Psychosocial adjustment in children with kidney disease |
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Authors: | Soliday E Kool E Lande M B |
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Affiliation: | 1 Washington State University Vancouver, 2 Oregon Health Sciences University All correspondence should be sent to Elizabeth Soliday, Psychology and Human Development, Washington State University Vancouver, 14204 Salmon Creek Ave., Vancouver, Washington 98686. E-mail: soliday{at}vancouver.wsu.edu . |
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Abstract: | Objective: To examine family environment, levels of parentingstress, and child behavior problems in children with one ofthree kidney diseases compared to healthy children and to examinepredictors of psychological distress in the full sample. Method: Parents of children with steroid sensitive nephroticsyndrome, chronic renal insufficiency, or kidney transplant(n = 41) were compared to 34 healthy children of similar demographiccharacteristics. Results: Mean scores on family functioning, parenting stress,and child behavior were within normal limits. Family environmentvariables significantly predicted child behavior and parentingstress for parents of ill and healthy children. Qualitativeresponses provided insight into developmentally specific stressorsand intervention needs in the illness groups. Conclusions: These data indicate that long-term survivors ofkidney disease function similarly to demographically matchedpeers and that the family environment may buffer stress causedby illness. Specific concerns raised by parents in the kidneydisease groups indicate the need to appropriately assess andintervene with this understudied population. |
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Keywords: | chronic illness children family functioning nephrology psychosocial adjustment. |
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