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Children’s Coping with Chronic Illness

  • Wendy Kliewer
Part of the Issues in Clinical Child Psychology book series (ICCP)

Abstract

This chapter considers the impacts of chronic physical illness on children and adolescents. As with many of the stressors discussed in this volume, chronic illness is heterogeneous in nature. Chronic illnesses vary in their age of onset, age at diagnosis, the functional impairment involved, prognosis of the disease, treatment demands and regimen, visibility, amount of pain involved, cyclic or constant nature of the symptoms, and predictability and pain of symptoms. This chapter focuses on the most prevalent chronic diseases experienced by children and adolescents, as well as diseases that are less common but present significant coping challenges. Physical disabilities are excluded.

Keywords

Cystic Fibrosis Chronic Illness Spina Bifida Psychological Adjustment Juvenile Rheumatoid Arthritis 
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. Allen, K. D., Warzak, W. J., Greger, N. G., Bernotas, T. D., & Huseman, C. A. (1993). Psychosocial adjustment of children with isolated growth hormone deficiency. Children’s Health Care, 22, 61–72.CrossRefGoogle Scholar
  2. American Cancer Society. (1995). Cancer facts and figures. New York: American Cancer Society.Google Scholar
  3. Ayers, T. S., Sandler, I. N., West, S. G., & Roosa, M. (1996). A dispositional and situational assessment of children’s coping: Testing alternative models of coping. Journal of Personality, 64, 923–958.PubMedCrossRefGoogle Scholar
  4. Band, E. B., & Weisz, J. (1990). Developmental differences in primary and secondary control coping and adjustment to juvenile diabetes. Journal of Clinical Child Psychology. 19. 150–158.CrossRefGoogle Scholar
  5. Billings, A. G., Moos, R. H., Miller, J. J., & Gottlieb, J. E. (1987). Psychosocial adaptation in juvenile rheumatic disease: A controlled evaluation. Health Psychology, 6, 343–359.PubMedCrossRefGoogle Scholar
  6. Boardway, R. H., Delamater, A. M., Tomakowsky, J., & Gutai, J. P. (1993). Stress management training for adolescents with diabetes. Journal of Pediatric Psychology, 18, 29–45.PubMedCrossRefGoogle Scholar
  7. Boyce, W. T., Jensen, E. W., James, S. A., & Peacock, J. L. (1983). The family routines inventory: Theoretical origins. Social Science and Medicine, 17, 193–200.PubMedCrossRefGoogle Scholar
  8. Breslau, N. (1985). Psychiatric disorder in children with physical disabilities. Journal of the Academy of Child Psychiatry, 24, 87–94.CrossRefGoogle Scholar
  9. Brown, R. T., Armstrong, F. D., & Eckman, J. R. (1993). Neurocognitive aspects of pediatric sickle cell disease. Journal of Learning Disabilities, 26, 33–45.PubMedCrossRefGoogle Scholar
  10. Brown, R. T., & Madan-Swain, A. (1993). Cognitive, neuropsychological, and academic sequelae in children with leukemia. Journal of Learning Disabilities, 26, 74–90.PubMedCrossRefGoogle Scholar
  11. Butler, R. W., & Copeland, D. R. (1993). Neuropsychological effects of central nervous system prophylactic treatment in childhood leukemia: Methodological considerations. Journal of Pediatric Psychology, 18, 319–338.PubMedCrossRefGoogle Scholar
  12. Cadman, D., Boyle, M., Szatmari, P., & Offord, D. R. (1987). Chronic illness, disability, and mental and social well-being: Findings of the Ontario Child Health Study. Pediatrics, 79, 805–813.PubMedGoogle Scholar
  13. Celano, M. P., & Geller, R. J. (1993). Learning, school performance, and children with asthma: How much at risk? Journal of Learning Disabilities, 26, 23–32.PubMedCrossRefGoogle Scholar
  14. Cerreto, M. C., & Travis, L. B. (1984). Implications of psychological and family factors in the treatment of diabetes. Pediatric Clinics of North America, 31, 698–710.Google Scholar
