Childhood Functional Status, Family Stressors, and Psychosocial Adjustment Among School-aged Children With Disabilities in the United States

Witt, Whitney P.; Riley, Anne W.; Coiro, Mary Jo

doi:10.1001/archpedi.157.7.687

Cited by 108 publications

(60 citation statements)

References 67 publications

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“…Two studies based on the National Health Interview Survey were considered, but discarded. One of these [Witt et al, 2003] mixed current depressive symptoms with those occurring in the past year, making it …”

Section: Selection Of Articles For Study Inclusionmentioning

confidence: 99%

Maternal depression and developmental disability: Research critique

Bailey

Golden

Roberts

et al. 2007

Ment. Retard. Dev. Disabil. Res. Rev.

138

115

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Maternal depression in families having a child with a disability has been the subject of considerable research over the past 25 years. This review was designed to describe the literature on maternal depression, critique its research methodology, identify consensus findings across studies, and make recommendations for future research. A particular emphasis is on the distinction between exhibiting depressive symptoms and meeting clinical criteria for a depressive disorder, how or whether research studies made this distinction, and implications for our understanding of maternal adaptation to disability in a family member. Of the 42 articles reviewed, only eight were clinically diagnosed depression; most of them used a scale rating depressive symptoms. Across the studies, mothers of children with disabilities generally exhibited a higher than average rate of depressive symptoms and are more at risk for clinical depression, but the incidence may be lower than reported in previous literature. Child behavior problems, maternal stress, coping style, and support were consistently associated with depressive symptoms. We conclude that we know relatively little about clinical depression in mothers of children with disabilities. The distinction between clinical depression and depressive symptoms may be important in conceptualizing how a child with a disability can influence family members and the nature of support that may need to be provided. Future research should incorporate gold standard diagnostic tools and assess history, severity, and type of depression. Research is also needed to study treatments to reduce the occurrence of both depressive symptoms and clinical depression.

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Section: Selection Of Articles For Study Inclusionmentioning

confidence: 99%

Maternal depression and developmental disability: Research critique

Bailey

Golden

Roberts

et al. 2007

Ment. Retard. Dev. Disabil. Res. Rev.

138

115

View full text Add to dashboard Cite

show abstract

“…7 Among youth with various disabilities, parental functioning has been found to predict child adjustment. 8,9 A group investigating posttraumatic stress disorder (PTSD) among youth with SCI and their caregivers found that mothers' PTSD predicted patients' and fathers' PTSD, and that patient's PTSD predicted mothers' PTSD. 10 Among youth with limb deficiencies, poor parental mental health predicted child's mental health; however, this relationship was statistically eliminated when taking into account children's perceived social support.…”

Section: Introductionmentioning

confidence: 99%

Relationships between the psychological characteristics of youth with spinal cord injury and their primary caregivers

et al. 2010

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Study design: Cross-sectional survey. Objectives: To describe anxiety and depression among caregivers of youth with spinal cord injury (SCI), examine predictors of caregiver psychological functioning and evaluate relationships between caregiver and child psychological outcomes. The protective factor of youth social relationships was also included to examine its impact on relationships between caregiver and child psychological functioning. Setting: Families received services at one of three pediatric specialty hospitals within a single hospital system in the United States. Methods: The study included English-speaking youth with SCI, aged between 7 and 17 years, who had been injured at least one year before, and their self-identified primary caregivers. Participants completed surveys assessing their anxiety, depression and youth's perceived social relationships. Results: The study included 203 youth with an average age of 12.70 years (s.d. ¼ 3.15), and among them 70% had paraplegia. Seventy-eight percent of caregivers were mothers, 14% fathers and 8% other family members. In all, 16 and 21% of caregivers scored in the range of moderate/severe anxiety and depression, respectively. Being female and having a child with mental health problems predicted caregiver anxiety and depression. In addition, having a child who was older at the time of injury predicted caregiver depression. Poor social relationships, having a caregiver with mental health problems and having a caregiver with less education predicted both child anxiety and depression. Conclusion: Caregiver sex, child age at injury and child mental health were related to caregiver outcomes; caregiver education, marital status and child age were not. Caregiver mental health and education and child social relationships predicted child outcomes. Neither injury level nor injury severity was related to caregiver or child outcomes.

