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Journal of Abnormal Child Psychology

, Volume 13, Issue 2, pp 199–214 | Cite as

Psychological disturbance in children with physical disabilities: Continuity and change in a 5-year follow-up

  • Naomi Breslau
  • Iris A. Marshall
Article

Abstract

This study measures continuity in behavioral disturbance over a 5-year period among 255 children with physical disabilities who were 6 to 18 years old at first assessment. The pattern of the results differed from that reported previously for a sample of the general population of children. Disabled children showed little stability in aggression, an area in which stability over time had been consistently reported for the general child population. Furthermore, important differences were observed between children with cystic fibrosis and children with cerebral palsy, myelodysplasia, or multiple physical handicaps, all conditions involving brain abnormality. Children with cystic fibrosis followed the trend toward better adjustment seen among the general population of children. In contrast, among children with conditions involving the brain, the majority of those who had been classified as psychologically severely impaired remained at this level of impairment 5 years later. In two behavioral domains, Mentation Problems and Isolation, children with conditions involving the brain maintained, on the average, the same markedly high score they had initially. Among children with physical conditions involving the brain, Mentation Problems and Isolation signify persistent problems that do not subside as the children mature.

Keywords

General Population Physical Condition Cystic Fibrosis Cerebral Palsy Physical Disability 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Breslau, N. (1983). The psychological study of chronically ill and disabled children: Are healthy siblings appropriate controls?Journal of Abnormal Child Psychology, 3, 379–391.Google Scholar
  2. Breslau, N. (1985). Psychiatric disorder in children with disabilities.Journal of the American Academy of Child Psychiatry, 24, 87–94.Google Scholar
  3. Breslau, N., Weitzman, M., & Messenger, K. (1981)). Psychologic functioning of siblings of disabled children.Pediatrics, 67, 344–353.Google Scholar
  4. Cohen, J., & Cohen P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, New Jersey: Erlbaum.Google Scholar
  5. Gersten, J. C. (1979). The role of historical change in the development of types of behavioral disturbance. In R. G. Simmons (Ed.),Research in the community and mental health (Vol. 1, pp. 156–163). Greenwich, Connecticut: Jai Press.Google Scholar
  6. Gersten, J. C., Langner, T. S., Eisenberg, J. G., & Simcha-Fagan. O. (1975). Spontaneous recovery and incidence of psychological disorder in urban children.Psychiatry Digest, August, 35–43.Google Scholar
  7. Gersten, J. C., Langner, T. S., Eisenberg, J. G., Simcha-Fagan, O., & McCarthy, E. D. (1976). Stability and change in types of behavioral disturbance of children and adolescents.Journal of Abnormal Child Psychology, 4, 11–127.Google Scholar
  8. Gould, M. S., Wunsch-Hitzig, R., & Dohrenwend, B. P. (1980). Formulation of hypotheses about the prevalence, treatment and prognostic significance of psychiatric disorders in children in the United States. In B. P. Dohrenwend, B. S. Dohrenwend, M. S. Gould, B. Link, R. Neugebauer, & R. Winsch-Hitzig (Eds.),Mental illness in the United States: Epidemiological estimates. New York: Praeger.Google Scholar
  9. Langner, T. S., Gersten, J. C., Greene, E. L., Eisenberg, J. G., Herson, J. H., & McCarthy, E. D. (1974). Treatment of psychological disorders among urban children.Journal of Consulting and Clinical Psychology, 42, 170–179.Google Scholar
  10. Langner, T. S., Gersten, J. C., McCarthy, E. D., & Eisenberg, J. G. (1976). A screening inventory for assessing psychiatric impairment in children 6 to 18.Journal of Consulting and Clinical Psychology, 44, 286–296.Google Scholar
  11. Reid, A. H. (1982).The psychiatry of mental handicap. Boston: Blackwell Scientific Publications.Google Scholar
  12. Robins, L. N. (1966).Deviant children grown up. Baltimore: The Williams and Wilkins Co.Google Scholar
  13. Robins, L. N. (1983). Continuities and discontinuities in the psychiatric disorders of children. In D. Mechanic (Ed.),Handbook of health, health care and the health professions (pp. 195–219). New York: Free Press.Google Scholar
  14. Rutter, M., Graham, P., & Yule, W. (1970).A neuropsychiatrie study in childhood. London: Lavenham Press.Google Scholar
  15. Rutter, M., Tizard, J., & Whitmore, K. (1970).Education, health and behavior. London: Longmans, Green.Google Scholar
  16. Rutter, M., Tizard, J., Yule, W., Graham, P., & Whitmore, K. (1976). Isle of Wight studies, 1964–1974.Psychological Medicine, 6, 313–332.Google Scholar
  17. Schaie, K.W. (1970). A reinterpretation of age-related changes in cognitive structure and functioning. In L. R. Goulet & P. B. Baltes (Eds.),Life-span developmental psychology: Research and theory. New York: Academic Press.Google Scholar
  18. Seidel, U. P., Chadwick, O. F. D., & Rutter, M. (1975). Psychological disorders in crippled children. A comparative stufy of children with and without brain damage.Developmental Medicine and Child Neurology, 17, 563–573.Google Scholar
  19. Wing, L., & Gould, J. (1979). Severe impairments of social interaciton and associated abnormalities in children: Epidemiology and classification.Journal of Autism and Developmental Disorders, 9, 11–29.Google Scholar

Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Naomi Breslau
    • 1
  • Iris A. Marshall
    • 1
  1. 1.Department of Foundation Psychiatry, School of MedicineCase Western Reserve UniversityCleveland

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