Journal of Pediatric Psychology 22(2) pp. 149-165, 1997
© 1997 Society of Pediatric Psychology
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Relating Parent and Family Functioning to the Psychological Adjustment of Children with Chronic Health Conditions: What Have We Learned? What Do We Need To Know?1
Case Western Reserve University School of Medicine
1All Correspondece should be sent to Dennis Drator, Department of Pediatrics, Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Clevland, Ohio 44106
Reviewed research concerning the relationship of parent and family functioning to the psychological adjustment of children with chronic health conditions. More adaptive family relationships and parental psychological adjustment were associated with positive psychological adjustment while less adaptive family relationships (e.g., greater conflict and maternal psychological distress) consistently predicted problematic adjustment. Conclusions were limited by small, site–specific samples, reliance on self-report measures generally obtained from one parent, and general measures. Research progress would be enhanced by (a) more representative data sets; (b) process-oriented, ilness- specific, and clinically relevant measures; (c) prospective analyses that clarify specific, causal pathways between family functioning and children's adjustment; and (d) tests of interventions that modify risk and/or resistance factors.
Key words: chronic illness in children; chronic health conditions; psychological adjustment; family functioning; parental pschological adjustment.
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