1
|
Brown SE, Weisberg DF, Sledge WH. Family caregiving for adults with sickle cell disease and extremely high hospital use. J Health Psychol 2015; 21:2893-2902. [PMID: 26078296 DOI: 10.1177/1359105315588215] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study investigated coping with chronic illness in the adult patient-caregiver relationship for sickle cell disease, marked by debilitating acute and chronic pain. One-on-one interviews (N = 16) were conducted with eight primary caregivers of eight adults with extremely high hospital use, severe sickle cell disease with hospital admissions several times monthly over successive years. Caregivers were predominantly parents; two were romantic partners. Caregivers attributed disruptions to the disease's variability, tensions in how much support to give, and adults' inability to fulfill parental obligations. Both groups expressed fears of patients' increasing age, declining health, and early death. Targeted counseling and resilience training is recommended.
Collapse
|
2
|
Messmer Uccelli M, Traversa S, Trojano M, Viterbo RG, Ghezzi A, Signori A. Lack of information about multiple sclerosis in children can impact parents' sense of competency and satisfaction within the couple. J Neurol Sci 2012; 324:100-5. [PMID: 23140806 DOI: 10.1016/j.jns.2012.10.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2012] [Revised: 10/10/2012] [Accepted: 10/17/2012] [Indexed: 11/29/2022]
Abstract
UNLABELLED The psychosocial consequences for parents of children with MS have not been studied. OBJECTIVES to assess aspects of coping with family crisis and individual states of distress in couples with a child with MS compared to couples of healthy children. METHODS fifteen couples with a child with MS and 29 couples with healthy children were assessed using self-administered scales on anxiety, depression, coping, marital and family aspects, quality of life and MS knowledge. RESULTS parents of children with MS were less satisfied with their parenting role and had a lower sense of parenting competence than control parents. While their depression scores were higher than control parents, they scored within the normal range. Mothers of children with MS were more worried than fathers and were more likely to use diverse coping strategies. Less knowledge of MS was correlated with less satisfaction with the couple relationship and with the quality of communication. There was a correlation between limited knowledge about the child's illness and the overall sense of competence as a parent. CONCLUSIONS lack of information about MS can impact family functioning, anxiety and parents' sense of competency. Parents require support in becoming more knowledgeable about MS in order to feel competent and satisfied in their role and to cope successfully.
Collapse
Affiliation(s)
- M Messmer Uccelli
- Italian Multiple Sclerosis Society, Department of Research, Genoa, Italy.
| | | | | | | | | | | |
Collapse
|
3
|
McCauley SR, Pedroza C. Event-based prospective memory in children with sickle cell disease: effect of cue distinctiveness. Child Neuropsychol 2010; 16:293-312. [PMID: 20301010 DOI: 10.1080/09297041003601470] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Event-based prospective memory (EB-PM) is the formation of an intention and remembering to perform it in response to a specific event. Currently, EB-PM performance in children with sickle cell disease (SCD) is unknown. In this study, we designed a computer-based task of EB-PM; No-Stroke, Silent-Infarct, and Overt-Stroke groups performed significantly below the demographically similar control group without SCD. Cue distinctiveness was varied to determine if EB-PM could be improved. All groups, with the exception of the Overt-Stroke group, performed significantly better with a perceptually distinctive cue. Overall, these results suggest that EB-PM can be improved significantly in many children with SCD.
Collapse
Affiliation(s)
- Stephen R McCauley
- Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas Medical School at Houston, Houston, TX 77030, USA.
| | | |
Collapse
|
4
|
A prospective study of the role of coping and family functioning in health outcomes for adolescents with sickle cell disease. J Pediatr Hematol Oncol 2007; 29:752-60. [PMID: 17984693 DOI: 10.1097/mph.0b013e318157fdac] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Risk-and-resistance models identify factors that predict psychosocial adjustment to pediatric chronic illness, including sickle cell disease (SCD), but have not been applied to understand health outcomes. The study objectives were to examine prospectively the relationship of coping and family functioning with health outcomes for adolescents with SCD, accounting for sociodemographic and psychosocial risk. Forty-one adolescents and their families (41 primary caregivers, 9 second caregivers, and 15 healthy siblings) completed paper-and-pencil measures of coping and family functioning at a baseline assessment (time 1). At both time 1 and time 2 (1 y later), disease severity, SCD complications, healthcare utilization, and average hemoglobin level were derived from medical file reviews. Time 1 disease-related parenting stress predicted time 2 health outcomes; however, there were no significant associations for coping. Families concordant in reporting lower family functioning had teens with increased disease severity and greater healthcare utilization. Examination of moderation of disease-related parenting stress by a risk index showed main effects for risk and for disease-related parenting stress for time 2 disease severity and time 2 healthcare utilization. Interaction effects were not significant. Efforts to explore specific mechanisms by which adaptive family functioning contributes to health outcomes for adolescents with SCD should continue, with particular attention to addressing the potential role of multiple sociodemographic and psychosocial risk variables.