  15. Cousens, P., Waters, B., Said, J., & Stevens, M. (1988). Cognitive effects of cranial irradiation in leukemia: A survey and meta-analysis. Journal of Child Psychology and Psychiatry, 29, 839–852.PubMedCrossRefGoogle Scholar
  16. Daltroy, L. H., Larson, M. G., Eaton, H. M., Partridge, A. J., Pless, I. B., Rogers, M. P., & Liang, M. H. (1992). Psychosocial adjustment in juvenile arthritis. Journal of Pediatric Psychology, 17, 277–289.PubMedCrossRefGoogle Scholar
  17. Delamater, A. M. (1992). Stress, coping, and metabolic control among youngsters with diabetes. In A. M. LaGreca, L. J. Siegel, J. L. Wallander, & C. E. Walker (Eds.), Stress and coping in child health (pp. 191–211). New York: Guilford.Google Scholar
  18. Delamater, A. M., Smith, J. A., Lankester, L., & Santiago, J. V. (1988). Relationship of coping responses to metabolic control in diabetic adolescents. Paper presented at the First Florida Conference on Child Health Psychology, Gainesville.Google Scholar
  19. Drotar, D., & Bush, M. (1985). Mental health issues and services. In N. Hobbs & J. M. Perrin (Eds.), Issues in the care of children with chronic illness (pp. 514–550). San Francisco: Jossey-Bass.Google Scholar
  20. Ebata, A. T., & Moos, R. H. (1991). Coping and adjustment in distressed and healthy adolescents. Journal of Applied Developmental Psychology, 12, 33–54.CrossRefGoogle Scholar
  21. Eiser, C. (1990). Psychological effects of chronic disease. Journal of Child Psychology and Psychiatry, 31, 85–98.PubMedCrossRefGoogle Scholar
  22. Eiser, C. (1994). Making sense of chronic disease: The 11th Jack Tizard Memorial Lecture. Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1373–1389.CrossRefGoogle Scholar
  23. Erikson, E. H. (1963). Childhood and society (2nd ed.). New York: Norton.Google Scholar
  24. Erikson, E. H. (1968). Identity: Youth and crisis. New York: Norton.Google Scholar
  25. Fiese, B. H., & Sameroff, A. J. (1989). Family context in pediatric psychology. Journal of Pediatric Psychology, 14, 293–314.PubMedCrossRefGoogle Scholar
  26. Garralda, M. E., Jameson, R. A., Reynolds, J. M., & Postlethwaite, R. J. (1988). Psychiatric adjustment in children with chronic renal failure. Journal of Child Psychology and Psychiatry, 29, 79–90.PubMedCrossRefGoogle Scholar
  27. Garrison, W. T., & McQuiston, S. (1989). Chronic illness during childhood and adolescence. Psychological aspects (Developmental Clinical Psychology and Psychiatry, Vol. 19). Newbury Park, CA: Sage.Google Scholar
  28. Glasgow, R. E., & Anderson, B. J. (1995). Future directions for research on pediatric chronic disease management: Lessons from diabetes. Journal of Pediatric Psychology, 20, 389–402.PubMedCrossRefGoogle Scholar
  29. Gortmaker, S. L., & Sappenfield, W. (1984). Chronic childhood disorders: Prevalence and impact. Pediatric Clinics of North America, 31, 3–18.PubMedGoogle Scholar
  30. Grey, M., Cameron, E., & Thurber, F. W. (1991). Coping and adaptation in children with diabetes. Nursing Research, 40, 144–149.PubMedCrossRefGoogle Scholar
  31. Grotevant, H., & Cooper, C. (1986). Individuation in family relationships: A perspective on individual differences in the development of role-taking skill in adolescence. Human Development, 29, 82–100.CrossRefGoogle Scholar
  32. Hamlett, K. W., Pellegrini, D. S., & Katz, K. S. (1992). Childhood chronic illness as a family stressor. Journal of Pediatric Psychology, 17, 33–47.PubMedCrossRefGoogle Scholar
  33. Hanson, C. L. (1992). Developing systemic models of the adaptation of youths with diabetes. In A. M. LaGreca, L. J. Siegel, J. L. Wallander, & C. E. Walker (Eds.), Stress and coping in child health (pp. 212–241). New York: Guilford.Google Scholar
