Prospective Study of the Effectiveness of Coping in Pediatric Patients

  • Daniel Zehnder
  • Alice Prchal
  • Margarete Vollrath
  • Markus A. LandoltEmail author


Findings about the influence of coping on psychological adjustment in children with different medical conditions are inconsistent and often based on cross-sectional data. This prospective study evaluated the effect of various coping strategies on children’s post-traumatic stress symptoms and behavioral problems 1 month and 1 year after an accidental injury or the diagnosis of a chronic disease in 161 pediatric patients 6–15 years of age. Only minor positive effects of coping on psychosocial adjustment were found: Religious coping reduced post-traumatic stress symptoms. Active coping strategies had negative effects on internalizing and externalizing behavioral problems. Support seeking strategies, distraction, and avoidance had no impact on long-term psychosocial adjustment


coping chronic disease injury adjustment post-traumatic stress disorder behavior 


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Copyright information

© Springer Science+Business Media Inc 2005

Authors and Affiliations

  • Daniel Zehnder
    • 1
  • Alice Prchal
    • 1
  • Margarete Vollrath
    • 2
  • Markus A. Landolt
    • 1
    Email author
  1. 1.Department of Psychosomatics and PsychiatryUniversity Children’s Hospital ZurichZurichSwitzerland
  2. 2.Institute of PsychologyUniversity of OsloOsloNorway

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