Psychosocial Adjustment in Children With Kidney Disease

Objective: To examine family environment, levels of parenting stress, and child behavior problems in children with one of three kidney diseases compared to healthy children and to examine predictors of psychological distress in the full sample. Method: Parents of children with steroid sensitive neph...

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Bibliographic Details
Published in:Journal of pediatric psychology 2000-03, Vol.25 (2), p.93-103
Main Authors: Soliday, Elizabeth, Kool, Elizabeth, Lande, Marc B.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Biological and medical sciences
Child
Child Behavior - psychology
Child, Preschool
children
chronic illness
Depression - diagnosis
Family - psychology
family functioning
Female
Fundamental and applied biological sciences. Psychology
Humans
Illness and personality
Illness, stress and coping
Kidney Failure, Chronic - psychology
Kidney Transplantation - psychology
Male
nephrology
Nephrotic Syndrome - psychology
Parent-Child Relations
Prospective Studies
Psychology and medicine
Psychology, Child
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
psychosocial adjustment
Social Adjustment
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Summary:Objective: To examine family environment, levels of parenting stress, and child behavior problems in children with one of three kidney diseases compared to healthy children and to examine predictors of psychological distress in the full sample. Method: Parents of children with steroid sensitive nephrotic syndrome, chronic renal insufficiency, or kidney transplant (n = 41) were compared to 34 healthy children of similar demographic characteristics. Results: Mean scores on family functioning, parenting stress, and child behavior were within normal limits. Family environment variables significantly predicted child behavior and parenting stress for parents of ill and healthy children. Qualitative responses provided insight into developmentally specific stressors and intervention needs in the illness groups. Conclusions: These data indicate that long-term survivors of kidney disease function similarly to demographically matched peers and that the family environment may buffer stress caused by illness. Specific concerns raised by parents in the kidney disease groups indicate the need to appropriately assess and intervene with this understudied population.
ISSN:0146-8693
1465-735X
1465-735X
DOI:10.1093/jpepsy/25.2.93