Journal of Behavioral Medicine

, Volume 16, Issue 6, pp 571–588 | Cite as

Parental risk and resistance factors among children with juvenile rheumatic disease: A four-year predictive study

  • Christine Timko
  • Martha Baumgartner
  • Rudolf H. Moos
  • John J. MillerIII


Examined the extent to which baseline functioning and parental risk and resistance factors predicted disease-related (functional disability and pain) and psychosocial functioning (social competence and behavior problems) 4 years later among 172 children with juvenile rheumatic disease. The study also examined the extent to which fathers' risk and resistance factors explained patients' adaptation, above and beyond maternal factors. Poorer baseline functioning was a strong risk factor that predicted poorer functioning 4 years later. In addition, parental risk and resistance factors at baseline predicted patients' adjustment after patients' age and baseline functioning were controlled. Mothers' and fathers' personal strain and depressed mood, and fathers' drinking problems, were associated with poorer patient adjustment; mothers' and fathers' social functioning appeared to aid patients' adjustment. Fathers' risk and resistance factors contributed independently from those of mother, to predict patients' outcomes.

Key words

childhood chronic illness juvenile rheumatic disease disability pain psychosocial adaptation 


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Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Christine Timko
    • 1
  • Martha Baumgartner
    • 1
  • Rudolf H. Moos
    • 1
  • John J. MillerIII
    • 2
  1. 1.Department of Veterans Affairs and Stanford University Medical CentersPalo Alto
  2. 2.Children's Hospital at StanfordStanford

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