Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parents

Pakenham, KI and Bursnall, S (2006) Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parents. Clinical Rehabilitation, 20 8: 709-723. doi:10.1191/0269215506cre976oa


Author Pakenham, KI
Bursnall, S
Title Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parents
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
Publication date 2006-01-01
Year available 2006
Sub-type Article (original research)
DOI 10.1191/0269215506cre976oa
Open Access Status Not yet assessed
Volume 20
Issue 8
Start page 709
End page 723
Total pages 15
Editor D.T. Wade
Place of publication London
Publisher Sage Publications Ltd
Language eng
Subject C1
380107 Health, Clinical and Counselling Psychology
730219 Behaviour and health
Abstract Objective: To examine adjustment in children of a parent with multiple sclerosis within a stress and coping framework and compare them with those who have 'healthy' parents. Subjects: A total of 193 participants between 10 and 25 years completed questionnaires; 48 youngsters who had a parent with multiple sclerosis and 145 youngsters who reported that they did not have a parent with an illness or disability. Method: A questionnaire survey methodology was used. Variable sets included caregiving context (e.g. additional parental illness, family responsibilities, parental functional impairment, choice in helping), social support (network size, satisfaction), stress appraisal, coping (problem solving, seeking support, acceptance, wishful thinking, denial), and positive (life satisfaction, positive affect, benefits) and negative (distress, health) adjustment outcomes. Results: Caregiving context variables significantly correlated with poorer adjustment in children of a parent with multiple sclerosis included additional parental illness, higher family responsibilities, parental functional impairment and unpredictability of the parent's multiple sclerosis, and less choice in helping. As predicted, better adjustment in children of a parent with multiple sclerosis was related to higher levels of social support, lower stress appraisals, greater reliance on approach coping strategies (problem solving, seeking support and acceptance) and less reliance on avoidant coping (wishful thinking and denial). Compared with children of 'healthy' parents, children of a parent with multiple sclerosis reported greater family responsibilities, less reliance on problem solving and seeking social support coping, higher somatization and lower life satisfaction and positive affect. Conclusions: Findings delineate the key impacts of young caregiving and support a stress and coping model of adjustment in children of a parent with multiple sclerosis.
Keyword Rehabilitation
Mental-health
Adjustment
Carers
Impact
Adolescents
Strategies
Responses
Stress
Ms
Q-Index Code C1
Institutional Status UQ

 
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Created: Wed, 15 Aug 2007, 19:10:30 EST