  34. Hanson, C. L., Cigrang, J. A., Harris, M. A., Carle, D. L., Relyea, G., & Burghen, G. A. (1989). Coping styles in youths with insulin-dependent diabetes mellitus. Journal of Consulting and Clinical Psychology, 57, 644–651.PubMedCrossRefGoogle Scholar
  35. Hanson, C. L., DeGuire, M. J., Schinkel, A. M., Henggeler, S. W., & Burghen, G. A. (1992). Comparing social learning and family systems correlates of adaptation in youths with IDDM. Journal of Pediatric Psychology, 17, 555–572.PubMedCrossRefGoogle Scholar
  36. Hanson, C. L., Henggeler, S. W., Harris, M. A., Burghen, G. A., & Moore, M. (1989). Family system variables and the health status of adolescents with IDDM. Health Psychology, 8, 239–253.PubMedCrossRefGoogle Scholar
  37. Hartup, W. W. (1989). Social relationships and their developmental significance. American Psychologist, 44, 120–126.CrossRefGoogle Scholar
  38. Hauser, S. T., Jacobson, A. M., Lavori, P., & Wolfsdorf, J. I. (1990). Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: II. Immediate and long-term linkages with the family milieu. Journal of Pediatric Psychology, 15, 527–542.PubMedCrossRefGoogle Scholar
  39. Hauser, S. T., Jacobson, A. M., Wertlieb, D., Weiss-Perry, B., Follansbee, D., Wolfsdorf, J. I., Herskowitz, R. D., Houlihan, J., & Rajapark, D. C. (1986). Children with recently diagnosed diabetes: Interactions with their families. Health Psychology, 5, 273–296.PubMedCrossRefGoogle Scholar
  40. Hauser, S. T., Pollets, D., Turner, B., Jacobson, A., Powers, S., & Noam, G. (1979). Ego development and self-esteem in diabetic adolescents. Diabetes Care, 2, 465–471.Google Scholar
  41. Jacobson, A. M., Hauser, S. T., Lavori, P., & Wolfsdorf, J. (1990). Adherence among children and adolescents with insulin-dependent diabetes mellitus over a four-year longitudinal follow-up: I. The influence of patient coping and adjustment. Journal of Pediatric Psychology, 15, 511–526.PubMedCrossRefGoogle Scholar
  42. Jessop, D. J., & Stein, R. E. (1983). A noncategorical approach to psychosocial research. Journal of Psychosocial Oncology, 1, 61–64.CrossRefGoogle Scholar
  43. Jessop, D. J., & Stein, R. E. (1985). Uncertainty and its relation to the psychological and social correlates of chronic illness in children. Social Science andMedicine, 20, 993–999.Google Scholar
  44. Jessop, D. J., & Stein, R. E. (1994). Providing comprehensive health care to children with chronic illness. Pediatrics, 93, 602–607.PubMedGoogle Scholar
  45. Johnson, S. B. (1988). Psychological aspects of childhood diabetes. Journal of Child Psychology and Psychiatry, 29, 729–738.PubMedCrossRefGoogle Scholar
  46. Kager, V. A., & Holden, E. W. (1992). Preliminary investigation of the direct and moderating effects of family and individual variables on the adjustment of children and adolescents with diabetes. Journal of Pediatric Psychology, 17, 491–502.PubMedCrossRefGoogle Scholar
  47. Kaplan, S. L., Busner, J., Weinhold, C., & Lenon, P. (1987). Depressive symptoms in children and adolescents with cancer: A longitudinal study. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 782–787.PubMedCrossRefGoogle Scholar
  48. Kashani, J. H., Koenig, P., Shepperd, J. A., Wilfley, D., & Morris, D. A. (1988). Psychopathology and self-concept in asthmatic children. Journal of Pediatric Psychology, 13, 509–520.PubMedCrossRefGoogle Scholar
  49. Kazak, A. E., & Meadows, A. T. (1989). Families of young adolescents who have survived cancer: Social-emotional adjustment, adaptability, and social support. Journal of Pediatric Psychology, 14, 175–191.PubMedCrossRefGoogle Scholar
  50. Kliewer, W., & Lewis, H. (1995). Family influences on coping processes in children and adolescents with sickle cell disease. Journal of Pediatric Psychology, 20, 511–525.PubMedCrossRefGoogle Scholar
