Parental response to cystic fibrosis: A contextual analysis of the diagnosis phase

Alexandra Quittner, A. M. DiGirolamo, M. Michel, H. Eigen

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

A contextual framework guided the measurement of specific stressors encountered by parents of children recently diagnosed with cystic fibrosis (CF). Three variables were assessed within the context of the parenting role: illness-specific tasks, normal parenting tasks, and strains in family roles. These situation-specific stressors were contrasted with global measures of parenting stress in their ability to predict depression. Sixty-four parents (36 mothers, 28 fathers) of infants and toddlers recently diagnosed with CF completed a structured interview and standardized measures in the home. Parents reported elevations in both situation-specific and global parenting stress, and a greater number of depressive symptoms than a norm group. Mothers reported significantly greater strain in managing their caregiving role and higher levels of depression than fathers. Controlling for situation-specific parenting stress and marital satisfaction, regression analyses indicated that role strain related to CF was associated with greater depression in mothers, but not fathers. Furthermore, stressors measured contextually rather than globally accounted for substantially greater proportions of the variance in depression. The findings highlight the need to measure ongoing strains specific to the medical condition, and to assess role-related changes.

Original languageEnglish
Pages (from-to)683-704
Number of pages22
JournalJournal of Pediatric Psychology
Volume17
Issue number6
StatePublished - Dec 1 1992
Externally publishedYes

Fingerprint

Fibrosis
Parenting
Cystic Fibrosis
Depression
Fathers
Parents
Mothers
Aptitude
Proportion
Regression
Norm
Predict
Regression Analysis
Cystic fibrosis
Contextual analysis
Interviews
Stressors

ASJC Scopus subject areas

  • Psychology(all)
  • Developmental and Educational Psychology
  • Statistics, Probability and Uncertainty
  • Applied Mathematics
  • Genetics(clinical)
  • Biotechnology
  • Pediatrics, Perinatology, and Child Health

Cite this

Quittner, A., DiGirolamo, A. M., Michel, M., & Eigen, H. (1992). Parental response to cystic fibrosis: A contextual analysis of the diagnosis phase. Journal of Pediatric Psychology, 17(6), 683-704.

Parental response to cystic fibrosis : A contextual analysis of the diagnosis phase. / Quittner, Alexandra; DiGirolamo, A. M.; Michel, M.; Eigen, H.

In: Journal of Pediatric Psychology, Vol. 17, No. 6, 01.12.1992, p. 683-704.

Research output: Contribution to journalArticle

Quittner, A, DiGirolamo, AM, Michel, M & Eigen, H 1992, 'Parental response to cystic fibrosis: A contextual analysis of the diagnosis phase', Journal of Pediatric Psychology, vol. 17, no. 6, pp. 683-704.
Quittner, Alexandra ; DiGirolamo, A. M. ; Michel, M. ; Eigen, H. / Parental response to cystic fibrosis : A contextual analysis of the diagnosis phase. In: Journal of Pediatric Psychology. 1992 ; Vol. 17, No. 6. pp. 683-704.
@article{e01f18a3a7f44939a7dc0f357a20a149,
title = "Parental response to cystic fibrosis: A contextual analysis of the diagnosis phase",
abstract = "A contextual framework guided the measurement of specific stressors encountered by parents of children recently diagnosed with cystic fibrosis (CF). Three variables were assessed within the context of the parenting role: illness-specific tasks, normal parenting tasks, and strains in family roles. These situation-specific stressors were contrasted with global measures of parenting stress in their ability to predict depression. Sixty-four parents (36 mothers, 28 fathers) of infants and toddlers recently diagnosed with CF completed a structured interview and standardized measures in the home. Parents reported elevations in both situation-specific and global parenting stress, and a greater number of depressive symptoms than a norm group. Mothers reported significantly greater strain in managing their caregiving role and higher levels of depression than fathers. Controlling for situation-specific parenting stress and marital satisfaction, regression analyses indicated that role strain related to CF was associated with greater depression in mothers, but not fathers. Furthermore, stressors measured contextually rather than globally accounted for substantially greater proportions of the variance in depression. The findings highlight the need to measure ongoing strains specific to the medical condition, and to assess role-related changes.",
author = "Alexandra Quittner and DiGirolamo, {A. M.} and M. Michel and H. Eigen",
year = "1992",
month = "12",
day = "1",
language = "English",
volume = "17",
pages = "683--704",
journal = "Journal of Pediatric Psychology",
issn = "0146-8693",
publisher = "Oxford University Press",
number = "6",

}

TY - JOUR

T1 - Parental response to cystic fibrosis

T2 - A contextual analysis of the diagnosis phase

AU - Quittner, Alexandra

AU - DiGirolamo, A. M.

AU - Michel, M.

AU - Eigen, H.

PY - 1992/12/1

Y1 - 1992/12/1

N2 - A contextual framework guided the measurement of specific stressors encountered by parents of children recently diagnosed with cystic fibrosis (CF). Three variables were assessed within the context of the parenting role: illness-specific tasks, normal parenting tasks, and strains in family roles. These situation-specific stressors were contrasted with global measures of parenting stress in their ability to predict depression. Sixty-four parents (36 mothers, 28 fathers) of infants and toddlers recently diagnosed with CF completed a structured interview and standardized measures in the home. Parents reported elevations in both situation-specific and global parenting stress, and a greater number of depressive symptoms than a norm group. Mothers reported significantly greater strain in managing their caregiving role and higher levels of depression than fathers. Controlling for situation-specific parenting stress and marital satisfaction, regression analyses indicated that role strain related to CF was associated with greater depression in mothers, but not fathers. Furthermore, stressors measured contextually rather than globally accounted for substantially greater proportions of the variance in depression. The findings highlight the need to measure ongoing strains specific to the medical condition, and to assess role-related changes.

AB - A contextual framework guided the measurement of specific stressors encountered by parents of children recently diagnosed with cystic fibrosis (CF). Three variables were assessed within the context of the parenting role: illness-specific tasks, normal parenting tasks, and strains in family roles. These situation-specific stressors were contrasted with global measures of parenting stress in their ability to predict depression. Sixty-four parents (36 mothers, 28 fathers) of infants and toddlers recently diagnosed with CF completed a structured interview and standardized measures in the home. Parents reported elevations in both situation-specific and global parenting stress, and a greater number of depressive symptoms than a norm group. Mothers reported significantly greater strain in managing their caregiving role and higher levels of depression than fathers. Controlling for situation-specific parenting stress and marital satisfaction, regression analyses indicated that role strain related to CF was associated with greater depression in mothers, but not fathers. Furthermore, stressors measured contextually rather than globally accounted for substantially greater proportions of the variance in depression. The findings highlight the need to measure ongoing strains specific to the medical condition, and to assess role-related changes.

UR - http://www.scopus.com/inward/record.url?scp=0027096019&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027096019&partnerID=8YFLogxK

M3 - Article

C2 - 1484333

AN - SCOPUS:0027096019

VL - 17

SP - 683

EP - 704

JO - Journal of Pediatric Psychology

JF - Journal of Pediatric Psychology

SN - 0146-8693

IS - 6

ER -