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Perceived Problem-Solving Ability, Stress, and Coping in Mothers of Children with physical disabilities: Potential cognitive influences on adjustment

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Abstract

Examined the contribution of perceived problem-solving ability to the adjustment of mothers of children with a physical disability, in conjunction with appraised disability-related stress and approach and avoidance coping, as a further evaluation of Wallander and Varni’s Disability—Stress-Coping model emphasizing cognitive processes. One hundred sixteen mothers of children, ages 2 to 20, with spina bifida or cerebral palsy completed measures of relevant constructs. Results show that the mother’s appraisal of disability-related stress is strongly associated with her reported maladjustment. However, perceptions of competence in problem solving are associated with better overall adjustment. A portion of this relation appears mediated by coping style, as confidence in one’s problem-solving ability increases so does the likelihood of selecting more adaptive coping strategies when faced with disability-related stress. Overall, consideration of perceived problem-solving ability appears to make a valuable contribution to the Disability-Stress-Coping model and to current understanding of the experience of coping with raising a child with a disability. Perceived problem-solving ability can also be linked to clinical interventions, as discussed.

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References

  • Allen, M. J., & Yen, W. M. (1979),Introduction to measurement theory. Monterey, CA: Brooks/Cole.

    Google Scholar 

  • Bandura, A. (1986).Social foundations of thought and action: A social cognitive theory. Englewood Cliffs. NJ: Prentice Hall.

    Google Scholar 

  • Barharin, O. A., & Chesler, M. (1986), The medical context of parental coping with childhood cancer.American Journal of Community Psychology.14, 221–235.

    Article  Google Scholar 

  • Baumgardner, A. H., Heppner, P. P., & Arkin, R. M. (1986). The role of causal attribution in personal problem solving.Journal of Personality and Social Psychology.59. 636–643

    Article  Google Scholar 

  • Brown, I., Jr., & Inouye, D. K. (1978). Learned-helplessness through modeling: The role of perceived similarity in competence.Journal of Personality and Social Psychology.36, 900–908.

    Article  Google Scholar 

  • Chartrand, J. M., Rose, M., Elliott, T. R., Marmarosh, C., & Caldwell, S. (1993). Peeling back the onion: Personality, problem solving, and career decision-making style correlates of career indecision.Journal of Career Assessment, 1, 66–82.

    Article  Google Scholar 

  • Derogatis, L. R. (1975).Brief Symptom Inventory. Baltimore: Clinical Psychometric Research.

    Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report.Psychological Medicine.13, 595–605.

    Article  PubMed  Google Scholar 

  • D’Zurilla, T. J., & Nezu, A. (1990). Development and preliminary evaluation of the social problem solving inventory.Psychological Assessment, 2, 156–163.

    Article  Google Scholar 

  • Elliott, T. R., Godshall, F. J., Herrick, S. M., Witty, T. E., & Spruell, M. (1991). Problem-solving appraisal and psychological adjustment following spinal cord injury.Cognitive Therapy and Research, 15, 387–398.

    Article  Google Scholar 

  • Elliott, T. R., Godshall, F. J., Shroul, J. R., & Witty, T. E. (1990). Problem-solving appraisal, self-reported study habits, and performance of academically at-risk college students.Journal of Counseling Psychology.37, 203–207.

    Article  Google Scholar 

  • Elliott, T. R., Sherwin, E., Harkins, S. W., & Marmarosh, C. (1995). Self-appraised problem solving ability, affective states, and psychological distress.Journal of Counseling Psychology, 42, 105–115.

    Article  Google Scholar 

  • Felton, B. J., &. Revenson, T. A. (1984). Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment.Journal of Consulting and Clinical Psychology, 52, 343–353.

    Article  PubMed  Google Scholar 

  • Felton, B. J., Revenson, T. A., & Henrichsen, G. A. (1984). Stress and coping in the explanation of psychological adjustment among chronically ill adults.Social Science and Medicine, 18, 889–898.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample.Journal of Health and Social Behavior, 21, 219–239.

    Article  PubMed  Google Scholar 

  • Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms.Journal of Personality and Social Psychology.50, 371–179.

    Google Scholar 

  • Frey, K. S., Greenberg, M.T., & Fewell, R. R.(1989).Stress and coping among parents of handicapped children: A multidimensional approach.American Journal on Mental Retardation, 94, 240–249.

    PubMed  Google Scholar 

  • Heppner, P. P. (1988).The problem-solving inventory: Manual. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Heppner, P. P., Hibel, J., Neal, G. W., Weinstein, C. L., & Rabinowitz, F. E. (1982). Personal problem solving: A descriptive study of individual differences.Journal of Counseling Psychology, 29, 580–590.

    Article  Google Scholar 

  • Heppner, P. P., Karapa, M., & Brunning, L. (1987). The relationship between problem-solving self-appraisal and indices of physical and psychological health.Cognitive Therapy and Research, 11, 155–168.

    Article  Google Scholar 

  • Heppner, P. P., & Krauskopf, C. J. (1987). An information processing approach to personal problem solving.The Counseling Psychologist, 15, 371–447.

