Skip to main content
Log in

Psychosocial adaptation of orthopedically disabled Mexican children and their siblings

  • Published:
Journal of Developmental and Physical Disabilities Aims and scope Submit manuscript

Abstract

This article reports a study of psychosocial adaptation of orthopedically disabled children and their siblings in Mexicali, Baja California, Mexico to determine if the psychodynamic of disability documented in U.S. studies is also found in this group. This was achieved by an examination of disabled-nondisabled differences through comparison of children with disabilities and their siblings on a wide range of psychosocial variables, and assessment of the relationship of disability, school and family factors to behavior problems and self-esteem. The investigation used multiple methods of evaluation, including assessment of physical, behavioral, social, and psychological adaptation. Findings include many predicted differences between disabled and non-disabled children on measures of adjustment, self-esteem and professional expectations; negative correlation of self-esteem with disability; an increase in behavior problems with poor self-esteem; and a decrease in behavior problems with improved self-esteem and increased family and social activities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arnold, B. R. (1983). Attitudinal research and the Hispanic handicapped: A review of selected needs.J. Rehab. 49: 36–338.

    PubMed  Google Scholar 

  • Asch, A. (1984). The experience of disability: A challenge for psychology.Am. Psychologist 5: 529–536.

    Article  Google Scholar 

  • Bhargava, M. (1984). Survey of psychological studies on physically handicapped.Indian J. Psychometry Ed. 15: 1–10.

    Google Scholar 

  • Billings, A. G., Moos, R. H., Miller, J. J., and Gottlieb, J. E. (1987). Psychosocial adaptation in juvenile rheumatic disease: A controlled evaluation.Health Psychol., 6: 343–359.

    Article  PubMed  Google Scholar 

  • Breslau, N. (1983). The psychological study of chronically ill and disabled children: Are healthy siblings appropriate controls?J. Abnorm. Child. Psychol. 11: 379–391.

    Article  PubMed  Google Scholar 

  • Breslau, N., and Marshall, I. A. (1985). Psychological disturbance in children with physical disabilities: Continuity and change in a 5 year follow-up.J. Abnorm. Child Psychol. 13: 199–215.

    Article  PubMed  Google Scholar 

  • Breslau, N., Weitzman, M., and Messenger, K. (1982). Psychologic functioning of siblings of disabled children.Ann. Progress in Child Psychiatry and Child Devel. 397–416.

  • Bullard, I. D., and Dohnal, J. T. (1984). The community deals with the child who has a handicap.Nurs. Clin. North Am. 19: 309–318.

    PubMed  Google Scholar 

  • Cadman, D., Boyle, M., Szatmari, P., and Offord, D. R. (1987). Chronic illness, disability, and mental and social well-being: Findings of the Ontario Child Health Study.Pediatrics 79: 805–813.

    PubMed  Google Scholar 

  • Carmines, E., and Zeller, R. (1979).Reliability and Validity Assessment Quantitative Applications in the Social Sciences #17. Sage Publications, Beverly Hills.

    Google Scholar 

  • Cook, D. W. (1983). disability, psychopathology, and vocational adjustment.Rehab. Psychology 28: 177–184.

    Article  Google Scholar 

  • Daniels, D., Miller, J. J., Billings, A. G., and Moos, R. H. (1986). Psychosocial functioning of siblings of children with rheumatic disease.J. Pediatr. 190: 379–383.

    Google Scholar 

  • Drotar, D. (1981). Psychological perspectives in chronic childhood illness.J. Pediatr. Psychology, 6: 211–228.

    Article  Google Scholar 

  • Friedrich, W. N., and Friedrich, W. L. (1981). Psychosocial assets of parents of handicapped and nonhandicapped children.Amer. J. Ment. Defic., 85: 551–553.

    PubMed  Google Scholar 

  • Harper, D. C. (1983). Personality correlates and degree of impairment in male adolescents with progressive and nonprogressive physical disorders.J. Clin. Psychol. 39: 858–867.

    Google Scholar 

  • Harvey, D. H., and Greenway, A. P. (1984). The self-concept of physically handicapped children and their non-handicapped siblings: an empirical investigation.J. Child Psychol. Psychiatry 25: 273–284.

    Article  PubMed  Google Scholar 

  • Jessop, D. J., and Stein, R. E. K. (1985). Uncertainty and its relation to the psychological and social correlates of chronic illness in children.Soc. Sci. Med. 20: 993–999.

    Article  PubMed  Google Scholar 

  • Johnson, A. F. (1984). Psycho-social achievement in the latency-aged child with spina bifida within the family structure.Z. Kinderchir. 39: 138–140.