  51. Kliewer, W., Sandler, I. N., & Wolchik, S. (1994). Family socialization of threat appraisal and coping: Coaching, modeling, and family context. In K. Hurrelmann & F. Festmann (Eds.), Social networks and social support in childhood and adolescence (pp. 271–291). Berlin: Walter de Gruyter.Google Scholar
  52. Koocher, G. P. (1984). Terminal care and survivorship in pediatric chronic illness. Clinical Psychology Review, 4, 571–583.CrossRefGoogle Scholar
  53. Koocher, G. G. P., & O’Malley, J. E. (1981). The Damocles syndrome: Psychological consequences of surviving childhood cancer. New York: McGraw-Hill.Google Scholar
  54. Korsch, B. M., & Fine, R. (1985). Chronic kidney disease. In N. Hobbs & J. M. Perrin (Eds.), Issues in the care of children with chronic illness (pp. 282–298). San Francisco: Jossey-Bass.Google Scholar
  55. Kubly, L. S., & McClellan, M. S. (1984). Effects of self-care instruction on asthmatic children. Issues in Comprehensive Pediatric Nursing, 7, 121–130.PubMedCrossRefGoogle Scholar
  56. LaGreca, A. M., & Varni, J. W. (1993). Editorial: Interventions in pediatric psychology: A look toward the future. Journal of Pediatric Psychology, 18, 667–679.CrossRefGoogle Scholar
  57. Lavigne, J. V., & Faier-Routman, J. (1992). Psychological adjustment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 18, 133–157.CrossRefGoogle Scholar
  58. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  59. Lemanek, K. L., Moore, S. L., Gresham, F. M., Williamson, D. A., & Kelley, M. L. (1986). Psychological adjustment of children with sickle cell anemia. Journal of Pediatric Psychology, 11, 397–426.PubMedCrossRefGoogle Scholar
  60. Lewis, H., & Kliewer, W. (1996). Hope, coping, and psychological and physical adjustment among children with sickle cell disease: Tests of mediator and moderator models. Journal of Pediatric Psychology, 21, 25–41.PubMedCrossRefGoogle Scholar
  61. Mason, P. J., Olson, R. A., Myers, J. G., Huszti, H. C., & Kenning, M. (1992). AIDS and hemophilia: Implications for interventions with families. In M. C. Roberts & J. L. Wallander (Eds.), Family issues in pediatric psychology (pp. 95–109). Hillsdale, NJ: Erlbaum.Google Scholar
  62. McAnarney, E. R. (1985). Social maturation. A challenge for handicapped and chronically ill adolescents. Journal of Adolescent Health Care, 6, 90–101.PubMedCrossRefGoogle Scholar
  63. McCracken, M. J. (1984). Cystic fibrosis in adolescence. In R. Blum (Ed.), Chronic illness and disabilities in childhood and adolescence (pp. 397–427). New York: Grune & Stratton.Google Scholar
  64. Moos, R. H., & Billings, A. G. (1982). Conceptualizing and measuring coping resources and processes. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects (pp. 212–230). New York: Free Press.Google Scholar
  65. Mrazek, D., Anderson, I., & Strunk, R. (1985). Disturbed emotional development of severely asthmatic pre-school children. In J. E. Stevenson (Ed.), Recent research in developmental psychopathology (pp. 81–93). Oxford: Pergamon.Google Scholar
  66. Mulhern, R. K., Carpentieri, S., Shema, S., Stone, P., & Fairclough, D. (1993). Factors associated with social and behavioral problems among children recently diagnosed with brain tumor. Journal of Pediatric Psychology, 18, 339–350.PubMedCrossRefGoogle Scholar
  67. Murch, R. L., & Cohen, L. H. (1989). Relationships among life stress, perceived family environment, and the psychological distress of spina bifida adolescents. Journal of Pediatric Psychology, 14, 193–214.PubMedCrossRefGoogle Scholar
  68. Newacheck, P. A., & Stoddard, J. J. (1994). Prevalence and impact of multiple childhood chronic illnesses. Journal of Pediatrics, 124, 40–48.PubMedCrossRefGoogle Scholar
  69. Newacheck, P. A., & Taylor, W. R. (1992). Childhood chronic illness: Prevalence, severity, and impact. American Journal of Public Health, 82, 364–371.PubMedCrossRefGoogle Scholar
