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Journal of Pediatric Psychology Advance Access published online on May 11, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj032
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received September 3, 2004
Revised April 9, 2005
Accepted April 14, 2005

Article

Constructing a Prospective Model of Psychosocial Adaptation in Young Adolescents with Spina Bifida: An Application of Optimal Data Analysis

Rachael Millstein Coakley PhD1, Grayson N. Holmbeck PhD1*, and Fred B. Bryant PhD1

1 Loyola University Chicago

* To whom correspondence should be addressed.
Grayson N. Holmbeck, E-mail: gholmbe{at}luc.edu


  Abstract

Objective To examine how individual- and family-level predictors in late childhood and preadolescence relate to psychosocial adaptation (i.e., scholastic success, social acceptance, and positive self-worth) in early adolescence. Method This prospective longitudinal study includes 68 families of children with spina bifida and 68 comparison families of healthy children. Multimethod, multiinformant data were evaluated via optimal data analysis (ODA) and classification tree analysis (CTA) techniques. Results Factors best predicting psychosocial adaptation in early adolescence included (a) intrinsic motivation, (b) estimated verbal IQ, (c) behavioral conduct, (d) coping style, and (e) physical appearance. There were no significant group (spina bifida vs. able-bodied) effects. Conclusions The final classification model correctly classified 77.8% of the total sample, indicating that this model had significant predictive capabilities. Results suggested that processes leading to psychosocial adaptation may be similar for youth with and without chronic illness.

Keywords: adaptation; adolescence; optimal data analysis; psychosocial; spina bifida.
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