Collapse
|
5
|
Aldridge AA, Roesch SC. Developing coping typologies of minority adolescents: a latent profile analysis. J Adolesc 2007; 31:499-517. [PMID: 17904631 PMCID: PMC2546485 DOI: 10.1016/j.adolescence.2007.08.005] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2006] [Revised: 07/26/2007] [Accepted: 07/27/2007] [Indexed: 11/28/2022]
Abstract
Latent profile analysis (LPA) was used to develop a coping typology of minority adolescents (M=15.5 years). A multiethnic sample (n=354) was recruited from a program aimed at serving low-income students. LPA revealed three distinct coping profiles. The first comprised adolescents who used a number of specific coping strategies at a low level (low generic copers). The second comprised adolescents who emphasized active/approach strategies (e.g., planning; active copers). The third comprised adolescents who emphasized avoidant/passive strategies (e.g., substance abuse; avoidant copers). Active copers experienced significantly less depression and more stress-related growth than low generic copers. Low generic copers not only experienced significantly less depression than avoidant copers but also significantly less stress-related growth than active copers. Discussion focuses on integrating the current typology with traditional coping taxonomies.
Collapse
Affiliation(s)
- Arianna A Aldridge
- Joint Doctoral Program in Clinical Psychology, San Diego State University; University of California, 6363 Alvarado Ct.,, San Diego, CA 92120-4913, USA.
| | | |
Collapse
|
6
|
Barakat LP, Schwartz LA, Simon K, Radcliffe J. Negative Thinking as a Coping Strategy Mediator of Pain and Internalizing Symptoms in Adolescents with Sickle Cell Disease. J Behav Med 2007; 30:199-208. [PMID: 17453330 DOI: 10.1007/s10865-007-9103-x] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2006] [Accepted: 03/26/2007] [Indexed: 10/23/2022]
Abstract
The objective of this study was to examine the role of coping strategies, specifically negative thinking, in mediating the association of pain with symptoms of anxiety and depression in adolescents with sickle cell disease. Fifty-two 12-18-year-old adolescents with sickle cell disease completed a daily pain diary and paper-and-pencil measures of pain, pain coping, depression and anxiety. Symptoms of depression and anxiety were within the non-clinical range. Preliminary analyses indicated that lower family income was associated with higher reports of pain and negative thinking. Mediation regression analyses supported negative thinking as mediating the association of: (1) pain intensity with depression, and (2) pain interference with daily activities with anxiety. Findings highlight negative thinking as a factor compromising adolescents' adaptation to sickle cell pain; however, further investigation is required to determine the mediating influence of pain coping. Associations for lower income emphasize the multiple risk factors experienced by many of these adolescents.
Collapse
Affiliation(s)
- Lamia P Barakat
- Department of Psychology, Drexel University, Philadelphia, PA 19104, USA.
| | | | | | | |
Collapse
|
7
|
Abstract
Children with chronic medical conditions are at higher risk for behavioral and emotional problems compared to physically healthy children. This study used a conceptual model to examine factors associated with psychological adjustment in children aged 7-11 years old with any of four chronic illnesses. The variables most closely associated with child adjustment included the following: mothers' evaluation of the impact of the child's illness on the family; child's perceptions of parental acceptance; and child's self-perceptions of physical appearance, social acceptance, and athletic competence. These findings confirm the importance of maternal and child perceptions in understanding the psychological adjustment of children with chronic conditions.
Collapse
Affiliation(s)
- Susan Immelt
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
| |
Collapse
|
8
|
Ey S, Hadley W, Allen DN, Palmer S, Klosky J, Deptula D, Thomas J, Cohen R. A new measure of children's optimism and pessimism: the youth life orientation test. J Child Psychol Psychiatry 2005; 46:548-58. [PMID: 15845134 DOI: 10.1111/j.1469-7610.2004.00372.x] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Optimism and pessimism are positive and negative expectations linked with well-being in adults. Research on the importance of optimism and pessimism in children is limited by the lack of a developmentally appropriate measure of children's expectations. METHOD Based upon the Life Orientation Test-Revised (Scheier, Carver, & Bridges, 1994), the Youth Life Orientation Test (YLOT) is a sixteen-item self-report measure of children's optimism and pessimism. RESULTS Reliability and validity of the YLOT was found with 204 3rd-6th graders. Optimism also predicted fewer child-reported depressive symptoms and parent-reported behavior problems assessed three months later. Pessimism predicted more child-reported anxiety symptoms and parent-reported social and academic deficits.
