title: Stress and adaptation in mothers of children with cerebral palsy.
abstract: OBJECTIVE
  To assess the importance of disability severity and child functional status as predictors of maternal depressive symptoms and the moderating effects of maternal appraisal, social support, and family income on the relationship between disability factors (severity and functional status) and maternal depressive symptoms.
  
  
  METHODS
  Mothers of 270 children with cerebral palsy completed surveys on their appraisal of the child's disability, social support, and family demographics. Physicians assessed the severity of the disability and the child's functional status.
  
  
  RESULTS
  Thirty percent of the mothers had depressive symptoms above the cutoff on a depression screening instrument. Disability severity and child's functional status did not predict maternal depression. Perceived social support moderated the relationship between the child's functional status and maternal depressive symptoms.
  
  
  CONCLUSIONS
  Mothers of children with cerebral palsy may be at risk for depression. Interventions that take into account the moderating effects of social support may increase maternal adaptation.
authors.affiliation: Wake Forest University School of Medicine, Department of Public Health Sciences, Winstion-Salem, NC 27157, USA. jmanuel@wfubmc.edu.
authors.forename: Janeen
authors.initials: J
authors.lastname: Manuel
authors.forename: Michelle J
authors.initials: MJ
authors.lastname: Naughton
authors.forename: Rajesh
authors.initials: R
authors.lastname: Balkrishnan
authors.forename: Beth
authors.initials: B
authors.lastname: Paterson Smith
authors.forename: L Andrew
authors.initials: LA
authors.lastname: Koman
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy; D002648:Child; D003865:Major Depressive Disorder / Q000523:psychology*; D004185:Disability Evaluation; D005192:Family Health; D006801:Humans; D009035:Mothers / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology*