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Coping, Attributions, and Health Functioning Among Adolescents with Chronic Illness and Their Parents: Reciprocal Relations Over Time

  • Christina M. D’AngeloEmail author
  • Sylvie Mrug
  • Daniel Grossoehme
  • David C. Schwebel
  • Nina Reynolds
  • Kimberly Guion Reynolds
Article

Abstract

The purpose of the study was to identify bidirectional and longitudinal links between attributions, coping, and health functioning among adolescents with chronic illness and their parents. Religious/spiritual coping, attributional styles, and health functioning were assessed among adolescents with chronic illness at two time points approximately 21 months apart. Parental coping and attributions at both time points were also measured. Longitudinal links between variables were tested using an autoregressive cross-lagged path model; adolescent age and disease differences were evaluated via multigroup modeling. Poorer adolescent health functioning at baseline predicted higher use of parent optimistic attributional style at follow-up. Adolescent optimistic attributional style at baseline predicted more positive and less negative religious/spiritual coping at follow-up; adolescent negative religious/spiritual coping at baseline predicted more positive religious/spiritual coping at follow-up. Parent optimistic attributional style and positive religious/spiritual coping at baseline predicted the same constructs among adolescents at follow-up. With respect to age differences, parental negative religious/spiritual coping at baseline was associated with poorer health functioning among younger, but not older, adolescents at follow-up. There were no disease differences in the model. Important links were identified in this family-based model of coping, attributions, and health functioning. The results highlight specific targets for interventions to improve health functioning and coping among adolescents with chronic illness, including parental religious/spiritual coping and adolescent attributional style.

Keywords

Religious/spiritual coping Attributional style Adolescents Chronic illness Parents 

Notes

Acknowledgements

This work was supported in part by the National Science Foundation Graduate Research Fellowship (Grant Number 1450078) awarded to the first author.

