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Effects of Pediatric Chronic Physical Disorders on Child and Family Adjustment
Abstract
Research conducted primarily over the past 5–8 years on the psychosocial effects of pediatric chronic physical disorders on children and their families is reviewed. A large body of studies show that both children and their mothers, as groups, are at increased risk for psychosocial adjustment problems compared to peers, but that there is considerable individual variation in outcome. Since the last review on this topic (Eiser, 1990a), many studies have been conducted to identify risk and resistance factors associated with differences in adjustment among these children and their mothers. Improvements are noted in the theoretical basis for this work, programmatic nature of some of the research, and efforts at producing clinically relevant information. Evaluations of interventions, however, are lagging. Critical issues and future directions regarding developmental approaches, theory, method, measurement and intervention are discussed.
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“This model suggests that the link between stressors related to illness and subsequent adjustments is influenced by individual appraisals and coping strategies.”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [34]
In the citing paper
“These factors are in turn shaped by a range of personal and social risk and protective factors.”
From Risk and Protective Factors of Psychosocial Functioning in Survivors of Childhood Cancer: Results of the DCCSS-LATER Study (2024) · cites this paper as [34]
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“…of activities, responsibility of treatment), and that the links between illness-related stressors and adjustment are moderated by appraisals and coping strategies on which several personal and family risk and protective factors are of influence (Scholten et al., 2013; Wallander & Varni, 1998).”
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“These findings can be interpreted in the light of the disability‐ stress‐coping model proposed by Wallander and Varni [34].”
Metadata
- Authors
- Wallander, J. L., & Varni, J. W.
- Affiliations
- University of Alabama at Birmingham (US)
- University of California San Diego (US)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 1998-01
- Volume
- 39
- Issue
- 1
- Pages
- 29-46
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2119585959
- Cited by
- 716
- References
- 0
- Citations by year
- 2026: 4 · 2025: 14 · 2024: 15 · 2023: 16 · 2022: 22 · 2021: 35 · 2020: 22 · 2019: 22 · 2018: 22 · 2017: 23 · 2016: 28 · 2015: 32 · 2014: 36 · 2013: 39 · 2012: 36
- FWCI
- 56.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family Support in Illness
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- children with chronic illness, psychosocial adjustment, family adjustment, maternal adjustment, risk factors, protective factors, intervention evaluation, developmental approach
- MeSH terms
- Adjustment Disorders, Child, Chronic Disease, Family Health, Humans, Mother-Child Relations, Research, Risk Factors, Children with Disabilities, Disabled Children
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