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Journal of Pediatric Psychology 22(1) pp. 15-27, 1997
© 1997 Society of Pediatric Psychology


research-article

Controlling for General and Disease–Specific Effects in Child and Family Adjustment to Chronic Childhoos Ilness1

E. WaynHolden2,, Donna Chmielewski, Chad C. Nelson, Valarie A. Kager and Linda Foltz

University of Maryland School of Medicine, Atlanta, Georgia

2All correspondence should be sent to E. Wayne Folden, University of Maryland School of Medicine, Departmentof Pediatrics, 630 W. Fayette Street, Room 5–68, Baltimore, Maryland 21201–1585.

Investigated the differential associations of asthma and diabetes on children's self–competence, family functioning, and maternal coping. Interactions of gender with the presence of chronic childhood illness were also assessed. Seventy–two children with diabetes and 40 children with asthma participated as subjects. Mothers completed measures of family functioning, coping, and disease severity while children completed Harter's (1985) Self–Perception Profile for Children. Results indicated that gender and type of chronic illness were independently associated with children's self–competence and family functioning but not maternal coping. However, differences attributable to specific illnesses dissipated once general family factors and general chronic childhood illness variables were controlled statistically. Differences based on child gender remained robust. Results are discussed within the context of categorical and noncategorical approaches to the study of chronic childhood illness.

Key words: chronie illness; asthma; diabets; self-competence; family functioning.


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