    PubMed  Google Scholar 

  • Kazdin, A. E. (1989). Developmental psychopathology: Current research, issues, and directions.Am. Psychologist 44: 180–187.

    Article  Google Scholar 

  • Knafl, K. A., and Deatrick, J. A. (1986). How families manage chronic conditions: An analysis of the concept of normalization.Res. Nurs. Health 9: 215–222.

    PubMed  Google Scholar 

  • Leventhal, J. M. (1984). Psychosocial assessment of children with chronic physical disease.Pediatr. Clin. North Am., 31: 71–86.

    PubMed  Google Scholar 

  • Lobato, D. (1983). Siblings of handicapped children: A review.J. Autism Dev. Disord., 13: 347–364.

    Article  PubMed  Google Scholar 

  • MacMillan, D. L. (1977).Mental retardation in School and society. Little, Brown, & Co.: Boston.

    Google Scholar 

  • Mink, I. T., Blacher, J., and Nihira, K. (1988). Taxonomy of family life styles III: Replication with severely mentally retarded children.Am. J. Ment. Retard. 93: 250–264.

    PubMed  Google Scholar 

  • Mumford, E. (1978). Culture, life perspectives, and the social meaning of illness. In R. C. Simons, H. Pardes (Eds.)Understanding human behavior in health and illness. Williams & Wilkins, Co.: Baltimore, MD.

    Google Scholar 

  • O'Hagan, F. J., Sandys, E. J., and Swanson, W. I. (1984). Educational provision, parental expectation, and physical disability.Child Care, Health & Develop. 10: 31–38.

    Article  Google Scholar 

  • Patterson, G. R. (1986). Performance models for antisocial boys.Am. Psychologist 41: 432–444.

    Article  Google Scholar 

  • Perrin, J. M., and MacLean, W. E., Jr. (1988). Children with chronic illness: The prevention of dysfunction.Pediatric Clin. North Am. 35: 1325–1337.

    Google Scholar 

  • Pertschuk, M. J., and Whitaker, L. A. (1985). Psychosocial adjustment and craniofacial malformations in childhood.Plast. Recontr. Surg. 75: 177–184.

    Article  Google Scholar 

  • Piers, E. V. and Harris, D. B. (1969).The Piers-Harris Children's Self-Concept Scale. Counselor Recordings and Tests, Nashville, TN.

    Google Scholar 

  • Pless, I. B. (1984). Clinical assessment: Physical and psychological functioning.Pediatr. Clin. North Am. 31: 33–45.

    PubMed  Google Scholar 

  • Ryba, K. A., Edelman, L., and Chapman, J. W. (1984). Academic self-concept and personal adjustment of work-experience class students.Australia & New Zealand J. Develop. Disabil. 10: 197–202.

    Google Scholar 

  • Sargent, J., & Liebam, R. (1985). Childhood chronic illness: Issues for psychotherapists.Community Ment. Health. J. 21: 294–311.

    Article  PubMed  Google Scholar 

  • Schreiber, J. M., and Hamiak, J. P. (1981). Mexican-Americans. In A. Harwood (ed.),Ethnicity and Medical Care (pp. 264–336). Harvard University Press, Cambridge, MA.

    Google Scholar 

  • Shapiro, J., and Tittle, K. (1986a). Individual and family correlates among poor, Spanish-speaking women of their attitudes and responses to children and adults with disabilities.J. Rehab. 52: 61–65.

    Google Scholar 

  • Shapiro, J., and Tittle, K. (1986b). Psychosocial adjustment of poor Mexican mothers of disabled and nondisabled children.Amer. J. Orthopsychiat. 56: 289–302.

    Article  PubMed  Google Scholar 

  • Shapiro, J., and Winkelman, M. (1992). The relationship of parental coping and prejudice to disabled children's self-esteem and behavior problems: Results from a Mexican sample. In preparation.

  • Taylor, J., Passo, M. H., and Champion, V. L. (1987). School problems and teacher responsibilities in juvenile rhumatoid arthritis.J. Sch. Health 57: 186–190.

    Article  PubMed  Google Scholar 

  • Ungerer, J. A., Horgan, B., Chaitow, J., and Champion, G. D. (1988). Psychosocial functioning in children and young adults with juvenile arthritis.Pediatrics 81: 195–202.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Winkelman, M., Shapiro, J. Psychosocial adaptation of orthopedically disabled Mexican children and their siblings. J Dev Phys Disabil 6, 55–71 (1994). https://doi.org/10.1007/BF02578408

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02578408

Key words

Navigation