  70. Noll, R. B., Bukowski, W. M., Davies, W. H., Koontz, K., & Kulkarni, R. (1993). Adjustment in the peer system of adolescents with cancer: A two-year study. Journal of Pediatric Psychology, 18, 351–364.PubMedCrossRefGoogle Scholar
  71. Noll, R. B., Ris, M. D., Davies, W. H., Bukowski, W. M., & Koontz, K. (1992). Social interactions between children with cancer or sickle cell disease and their peers: Teacher ratings. Journal of Developmental and Behavioral Pediatrics, 13, 187–193.PubMedCrossRefGoogle Scholar
  72. Perrin, E. C., Ayoub, C. C., & Willett, J. B. (1993). In the eyes of the beholder: Family and maternal influences on perceptions of adjustment of children with a chronic illness. Developmental and Behavioral Pediatrics, 14, 94–105.CrossRefGoogle Scholar
  73. Piaget, J. (1952). The origins of intelligence in children. New York: International Universities Press.CrossRefGoogle Scholar
  74. Pumariega, A. J., Pearson, D. A., & Seilheimer, D. K. (1993). Family and childhood adjustment in cystic fibrosis. Journal of Child and Family Studies, 2, 109–118.CrossRefGoogle Scholar
  75. Quittner, A. L., DiGirolamo, A. M., Michel, M., & Eigen, H. (1992). Parental response to cystic fibrosis: A contextual analysis of the diagnosis phase. Journal ofPediatricPsychology, 17, 683–704.Google Scholar
  76. Ross, C. K., Lavigne, J. V., Hayford, J. R., Berry, S. L., Sinacore, J. M., & Pachman, L. M. (1993). Psychological factors affecting reported pain in juvenile rheumatoid arthritis. Journal of Pediatric Psychology, 18, 561–573.PubMedCrossRefGoogle Scholar
  77. Rovet, J. F., Ehrlich, R. M., Czuchta, D., & Akler, M. (1993). Psychoeducational characteristics of children and adolescents with insulin-dependent diabetes mellitus. Journal of Learning Disabilities, 26, 7–22.PubMedCrossRefGoogle Scholar
  78. Sanders, M. R., Shepherd, R. W., Cleghorn, G., & Woolford, H. (1994). The treatment of recurrent abdominal pain in children: A controlled comparison of cognitive-behavioral family intervention and standard pediatric care. Journal of Consulting and Clinical Psychology, 62, 306–314.PubMedCrossRefGoogle Scholar
  79. Satin, W., LaGreca, A. M., Zigo, M. Z., & Skyler, J. S. (1989). Diabetes in adolescence: Effects of multifamily group intervention and parent simulation of diabetes. Journal of Pediatric Psychology, 14, 259–275.PubMedCrossRefGoogle Scholar
  80. Silver, E. J., Coupey, S. M., & Bauman, L. J. (1992). Effects of a peer counseling training intervention on psychological functioning of adolescents. Journal of Adolescent Research, 7, 110–128.CrossRefGoogle Scholar
  81. Stein, R. E., & Jessop, D. J. (1982). A noncategorical approach to chronic childhood illness. Public Health Reports, 97, 354–362.PubMedGoogle Scholar
  82. Stein, R. E., & Jessop, D. J. (1989). What diagnosis does not tell: The case for a noncategorical approach to chronic illness in childhood. Social Science and Medicine, 29, 769–778.PubMedCrossRefGoogle Scholar
  83. Stein, R. E., Jessop, D. J., & Ireys, H. T. (1988). Prevention of emotional problems in children with chronic illness and their families. In L. A. Bond & B. M. Wagner (Eds.), Families in transition: Primary prevention programs that work (pp. 286–308). Newbury Park, CA: Sage.Google Scholar
  84. Sullivan, B. J. (1978). Self-esteem and depression in adolescent diabetic girls. Diabetes Care, 1, 18–22.PubMedCrossRefGoogle Scholar
  85. Tew, B., & Laurence, K. (1985). Possible personality problems among 10-year old spina bifida children. Child: Care, Health, and Development, 11, 375–390.CrossRefGoogle Scholar
  86. Thompson, R. J., Jr. (1985). Coping with the stress of chronic illness. In A. N. O’Quinn (Ed.), Management of chronic disorders of childhood (pp. 11–41). Boston: G. K. Hall.Google Scholar