Collapse
Affiliation(s)
- Sydney Ey
- Pacific University, Portland, OR 97205-2732, USA.
| | | | | | | | | | | | | | | |
Collapse
|
9
|
Mezulis AH, Abramson LY, Hyde JS, Hankin BL. Is There a Universal Positivity Bias in Attributions? A Meta-Analytic Review of Individual, Developmental, and Cultural Differences in the Self-Serving Attributional Bias. Psychol Bull 2004; 130:711-47. [PMID: 15367078 DOI: 10.1037/0033-2909.130.5.711] [Citation(s) in RCA: 506] [Impact Index Per Article: 25.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Researchers have suggested the presence of a self-serving attributional bias, with people making more internal, stable, and global attributions for positive events than for negative events. This study examined the magnitude, ubiquity, and adaptiveness of this bias. The authors conducted a meta-analysis of 266 studies, yielding 503 independent effect sizes. The average d was 0.96, indicating a large bias. The bias was present in nearly all samples. There were significant age differences, with children and older adults displaying the largest biases. Asian samples displayed significantly smaller biases (d = 0.30) than U.S. (d = 1.05) or Western (d = 0.70) samples. Psychopathology was associated with a significantly attenuated bias (d = 0.48) compared with samples without psychopathology (d = 1.28) and community samples (d = 1.08). The bias was smallest for samples with depression (0.21), anxiety (0.46), and attention-deficit/hyperactivity disorder (0.55). Findings confirm that the self-serving attributional bias is pervasive in the general population but demonstrates significant variability across age, culture, and psychopathology.
Collapse
Affiliation(s)
- Amy H Mezulis
- Department of Psychology, University of Wisconsin, Madison, WI 53706, USA.
| | | | | | | |
Collapse
|
10
|
Abstract
This article focused on two hematologic diseases that have received significant attention in the pediatric literature: sickle cell anemia and hemophilia. As the data indicate, these illnesses present lifelong challenges to individuals afflicted. With advances in medical interventions, many children with these hematologic diseases are living longer and with fewer serious complications. Intervention efforts only recently have begun to consider issues related to quality of life and increased psychological adjustment, including active coping strategies by children and their parents and necessary social support for all family members. Theoretical models [54] have highlighted the multiple factors that play a role in illness adjustment and the complex interactions of these factors. Individual, family, and community characteristics are impacted by and, in turn, impact on illness-related characteristics. The notion that illness severity is predictive of psychological adjustment has been discarded in favor of a model that recognizes multiple influences and multiple outcomes. Child coping, parent coping, social support, adaptive functioning, treatment compliance, and illness severity are being considered to better understand and influence overall psychological functioning. The field of pediatric psychology has made tremendous advances in improving knowledge of illness and its impact on development. Even with these advances, however, there remains much to be discovered. To date, pediatric psychology research has focused primarily on individual illness categories, making comparisons across illness types difficult. By considering different illnesses within the same study, characteristics that are crucial to improved adjustment and common across illnesses can be identified. As we continue to work for cures for these debilitating illnesses, our goal remains to improve quality of life for children.
Collapse
Affiliation(s)
- Robert L Casey
- Yale Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06510, USA.
| | | |
Collapse
|
11
|
Helps S, Fuggle P, Udwin O, Dick M. Psychosocial and Neurocognitive Aspects of Sickle Cell Disease. Child Adolesc Ment Health 2003; 8:11-17. [PMID: 32797540 DOI: 10.1111/1475-3588.00039] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Sickle cell disease (SCD) comprises a group of recessively inherited blood disorders and is the most common genetic disorder in the world (Embury et al., 1994). It is a chronic condition of variable severity that mainly affects people of African and African-Caribbean heritage. Over the last 20 years life expectancy has increased significantly, particularly for patients receiving western healthcare so that increasing attention has been directed to the psychosocial adaptation and neurocognitive profile of children and adolescents with SCD. Previously, research suggested that, like children with other chronic health conditions, children and adolescents with SCD were at increased risk for emotional and behavioural disorders. More recent research has not demonstrated increased rates of such difficulties. Increasing evidence suggests that children with severe disease are, however, at significantly increased risk for cerebro-vascular events and neurocognitive difficulties. This paper reviews the literature regarding the psychological and neurocognitive functioning of children with SCD and outlines a number of ways that psychological input may significantly contribute to more effective health care for these children and their families.
