Stress in Adolescents with a Chronically Ill Parent: Inspiration from Rolland’s Family Systems-Illness Model

This article was inspired by Rolland’s Family Systems-Illness (FSI) model, aiming to predict adolescent stress as a function of parental illness type. Ninety-nine parents with a chronic medical condition, 82 partners, and 158 adolescent children (51 % girls; mean age = 15.1 years) participated in th...

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Bibliographic Details
Published in:	Journal of developmental and physical disabilities Vol. 24; no. 6; pp. 591 - 606
Main Authors:	Sieh, D. S., Dikkers, A. L. C., Visser-Meily, J. M. A., Meijer, A. M.
Format:	Journal Article
Language:	English
Published:	Boston Springer US 01-12-2012 Springer Nature B.V
Subjects:	Adolescent girls Adolescents Attachment Behavioral Science and Psychology Child and School Psychology Children Children & youth Chronic illnesses Disability Families & family life Family (Sociological Unit) Family relations Gender Mental depression Original Original Article Parent Child Relationship Parent-child relations Parents & parenting Pediatrics Psychology Public Health Questionnaires Regression (Statistics) Stress Teenagers Chronic medical condition Family-systems illness model Stress Adolescent
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Summary:	This article was inspired by Rolland’s Family Systems-Illness (FSI) model, aiming to predict adolescent stress as a function of parental illness type. Ninety-nine parents with a chronic medical condition, 82 partners, and 158 adolescent children (51 % girls; mean age = 15.1 years) participated in this Dutch study. The Dutch Stress Questionnaire for Children was used to measure child report of stress. Ill parents completed the Beck Depression Inventory. Children filled in a scale of the Inventory of Parent and Peer Attachment measuring the quality of parent attachment. Both parents filled in the Parent-Child-Interaction Questionnaire-Revised. We conducted multilevel regression analyses including illness type, the ill parent’s depressive symptoms, family functioning (quality of marital relationship, parent-child interaction, and parent attachment), and adolescents’ gender and age. Four regression analyses were performed separately for each illness type as defined by disability (Model 1), and onset (Model 2), course (Model 3), and outcome of illness (Model 4). In all models, higher adolescent stress scores were linked to lower quality of parent-child interaction and parent attachment, and adolescents’ female gender. The four models explained approximately 37 % of the variance in adolescent stress between individuals and 43-44 % of the variance in adolescent stress between families. Adolescent stress was not related to parental illness type. Our results partially supported the FSI model stating that family functioning is essential in point of child adjustment to parental illness. In the chronic stage of parental illness, adolescent stress does not seem to vary depending on illness type.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1056-263X 1573-3580
DOI:	10.1007/s10882-012-9291-3