  87. Thompson, R. J., Gil, K. M., Burbach, D. J., Keith, B. R., & Kinney, T. R. (1993). Role of child and maternal processes in the psychological adjustment of children with sickle cell disease. Journal of Consulting and Clinical Psychology, 61, 468–474.PubMedCrossRefGoogle Scholar
  88. Thompson, R. J., Gustafson, K. E., Hamlett, K. W., & Spock, A. (1992). Psychological adjustment of children with cystic fibrosis: The role of child cognitive processes and maternal adjustment. Journal of Pediatric Psychology, 17, 741–755.PubMedCrossRefGoogle Scholar
  89. Thompson, R. J., Hodges, K., & Hamlett, K. W. (1990). A matched comparison of adjustment in children with cystic fibrosis and psychiatrically referred and nonreferred children. Journal of Pediatric Psychology, 15, 745–759.PubMedCrossRefGoogle Scholar
  90. Ungerer, J., Horgan, B., Chaitow, J., & Champion, J. B. (1988). Psychosocial functioning in children and young adults with juvenile arthritis. Journal of Pediatrics, 81, 195–202.Google Scholar
  91. Varni, J. W., Katz, E. R., Colegrove, R., Jr., & Dolgin, M. (1993). The impact of social skills training on the adjustment of children with newly diagnosed cancer. Journal of Pediatric Psychology, 18, 751–767.PubMedCrossRefGoogle Scholar
  92. Varni, J. W., Katz, E. R., Colegrove, R., & Dolgin, M. (1994). Perceived social support and adjustment of children with newly diagnosed cancer. Developmental and Behavioral Pediatrics, 15, 20–26.CrossRefGoogle Scholar
  93. Walker, L. S., Van Slyke, D. A., & Newbrough, J. R. (1992). Family resources and stress: A comparison of families of children with cystic fibrosis, diabetes, and mental retardation. Journal of Pediatric Psychology, 17, 327–343.PubMedCrossRefGoogle Scholar
  94. Wallander, J. L., Varni, J. W., Babani, L. V., Banis, H. T., & Wilcox, K. T. (1989). Family resources as resistance factors for psychological maladjustment in chronically ill and handicapped children. Journal of Pediatric Psychology, 14, 157–173.PubMedCrossRefGoogle Scholar
  95. Weist, M. D., Finney, J. W., Barnard, M. U., Davis, C. D., & Mendick, T. H. (1993). Empirical selection of psychosocial treatment targets for children and adolescents with diabetes. Journal of Pediatric Psychology, 18, 11–28.PubMedCrossRefGoogle Scholar
  96. Weisz, J. R., Rothbaum, F. M., & Blackburn, T. C. (1984). Standing out and standing in: The psychology of control in American and Japan. American Psychologist, 39, 955–969.CrossRefGoogle Scholar
  97. Wertlieb, D., Hauser, S. T., & Jacobson, A. M. (1986). Adaptation to diabetes: Behavior symptoms and family context. Journal of Pediatric Psychology, 11, 463–479.PubMedCrossRefGoogle Scholar
  98. Wertlieb, D. L., Jacobson, A. M., & Hauser, S. T. (1990). The child with diabetes: A developmental stress and coping perspective. In P. T. Costa Jr. & G. R. VandenBos (Eds.), Psychological aspects of serious illness: Chronic conditions, fatal diseases, and clinical care (pp. 65–101). Washington, DC: American Psychological Association.Google Scholar
  99. Wilson, S. R., Mitchell, J. H., Rolnick, S., & Fish, L. (1993). Effective and ineffective management behaviors of parents of infants and young children with asthma. Journal of Pediatric Psychology, 18, 63–81.PubMedCrossRefGoogle Scholar
  100. Worshel, F. F., Nolan, B. F., Willson, V. L., Purser, J. S., Copeland, D. R., & Pfefferbaum, B. (1988). Assessment of depression in children with cancer. Journal of Pediatric Psychology, 13, 101–112.CrossRefGoogle Scholar
  101. Wysocki, T. (1993). Associations among teen—parent relationships, metabolic control, and adjustment to diabetes in adolescents. Journal of Pediatric Psychology, 18, 441–452.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Wendy Kliewer
    • 1
  1. 1.Department of PsychologyVirginia Commonwealth UniversityRichmondUSA

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