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- W2007816102 abstract "Children’s coping with, and adjustment to,chronic kidney disease was investigated. Twenty-eight children (14pre-kidney transplant and 14 post-kidney transplant patients) andtheir parents participated in the study. Children identified aspecific disease-related stressor that was distressing to them andreported on the coping strategies they used to deal with thatstressor. Children also completed a measure of perceived parentalsupport for coping, which assessed the types of coping strategiesthat children perceive their parents to be encouraging them to use,and their parents completed a parallel measure of coping strategiesthey encourage their child to use. are supporting the use of intheir child). Finally, children completed measures of theiradjustment (i.e., health-related quality of life, anxiety symptoms,depressive symptoms) and their parents completed a brief index oftheir child’s global adjustment. Three hypotheses were examined: 1)Children will use more secondary control engagement copingstrategies (e.g., distraction, positive thinking, cognitiverestructuring, humor, acceptance) than either primary controlengagement strategies (e.g., problem solving, emotion regulation,emotional expression) or disengagement strategies (e.g., avoidance,denial, wishful thinking) and they will use more primary controlengagement strategies than disengagement strategies; parentalsupport for coping strategies will follow similar patterns; 2)Children who use higher levels of secondary control engagementcoping and primary control engagement coping will exhibit betteradjustment, whereas children who use disengagement coping willexhibit poorer adjustment; and 3) Parental support for primary andsecondary control strategies will moderate the relation betweenchildren’s disengagement coping and negativeadjustment. Preliminary analyses showed thatchildren in the pre-transplant versus post-transplant phase oftreatment did not use different coping strategies and nodifferences were found between the two groups in terms of theiradjustment. In terms of hypothesis 1, children with chronic kidneydisease most often used secondary control engagement coping,followed by positive religious coping and primary controlengagement coping, to deal with their disease-related stressors.Children perceived higher levels of parental support for secondarycontrol engagement coping, followed by primary control engagementcoping, and positive religious coping. Parents reported that theyprovide the most support for primary control engagement coping.Disengagement and negative religious coping were least frequentlyused by children and were least likely to be encouraged by parents.This pattern of results generally supports hypothesis1. Regarding hypothesis 2, children’s use ofdisengagement coping was found to be related to negative outcomes,particularly depression and general health-related quality of life.However, parent-reported coping support did not relate tochildren’s adjustment. These results provided partial…" @default.
- W2007816102 created "2016-06-24" @default.
- W2007816102 creator A5055980692 @default.
- W2007816102 date "2011-01-01" @default.
- W2007816102 modified "2023-09-26" @default.
- W2007816102 title "Children's coping with chronic kidney disease and concurrent adjustment" @default.
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