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Journal of Pediatric Psychology Advance Access originally published online on July 18, 2007
Journal of Pediatric Psychology 2007 32(8):973-982; doi:10.1093/jpepsy/jsm044
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

The Relationship of Parental Overprotection, Perceived Child Vulnerability, and Parenting Stress to Uncertainty in Youth with Chronic Illness

Larry L. Mullins1, Cortney Wolfe-Christensen2, Ahna L. Hoff Pai3, Melissa Y. Carpentier2, Stephen Gillaspy1, Jeff Cheek4 and Melanie Page2

1University of Oklahoma Health Sciences Center, 2Oklahoma State University, 3Children's Hospital of Philadelphia, and 4University of Oklahoma

All correspondence concerning this article should be addressed to Larry L. Mullins, PhD. 940 NE 13th St, Room 3B3308. Oklahoma City, UK, 73104. E-mail: larry-mullins{at}ouhsc.edu.


  Abstract

Objective To examine the relationship of parent-reported overprotection (OP), perceived child vulnerability (PCV), and parenting stress (PS) to youth-reported illness uncertainty, and to explore potential developmental differences. Method Eighty-two children and 82 adolescents (n = 164) diagnosed with Type 1 diabetes mellitus (DM1) or asthma, completed a measure of illness uncertainty, while their parents completed measures of OP, PCV, and PS. Results After controlling for demographic and illness parameters, both PCV and PS significantly predicted youth illness uncertainty in the combined sample. Within the child group, only PS significantly predicted illness uncertainty, whereas only PCV significantly predicted uncertainty for adolescents. Conclusion Specific parenting variables are associated with youth-reported illness uncertainty; however, their relationship varies according to developmental level. Although OP has been identified as a predictor of child psychological outcomes in other studies, it does not appear to be associated with illness uncertainty in youth with DM1 or asthma.

Key words: childhood chronic illness; illness uncertainty; overprotection; parenting stress; vulnerability.

Received October 4, 2006; revision received April 6, 2007; accepted May 1, 2007


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