Chronic and discrete stress as predictors of children's adjustment.
Diabetes, as a chronic stressor, and negative life events (NLEs), as a discrete stressor, were related to children's behavioral adjustment, along with moderating effects of the family environment. Diabetes and NLEs predicted both higher internalizing (INT) and externalizing (EXT) behavior problems, suggestive of nonspecific distress. Higher family conflict and lower cohesion each predicted more behavior problems (INT-EXT). However, conflict was the sole moderator of the stressors. Higher family conflict and diabetes exacerbated children's EXT behavior problems, with clinically elevated scores. Higher family conflict and higher NLEs resulted in clinically elevated INT-EXT behaviors. Conversely, low family conflict protected children's behavioral functioning from the stressors. Family cohesion was the sole predictor of children's social competencies but did not moderate the stressors.
Holmes
C S
CS
Department of Psychiatry, Georgetown University Medical School, Washington, DC 20007, USA. holmesc@medlib.georgetown.edu
Yu
Z
Z
Frentz
J
J
D000223:Adaptation, Psychological; D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002908:Chronic Disease; D003920:Diabetes Mellitus / Q000523:psychology*; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D012044:Regression Analysis; D012917:Social Adjustment; D013315:Stress, Psychological / Q000523:psychology*