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“…[10][11][12] For examp le, whi le Ne wacheck et al 18 and Pa ul et al 11 fo und di sa bi lity to be mo re pre va lent among chil dren of fa mi li es with inco mes be low the po verty le vel, Mcdo u gall et al 8 re por ted that chil dren who se fa mi li es we re re ce iving wel fa re in co me we re mo re li kely to ha ve chro nic he alth and ac ti vity-li mi ting con di ti ons than tho se not re ce i ving wel fa re in co me. Ho gan et al 10 and Witt et al 30 re por ted that func ti o nal li mita ti ons we re mo re clo sely as so ci a ted with fa mily eco logy. In our study, the ra te of ac ti vity-li mi ta tions was hig her in boys than in girls, and in the 13-17 age gro up than in the 7-12.…”

Section: Discussionmentioning

confidence: 74%

Functional Limitations Associated with Chronic Health Conditions Among School-Aged Children in Kayseri, Turkey

Şenol¹,

Sığmalı²,

Balcı³

et al. 2011

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: :The aims of this study we re to as sess the pre va len ce of ac ti vity li mi ta tions in scho ol age chil dren with chro nic he alth con di ti ons/im pa ir ments and to de ter mi ne the affec ting fac tors in Kay se ri, Tur key. M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : This cross-sec ti o nal study was con duc ted in Kay se ri, Tur key, in 2006. A qu es ti on na i re was given to the pa rents of 4508 chil dren aged 7-17 ye ars, se lec ted ran domly from 20 pri mary scho ols out of 99. Di sa bi lity was de fi ned as a long-term ina bi lity in so ci al ro le ac ti vi ti es in nor mal func ti on or scho ol, du e to a chro nic physical or men tal he alth con di ti on du ring the previous ye ar. R Re e s su ul lt ts s: : Out of 4508 chil dren aged 7 to 17 years, 35.3% had one or mo re chro nic he alth con di ti ons whi le 3.7% had ac ti vity-li mi ting con di ti ons. The ra te of ac ti vity li mi ta ti ons was 9.2% in chil dren with chro nic he alth con di tions, which was sig ni fi cantly hig her than their he althy pe ers (0.8%). Ac ti vity-li mi ting con di tions we re hig her in chil dren with low-edu ca ted and low-in co me fa mi li es. They we re al so mo re com mon in chil dren with te eth and pe ri o don tal di se a ses, vi su al im pa ir ment, spe ech im pe diments and psychi at ric/ner vo us prob lems. C Co on nc c l lu u s si i o on n: : Ac ti vity-li mi ting con di ti ons in scho olaged chil dren with chro nic he alth con di ti ons are ma jor pub lic he alth prob lems. Long-term chro nic he alth con di ti ons and bad family and environmental factors are sig ni fi cant risk fac tors for ac ti vity li mi ta ti on. Tar ge ting on pre ven ti on and re ha bi li ta ti on ef forts in such chil dren and fa mi li es may be an im por tant way of decreasing the im pact of chronic conditiens.K Ke ey y W Wo or rd ds s: : Di sab led chil dren; chro nic di se a se; so ci al class Ö ÖZ ZE ET T A Am ma aç ç: : Bu ça lış ma nın amaç la rı Tür ki ye' de, Kay se ri' de okul ça ğı ço cuk la rı ara sın da kro nik sağ lık so run la rı/bo zuk luk la rı na bağ lı ak ti vi te kı sıt lı lık la rı pre va lan sı nı ve et ki le yen fak tör le ri değer len dir mek tir. G Ge e r re eç ç v ve e Y Yö ön n t te em m l le er r: : Bu ke sit sel ça lış ma 2006 yı lın da, Tür ki ye' de, Kay se ri' de yü rü tül dü. Doksan dokuz il köğ re tim oku lun dan 20'sin de rast ge le se çi len 7-17 yaş ara sı 4508 ço -cu ğun ebe vey ni ne an ket uy gu lan dı. Kı sıt lı lık (özür lü lük) bir ön ce ki yıl sü re sin ce okul ve ya gün-lük ha yat ta ki sos yal rol çer çe ve sin de ki ak ti vi te le ri ni kro nik fi zik sel ve men tal sağ lık so run la rı ne de niy le ye ri ne ge ti re me me ola rak ta nım lan dı. B Bu ul l g gu u l la ar r: : Yaş la rı 7 ile 17 ara sı de ği şen 4508 ço -cuk tan %35.3'ün de bir ve ya da ha faz la kro nik sağ lık so ru nu var ken %3.7'sin de ak ti vi te kı sıt lı lı -ğı bu lun du. Kro nik sağ lık so ru nu olan ço cuk lar da ak ti vi te kı sıt lı ...

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Childhood Functional Status, Family Stressors, and Psychosocial Adjustment Among School-aged Children With Disabilities in the United States

Cited by 108 publications

References 67 publications

Maternal depression and developmental disability: Research critique

Maternal depression and developmental disability: Research critique

Relationships between the psychological characteristics of youth with spinal cord injury and their primary caregivers

Functional Limitations Associated with Chronic Health Conditions Among School-Aged Children in Kayseri, Turkey

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