Chronic Illness, Family Functioning, and Psychological Adjustment: A Model for the Allocation of Preventive Mental Health Services

Pless, Ivan Barry; Roghmann, Klaus J.; Haggerty, Robert J.

doi:10.1093/ije/1.3.271

Cited by 73 publications

(23 citation statements)

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“…These findings support those of other studies (e.g. Kinn, 1962; Pless, Roghmann & Haggerty, 1972) which have concluded that the self-esteem of physically handicapped children is lower than that of their able bodied peers, and suggest that this group of children embark on the challenges and developmental task of adolescence already at a disadvantage.…”

supporting

confidence: 61%

Childhood onset of spinal cord injury: Self‐esteem and self‐perception

Kennedy

Gorsuch

Marsh

1995

British J Clinic Psychol

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The effects of spinal cord injury in childhood upon later psychological adjustment were investigated by comparing a group of 86 people injured as children with a control group (matched for time since injury and level of injury) of people injured as adults. It was hypothesized that adolescence is a crucial period in psychological development and that the effect of spinal cord injury on body image, self-concept and social relationships during adolescence will have a long-term negative effect on psychological well-being. However, on overall measures of depression, self-esteem and self-perception, there were no significant differences between the experimental and control groups. Furthermore, there were no significant differences between paraplegics and tetraplegics, between men women, or between those who were involved in a significant intimate relationship and those who were not. These findings support previous research which has suggested that organic variables, such as age at injury and level of injury, are not predictive of long-term psychological adjustment.

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supporting

confidence: 61%

Childhood onset of spinal cord injury: Self‐esteem and self‐perception

Kennedy

Gorsuch

Marsh

1995

British J Clinic Psychol

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“…Perceived social support is also related to body image and self-esteem (Orr et al 1989). The presence of a congenital physical handicap has been found to be associated with a lower self-esteem and less integrated view of self (Harvey & Greenway 1984) and other studies have also found that physically handicapped children have a lower self-esteem than their able-bodied peers (Pless et al 1972;Varni & Setoguchi 1991).…”

Section: Introductionmentioning

confidence: 97%

How does the intervention of cardiac surgery affect the self‐perception of children with congenital heart disease?

Wray

Sensky

1998

Child

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“…Many of these children are followed in primary care, whereas others rely solely on specialty care for their health care needs (5,6). Few receive specialized mental health services despite evidence from community and epidemiological studies suggesting that children with chronic illness have a higher prevalence of mental disorders and have families that use mental health services at a higher rate (7,8,9).…”

Section: Introductionmentioning

confidence: 99%

Mental disorders in chronically ill children: case identification and parent-child discrepancy.

Canning

1994

Psychosomatic Medicine

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Children, like adults and parents, depend on primary care physicians to identify, treat, or refer those with mental disorders. Mental health concerns are also germane to the growing number of chronically ill children in pediatric care. This paper focuses on: 1) the level of agreement between children and parents about the presence of a mental disorder and the impact of informant on case identification; and 2) the extent to which pediatricians agree with reports by chronically ill children and/or their parents regarding such problems. The study sample includes 112 children, ages 9 to 18, with cancer, cystic fibrosis, inflammatory bowel disease, and insulin-dependent diabetes and a control group of 35 healthy subjects. Subject and a parent were interviewed separately using a highly standardized, structured interview that generates DSM-III-R diagnoses by computer algorithms. Pediatricians completed a questionnaire asking about the presence of any mental disorders. Agreement between parent and child was poor for both groups. In the medically ill group, more cases were identified by the parent interview than by child interview alone for all types of disorders. In contrast, children in the comparison group more often reported symptoms sufficient for a diagnosis than did their parents. The difference in prevalence between the two groups was significant only for the parent-identified cases, and physicians were more likely to recognize child-identified disorders. The choice of informant(s) has clear implications for case identification and case recognition in both clinical care and research in pediatric settings.

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Chronic Illness, Family Functioning, and Psychological Adjustment: A Model for the Allocation of Preventive Mental Health Services

Cited by 73 publications

References 0 publications

Childhood onset of spinal cord injury: Self‐esteem and self‐perception

Childhood onset of spinal cord injury: Self‐esteem and self‐perception

How does the intervention of cardiac surgery affect the self‐perception of children with congenital heart disease?

Mental disorders in chronically ill children: case identification and parent-child discrepancy.

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