania 15213. E-mail: vh2e{at}andrew.cmu.edu.

Objective To examine the relations of the family environment to adjustment to juvenile rheumatoid arthritis (JRA), and to examine how those relations are influenced by child sex and age. Method Ninety-four children with JRA completed a questionnaire on family environment and adjustment. Results Family cohesion was related to good adjustment, whereas family conflict was related to poor adjustment. Some relations of family cohesion to adjustment were stronger for younger than for older children. The relations of child autonomy to adjustment depended on child sex and age. Conclusion The relations of the family environment to adjustment to JRA are dependent on child sex and age.

Key words: juvenile rheumatoid arthritis; childhood chronic illness; adjustment; family system theory.


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