Compliance with Ethical Standards

Conflict of interest

The authors Christina M. D’Angelo, Sylvie Mrug, Daniel Grossoehme, David C. Schwebel, Nina Reynolds, and Kimberly Guion Reynolds declare that they have no conflict of interest.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Benore, E., Pargament, K. I., & Pendleton, S. (2008). An initial examination of religious coping in children with asthma. International Journal for the Psychology of Religion, 18(4), 267–290.CrossRefGoogle Scholar
  2. Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of Abnormal Child Psychology, 36(5), 679–692.PubMedPubMedCentralCrossRefGoogle Scholar
  3. Cardella, L. A., & Friedlander, M. L. (2004). The relationship between religious coping and psychological distress in parents of children with cancer. Journal of Psychosocial Oncology, 22(1), 19–37.CrossRefGoogle Scholar
  4. Carpentier, M. Y., Mullins, L. L., Wolfe-Christensen, C., & Chaney, J. M. (2008). The relationship of parent self-focused negative attributions to ratings of parental overprotection, perceived child vulnerability, and parenting stress. Families, Systems, & Health, 26(2), 147–163.CrossRefGoogle Scholar
  5. Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., LaGrange, B., … Felton, J. W. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of Abnormal Psychology, 117(1), 16–31.PubMedCrossRefGoogle Scholar
  6. Connell, J. P. (1985). A new multidimensional measure of children’s perceptions of control. Child Development, 56(4), 1018–1041.PubMedCrossRefGoogle Scholar
  7. Cotton, S., Grossoehme, D., Rosenthal, S., McGrady, M., Roberts, Y., Hines, J., … Tsevat, J. (2009). Religious/spiritual coping in adolescents with sickle cell disease: A pilot study. Journal of Pediatric Hematology/Oncology, 31(5), 313–318.PubMedPubMedCentralCrossRefGoogle Scholar
  8. Cotton, S., Pargament, K. I., Weekes, J. C., McGrady, M. E., Grossoehme, D., Luberto, C. M., … Fitchett, G. (2013). Spiritual struggles, health-related quality of life, and mental health outcomes in urban adolescents with asthma. Research in the Social Scientific Study of Religion, 24, 259–280.CrossRefGoogle Scholar
  9. Cotton, S., Puchalski, C. M., Sherman, S. N., Mrus, J. M., Peterman, A. H., Feinberg, J., … Tsevat, J. (2006). Spirituality and religion in patients with HIV/AIDS. Journal of General Internal Medicine, 21, S5–S13.PubMedPubMedCentralCrossRefGoogle Scholar
  10. Cousino, M. K., & Hazen, R. A. (2013). Parenting stress among caregivers of children with chronic illness: A systematic review. Journal of Pediatric Psychology, 38(8), 809–828.PubMedCrossRefGoogle Scholar
  11. Gibb, B. E., Alloy, L. B., Walshaw, P. D., Comer, J. S., Shen, G. H. C., & Villari, A. G. (2006). Predictors of attributional style change in children. Journal of Abnormal Child Psychology, 34(3), 425–439.PubMedCrossRefGoogle Scholar
  12. Granger, D. A., Weisz, J. R., & Kauneckis, D. (1994). Neuroendocrine reactivity, internalizing behavior problems, and control-related cognitions in clinic-referred children and adolescents. Journal of Abnormal Psychology, 103(2), 267–276.PubMedCrossRefGoogle Scholar
  13. Grossoehme, D. H., & Fitchett, G. (2013). Testing the validity of a protocol to screen for spiritual struggle among parents of children with cystic fibrosis. Research in the Social Scientific Study of Religion, 24, 281–307.PubMedPubMedCentralCrossRefGoogle Scholar
  14. Grossoehme, D. H., Opipari-Arrigan, L., VanDyke, R., Thurmond, S., & Seid, M. (2012). Relationship of adherence determinants and parental spirituality in cystic fibrosis. Pediatric Pulmonology, 47(6), 558–566.PubMedCrossRefGoogle Scholar
  15. Grossoehme, D. H., Ragsdale, J. R., Snow, A., & Seid, M. (2012). We were chosen as a family: Parents’ evolving use of religion when their child has cystic fibrosis. Journal of Religion and Health, 51(4), 1347–1358.PubMedPubMedCentralCrossRefGoogle Scholar
  16. Grossoehme, D. H., Szczesniak, R., Dodd, C., & Opipari-Arrigan, L. (2014). Dyadic adjustment and spiritual activities in parents of children with cystic fibrosis. Religions, 5(2), 385–401.PubMedPubMedCentralCrossRefGoogle Scholar
  17. Grossoehme, D. H., Szczesniak, R., McPhail, G. L., & Seid, M. (2013). Is adolescents’ religious coping with cystic fibrosis associated with the rate of decline in pulmonary function?—A preliminary study. Journal of Health Care Chaplaincy, 19(1), 33–42.PubMedPubMedCentralCrossRefGoogle Scholar
  18. Grossoehme, D. H., Szczesniak, R. D., Britton, L. L., Siracusa, C. M., Quittner, A. L., Chini, B. A., … Seid, M. (2015). Adherence determinants in cystic fibrosis: Cluster analysis of parental psychosocial, religious, and/or spiritual factors. Ann Am Thorac Soc, 12(6), 838–846.PubMedPubMedCentralCrossRefGoogle Scholar
  19. Guion, K., & Mrug, S. (2012). The role of parental and adolescent attributions in adjustment of adolescents with chronic illness. Journal of Clinical Psychology in Medical Settings, 19(3), 262–269.PubMedCrossRefGoogle Scholar
  20. Hill, P. C., Pargament, K. I. I., Hood, R. W., McCullough, M. E. Jr., Swyers, J. P., Larson, D. B., & Zinnbauer, B. J. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30, 51–77.CrossRefGoogle Scholar
  21. Hilliard, M. E., Monaghan, M., Cogen, F. R., & Streisand, R. (2011). Parent stress and child behaviour among young children with type 1 diabetes. Child: Care, Health and Development, 37(2), 224–232.Google Scholar
  22. Meeus, W. (2016). Adolescent psychosocial development: A review of longitudinal models and research. Developmental Psychology, 52(12), 1969–1993.PubMedCrossRefGoogle Scholar
