01-03-2015 | Original Paper
Coping Strategies of Children and Adolescents with Clinically Diagnosed Short Stature
Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2015
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This paper focusses on coping strategies employed by children and adolescents with
diagnosed short stature, assesses the impact of socio-demographic and clinical
characteristics on coping, examines the relationship between coping and health
related quality of life (QoL) and investigates the role of coping strategies in
mediating the relationship between height and QoL. Coping with a disease (CODI) and
quality of life in short stature youth (QoLISSY–QoL) questionnaires were completed
by 137 short-statured children and adolescents between 8 and 18 years, participating
in the crosssectional European QoLISSY study. Clinical and socio-demographic data
were collected to examine differences in coping via variance and regression
analyses, associations between CODI and QoLISSY were inspected using correlation and
mediation analyses. Most frequently employed coping strategies in the CODI were
“Acceptance” and “Wishful Thinking”, with “Emotional Reaction” used least.
Significant effects of age, diagnosis and treatment status on coping strategies were
detected. CODI scales “Acceptance” and “Distance” were associated with higher
QoLISSY–QoL scores, “Emotional Reaction” and “Wishful Thinking” with lower scores.
Coping strategies predicted 60 % of the QoLISSY–QoL variance. Relationships between
height deviation and QoLISSY–QoL were mediated by the coping strategies of “Wishful
Thinking” and “Distance”. Findings suggest that coping efforts vary with
socio-demographic and clinical characteristics, that protective coping strategies in
terms of QoL can be identified and that coping mediates the relationship between
short stature and QoL. Future longitudinal research should focus on the adaptive
function of coping in relation to QoL over time.