Collapse
Affiliation(s)
- Sarah Helps
- Mary Sheridan Centre for Child Health, 5 Dugard Way, Renfrew Road, London SE11 4TH, UK
| | - Peter Fuggle
- Northern Health Centre, 590 Holloway Road, London N7 6LB, UK
| | - Orlee Udwin
- Mary Sheridan Centre for Child Health, 5 Dugard Way, Renfrew Road, London SE11 4TH, UK
| | - Moira Dick
- Mary Sheridan Centre for Child Health, 5 Dugard Way, Renfrew Road, London SE11 4TH, UK
| |
Collapse
|
12
|
Compas BE, Connor-Smith JK, Saltzman H, Thomsen AH, Wadsworth ME. Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychol Bull 2001. [PMID: 11271757 DOI: 10.1037/0033-2909.127.1.87] [Citation(s) in RCA: 1328] [Impact Index Per Article: 57.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- B E Compas
- Department of Psychology, University of Vermont, Burlington 05405, USA.
| | | | | | | | | |
Collapse
|
13
|
Simon K, Lobo ML, Jackson S. Current knowledge in the management of children and adolescents with sickle cell disease: Part 1, Physiological issues. J Pediatr Nurs 1999; 14:281-95. [PMID: 10554441 DOI: 10.1016/s0882-5963(99)80028-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This article reviews the current state of the knowledge in the management of children and adolescents with sickle cell disease (SCD). A thorough review of the literature concerning physiological issues including the clinical manifestations of SCD as well as current treatment modalities is included. Therapeutic management of health and illness for a child with SCD is discussed in relation to primary, secondary, and tertiary prevention. Recommendations for nursing practice and research are made.
Collapse
Affiliation(s)
- K Simon
- College of Nursing, University of South Carolina, Charleston 29425, USA
| | | | | |
Collapse
|
14
|
Knapp PK, Harris ES. Consultation-liaison in child psychiatry: a review of the past 10 years. Part I: Clinical findings. J Am Acad Child Adolesc Psychiatry 1998; 37:17-25. [PMID: 9444895 DOI: 10.1097/00004583-199801000-00012] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To critically review clinical reports on pediatric consultation-liaison psychiatry over the past 10 years. METHOD Articles contributing to the understanding of child psychiatric consultation in medical settings were reviewed. RESULTS Information related to clinical issues was organized into categorical (disease-oriented), noncategorical, and family studies. Newer articles on ethical considerations in caring for medically ill children are summarized. CONCLUSIONS Research has continued to focus on and reflect the importance of the emotional and behavioral needs of children in pediatric settings and the adaptation and stress within families who care for chronically ill children. Given the increased complexity and demands of medical care, the training and skills of a child psychiatrist in pediatric consultation remain a valuable component of comprehensive care for children.
Collapse
Affiliation(s)
- P K Knapp
- Department of Psychiatry and Pediatrics, University of California, Davis, USA
| | | |
Collapse
|
15
|
Sterling YM, Peterson J, Weekes DP. African-American families with chronically ill children: oversights and insights. J Pediatr Nurs 1997; 12:292-300. [PMID: 9330505 DOI: 10.1016/s0882-5963(97)80047-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
From a critical review of the literature concerning African-American families' management and care of children having chronic illness, we concluded that information on culture-related experiences in such families remains seriously deficient. To present an accurate picture of African-American life as these families manage a child with a chronic illness, more comprehensive and detailed descriptions of family caregiving styles and other experiences are needed.
Collapse
Affiliation(s)
- Y M Sterling
- Louisiana State University Medical Center School of Nursing, Graduate Program, New Orleans 70112, USA
| | | | | |
Collapse
|
16
|
Zeltzer LK, Bush JP, Chen E, Riveral A. A psychobiologic approach to pediatric pain: Part 1. History, physiology, and assessment strategies. CURRENT PROBLEMS IN PEDIATRICS 1997; 27:225-53. [PMID: 9377897 DOI: 10.1016/s0045-9380(97)80025-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- L K Zeltzer
- University of California, Los Angeles School of Medicine, 90095-1752, USA
| | | | | | | |
Collapse
|
17
|
Brown RT. Introduction to the Special Series on Pain: Refuting Clinical Folklore. CHILDRENS HEALTH CARE 1996. [DOI: 10.1207/s15326888chc2504_1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|