Psychological adjustment of children with cystic fibrosis: the role of child cognitive processes and maternal adjustment.
Found 60% of children 7-12 years old with cystic fibrosis to have a parent-reported behavior problem and 62% met the criteria for a DSM-III diagnosis based on a structured clinical interview with the child. Mixed internal and external behavior problem patterns and diagnoses of anxiety and oppositional disorder were most frequent. Support was provided for the hypothesized psycho-social/mediational roles of child perception of self-worth and maternal anxiety in child adjustment. Together, the variables of the transactional stress and coping model accounted for 39 and 43% of the variance in mother-reported internalizing and externalizing behavior problems and for 68% of the variance in child-reported problems.
Thompson
R J
RJ
Division of Medical Psychology, Duke University Medical Center, Durham, North Carolina 27710.
Gustafson
K E
KE
Hamlett
K W
KW
Spock
A
A
D000223:Adaptation, Psychological; D001007:Anxiety / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology*; D003550:Cystic Fibrosis / Q000523:psychology*; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D009035:Mothers / Q000523:psychology*; D012803:Sick Role