  23. Moreira, H., Carona, C., Silva, N., Frontini, R., Bullinger, M., & Canavarro, M. C. (2013). Psychological and quality of life outcomes in pediatric populations: A parent-child perspective. The Journal of Pediatrics, 163(5), 1471–1478.PubMedCrossRefGoogle Scholar
  24. Mullins, L. L., Chaney, J. M., Pace, T. M., & Hartman, V. L. (1997). Illness uncertainty, attributional style, and psychological adjustment in older adolescents and young adults with asthma. Journal of Pediatric Psychology, 22(6), 871–880.PubMedCrossRefGoogle Scholar
  25. Pargament, K., Feuille, M., & Burdzy, D. (2011). The Brief RCOPE: Current psychometric status of a short measure of religious coping. Religions, 2(4), 51–76.CrossRefGoogle Scholar
  26. Pargament, K. I. (2002). Is religion nothing but … Explaining religion versus explaining religion away. Psychological Inquiry, 13(3), 239–244.CrossRefGoogle Scholar
  27. Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56(4), 519–543.PubMedCrossRefGoogle Scholar
  28. Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37(4), 710–724.CrossRefGoogle Scholar
  29. Peterson, C., Semmel, A., Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6(3), 287–300.CrossRefGoogle Scholar
  30. Piderman, K. M., Breitkopf, C. R., Jenkins, S. M., Lapid, M. I., Kwete, G. M., Sytsma, T. T., … Jatoi, A. (2017). The impact of a spiritual legacy intervention in patients with brain cancers and other neurologic illnesses and their support persons. Psycho-Oncology, 26(3), 346–353.PubMedCrossRefGoogle Scholar
  31. Pinquart, M., & Shen, Y. (2011). Behavior problems in children and adolescents with chronic physical illness: A meta-analysis. Journal of Pediatric Psychology, 36(9), 1003–1016.PubMedCrossRefGoogle Scholar
  32. Plomin, R., Scheier, M. F., Bergeman, C. S., Pedersen, N. L., Nesselroade, J. R., & McClearn, G. E. (1992). Optimism, pessimism and mental health: A twin/adoption analysis. Personality and Individual Differences, 13(8), 921–930.CrossRefGoogle Scholar
  33. Reynolds, N., Mrug, S., Britton, L., Guion, K., Wolfe, K., & Guitierrez, H. (2014). Spiritual coping predicts 5-year health outcomes in adolescents with cystic fibrosis. Journal of Cystic Fibrosis, 13(5), 593–600.PubMedPubMedCentralCrossRefGoogle Scholar
  34. Reynolds, N., Mrug, S., & Guion, K. (2012). Spiritual coping and psychosocial adjustment of adolescents with chronic illness: The role of cognitive attributions, age, and disease group. Journal of Adolescent Health, 52(5), 559–565.PubMedCrossRefGoogle Scholar
  35. Reynolds, N., Mrug, S., Hensler, M., Guion, K., & Madan-Swain, A. (2014). Spiritual coping and adjustment in adolescents with chronic illness: A 2-year prospective study. Journal of Pediatric Psychology, 39(5), 542–551.PubMedCrossRefGoogle Scholar
  36. Roesch, S. C., & Weiner, B. (2001). A meta-analytic review of coping with illness: Do causal attributions matter? Journal of Psychosomatic Research, 50(4), 205–219.PubMedCrossRefGoogle Scholar
  37. Shaheen, F., & Alam, M. S. (2010). Psychological distress and its relation to attributional styles and coping strategies among adolescents. Journal of the Indian Academy of Applied Psychology, 36(2), 231–238.Google Scholar
  38. Spangenberg, J. J., & Lategan, T. P. (1993). Coping, androgyny, and attributional style. South African Journal of Psychology, 23(4), 195–203.CrossRefGoogle Scholar
  39. Steck, B., Amsler, F., Kappos, L., & Bürgin, D. (2001). Gender-specific differences in the process of coping in families with a parent affected by a chronic somatic disease (e.g. multiple sclerosis). Psychopathology, 34(5), 236–244.PubMedCrossRefGoogle Scholar
  40. Stevens, E. A., & Prinstein, M. J. (2005). Peer contagion of depressogenic attributional styles among adolescents: A longitudinal study. Journal of Abnormal Child Psychology, 33(1), 25–27.PubMedCrossRefGoogle Scholar
  41. Tarakeshwar, N., Pearce, M. J., & Sikkema, K. J. (2005). Development and implementation of a spiritual coping group intervention for adults living with HIV/AIDS: A pilot study. Mental Health, Religion & Culture, 8(3), 179–190.CrossRefGoogle Scholar
  42. Thompson, R. J. Jr., & Gustafson, K. E. (1996). Adaptation to chronic childhood illness. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  43. Turk, E., & Bry, B. H. (1992). Adolescents’ and parents’ explanatory styles and parents’ causal explanations about their adolescents. Cognitive Therapy and Research, 16(3), 349–357.CrossRefGoogle Scholar
  44. Varni, J. W., Limbers, C., & Burwinkle, T. M. (2007). Literature review: Health-related quality of life measurement in pediatric oncology: Hearing the voices of the children. Journal of Pediatric Psychology, 32(9), 1151–1163.PubMedCrossRefGoogle Scholar
  45. Weisz, J. R. (1986). Contingency and control beliefs as predictors of psychotherapy outcomes among children and adolescents. Journal of Consulting and Clinical Psychology, 54(6), 789–795.PubMedCrossRefGoogle Scholar
  46. Zelikovsky, N., Schast, A. P., & Jean-Francois, D. (2007). Parent stress and coping: Waiting for a child to receive a kidney transplant. Journal of Clinical Psychology in Medical Settings, 14(4), 320–329.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Division of Pulmonary MedicineCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  3. 3.Children’s Behavioral Health Ireland CenterChildren’s of AlabamaBirminghamUSA
  4. 4.Child Development and Rehabilitation CenterOregon Health and Science UniversityPortlandUSA

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