Abstract
Information about ways to support children with Juvenile Rheumatic Diseases (JRDs) in school will help maximize their involvement in this setting. For this study, children with JRDs provided their views about the support they need from school nurses, teachers, classmates, friends and leaders of after school activities. Parents provided information about their child’s disease and about family functioning. Results indicated that positive family functioning was related to lower needs for support from school nurses, teachers, and classmates. Family functioning was not related to the support children needed from good friends. Receiving help during after school activities and school nurse availability were areas of concern for some children. Future studies should continue to assess needs for school support for adolescents, who may need more support at school due to a decreased reliance on family support.
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Notes
The name for the illness was provided by the children. Most of the children (22%) with related disorders knew the name of their chronic illness. These included dermatomyositis (n = 6), fibromyalgia (n = 2), familia mediterranean (n = 2), HLA-B27 (n = 1), lupus (n = 1), ankylosing spondylitis (n = 3), psortiatic arthritis (n = 2), and uveitis (n = 1). For the children with JIA, several did not specify the type (n = 18), most others had polyarticular JIA (n = 28), followed by pauciarticular (n = 8) and monoarticular (n = 1). Nine children reported that they did not know the name for their disease.
The How is School Survey is available from the first author.
References
Bearman, K. J., & La Greca, A. M. (2002). Assessing friend support of adolescents’ diabetes care: The Diabetes Social Support Questionnaire – Friends Version. Journal of Pediatric Psychology, 27, 417–428.
Bostock, J., & Freeman, J. (2003). “No limits”: Doing participatory action research with young people in Northumberland. Journal of Community and Applied Social Psychology, 13, 464–474.
Byles, J., Byrne, C., Boyle, M. H., & Offord, D. R. (1988). Ontario Child Health Study: Reliability and validity of the General Functioning subscale of the McMaster Family Assessment Device. Family Process, 27, 97–104.
Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster Family Assessment Device. Journal of Marital and Family Therapy, 9, 171–180.
Frank, R. G., Thayer, J. F., Hagglund, K. J., Vieth, A. Z., Schopp, L. H., Beck, N. C., et al. (1998). Trajectories of adaptation in pediatric chronic illness: The importance of the individual. Journal of Consulting and Clinical Psychology, 66, 521–532.
Helgeson, V. S., Janicki, D., Lerner, J., & Barbarin, O. (2003). Brief report: Adjustment to Juvenile Rheumatoid Arthritis: A family systems perspective. Journal of Pediatric Psychology, 28, 347–353.
Henwood, K., & Pidgeon, N. (2002). Grounded theory in psychological research. In P. M. Comic, J. E. Rhodes, & L. Yardley (Eds.), Qualitative research in psychology: Expanding perspectives in methodology and design (pp. 131–155). Washington, DC: American Psychological Association.
Kirby, P. (2002). Involving young people in research. In B. Franklin (Ed.): The policy and practice (pp. 268–284). New York: Routledge.
La Greca, A. M., Auslander, W. G., Greco, P., Spetter, D., Fisher, E. B., Jr., & Santiago, J. V. (1995). I get by with a little help from my family and friends: Adolescents support for diabetes care. Journal of Pediatric Psychology, 20, 449–476.
La Greca, A. M., & Bearman, K. J. (2002). The Diabetes Social Support Questionnaire – Family Version: Evaluating adolescents diabetes specific support from family members. Journal of Pediatric Psychology, 27, 665–676.
Lebovidge, J. S., Lavigne, J. V., & Miller, M. (2005). Adjustment to chronic arthritis of childhood: The roles of illness-related stress and attitude toward illness. Journal of Pediatric Psychology, 30, 273–286.
Lineker, S. C., Bradley, E. M., & Dalby, D. M. (1996). Unmet services needs of children with rheumatic diseases and their parents in a metropolitan area. Journal of Rheumatology, 23, 1054–1058.
Lovell, D. J., Athreya, B., Emery, H. M., Gibbas, D. L., Levinson, J. E., Lindsley, C. B., et al. (1990). School attendance and patterns, special services and special needs in pediatric patients with rheumatic diseases: Results of a multicenter study. Arthritis Care and Research, 3, 196–203.
Rapoff, M. A., McGrath, A. M., & Lindsey, C. B. (2003). Medical and psychosocial aspects of juvenile rheumatoid arthritis. In M. C. Roberts (Ed.), Handbook of Pediatric Psychology: Third Edition (pp. 392–408). New York: Guilford.
Reisine, S. T. (1995). Arthritis and the family. Arthritis Care and Research, 8, 265–271.
Sandstrom, M. J., & Schanberg, L. E. (2004). Brief report: Peer rejection, social behavior, and psychological adjustment in children with juvenile rheumatic disease. Journal of Pediatric Psychology, 29, 29–34.
Schanberg, L. E., Gil, K. M., Anthony, K. K., Yow, E., & Rochon, J. (2005). Pain, stiffness, and fatigue in Juvenile Polyarticular Arthritis. Arthritis and Rheumatism, 52, 1196–11204.
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
Taylor, J., Passo, M. H., & Champion, V. L. (1987). School problems and teacher responsibilities in Juvenile Rheumatoid Arthritis. Journal of School Health, 57, 186-190.
Timko, C., Stovel, K. W., Moos, R. H., & Miller, J. J., III (1992). A longitudinal study of risk and resistence factors among children with juvenile rheumatic disease. Journal of Clinical Child Psychology, 21, 132–142.
Varni, J. W., Thompson, K. L., & Hanson, V. (1987). The Varni/Thompson Pediatric Pain Questionnaire: I. Chronic musculoskeletal pain in juvenile rheumatoid arthritis. Pain, 28, 27–38.
von Weiss, R. T., Rapoff, M. A., Varni, J. W., Lindsley, C. B., Olson, N. Y., Madson, K. L., et al. (2002). Daily hassles and social support as predictors of adjustment in children with pediatric rheumatic disease. Journal of Pediatric Psychology, 27, 155–165.
Wagner, J. L., Chaney, J. M., Hommel, K. A., Page, M. C., Mullins, L. L., White, M. M., et al. (2003). The influence of parental distress on child depressive symptoms in Juvenile Rheumatic Diseases: The moderating effect of illness intrusiveness. Journal of Pediatric Psychology, 28, 453–463.
Whitehouse, R., Shope, J. T., Sullivan, D. B., & Kulik, C. (1989). Children with juvenile rheumatoid arthritis at school: Functional problems, participation in physical education: The implementation of Public Law 94-142. Clinical Pediatrics, 28, 509–514.
Acknowledgement
The authors would like to thank the Arthritis Foundation, Department of Psychology at the University of Cincinnati, and the Ohio Department of Mental Health for supporting this research. Moreover, the authors would like to thank Tiffany Nash, Heather Lehmkuhl, and Mark Petre for their help with data entry as well as their assistance with coding the children’s comments. Finally, the authors would like to thank the children and their families for completing study measures and would like to extend our warmest regards to the children and parents who helped us to develop this study.
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Nabors, L.A., Iobst, E.A., Weisman, J. et al. School Support and Functioning for Children with Juvenile Rheumatic Diseases. J Dev Phys Disabil 19, 81–89 (2007). https://doi.org/10.1007/s10882-007-9038-8
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DOI: https://doi.org/10.1007/s10882-007-9038-8