    Article  Google Scholar 

  • Heppner, P. P., & Peterson, C. H. (1982). The development and implications of a personal problem- solving inventory.Journal of Counseling Psychology, 29, 66–75.

    Article  Google Scholar 

  • Kupst, M. J. & Schulman, J. L. (1988). Long-term coping with pediatric leukemia: A six year follow-up study.Journal of Pediatric Psychology, 13, 7–22.

    Article  PubMed  Google Scholar 

  • Lazarus, R. S. (1991).Emotion and adaptation. New York: Oxford University Press.

    Google Scholar 

  • Lemer, M. S., & Gum, G. A. (1990). Treatment of suicide ideators: A problem solving approach.Behavior Therapy, 21, 403–411

    Article  Google Scholar 

  • MacNair, R. R., & Elliott, T. R. (1992). Self-perceived problem-solving ability, stress appraisal, and coping over time.Journal of Research in Personality.26, 150–164.

    Article  Google Scholar 

  • Miller, A. C., Gordon, R. M., Daniele, R. J.,& Diller, L. (1992). Stress, appraisal, and coping in mothers of disabled and nondisabled children.Journal of Pediatric Psychology, 17, 587–605.

    Article  PubMed  Google Scholar 

  • Nezu, A. M., & D’Zurilla, T. J. (1989). Social problem solving and negative affective conditions. In P. Kendall & D. Watson (Eds.).Anxiety and depression. Distinctive and overlapping features (pp. 285–315). San Diego. CA: Academic.

    Google Scholar 

  • Nczu, A. M., Nezu, C. M., Saraydarin, L., Kalmar, K., & Ronan, G. F. (1986). Social problem solving as a moderating variable between negative life stress and depressive symptoms.Cognitive Therapy and Research, 10, 489–498.

    Article  Google Scholar 

  • Nezu, A. M., & Petri, M. G. (1989). Social problem-solving therapy for unipolar depression: An initial dismantling investigation.Journal of Consulting unit Clinical Psychology.57, 408–413.

    Article  Google Scholar 

  • Noojin, A. B., & Wallander, J. L. (1996). The development and evaluation of a measure of concerns related to raising a child with a physical disability.Journal of Pediatric Psychology, 21, 483–498.

    Article  PubMed  Google Scholar 

  • Pearlin, L. I., & Schooler, C. (1978). The structure of coping.Journal of Health and Social Behavior, 79, 2–21.

    Article  Google Scholar 

  • Peterson, C., & Seligman, M. E. P. (1984). Causal explanations as a risk factor for depression: Theory and evidence.Psychological Review, 91, 347–374.

    Article  PubMed  Google Scholar 

  • Rolland, J. S. (1994),Families, illness, and disability: An integrative treatment model. New York: Basic Books.

    Google Scholar 

  • Rutter, M., Tizard, J., & Whitmore, K. (1970).Education, health, and behavior. London: Longwood.

    Google Scholar 

  • Thompson, R. J., Gill, K. M., Burbach, D. J., Keith, B. R., & Kinney, T. R. (1993). Psychological adjustment of mothers of children and adolescents with sickle cell disease: The role of stress, coping methods and family functioning.Journal of Pediatric Psychology, 18, 549–559.

    Article  PubMed  Google Scholar 

  • Varni, J. W., Wilcox, K. T., & Hanson, V. (1988). Mediating effects of family social support on child psychological adjustment in juvenile rheumatoid arthritis.Health Psychology.7, 421–432.

    Article  PubMed  Google Scholar 

  • Vitaliano, P. P., Maiuro, R. D., Russo, J., & Becker, J. (1987). Raw versus relative scores on the assessment of coping strategies.Journal of Behavioral Medicine.10, 1–18.

    Article  PubMed  Google Scholar 

  • Vitaliano, P. P., Russo, J. Carr, J. E., Maiuro, R. D., & Becker, J. (1985). The Ways of Coping Checklist: Revision and psychometric properties.Multivariate Behavioral Research.20, 3–26.

    Article  Google Scholar 

  • Wallander, J. L., Pitt, L. C., & Mellins, C. A. (1990). Child functional independence and maternal psychosocial stress as risk factors threatening adaptation in mothers of physically or sensonally handicapped children.Journal of Consulting and Clinical Psychology, 58, 818–824.

    Article  PubMed  Google Scholar 

  • Wallander, J. L., Vami, J. W. Babani, L., DeHaan, C. B., Wilcox, K. T., & Banis, H. T. (1989). The social environment and the adaptation of mothers of physically handicapped children.Journal of Pediatric Psychology.14, 371–387.

    Article  PubMed  Google Scholar 

  • Wallander, J. L., & Venters, T. L. (1995), Perceived role restriction and adjustment of mothers of children with chronic physical disability.Journal of Pediatric Psychology.20, 619–632.

    Article  PubMed  Google Scholar 

  • Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity.Psychological Review.96, 234–254.

    Article  PubMed  Google Scholar 

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Correspondence to Jan L. Wallander.

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This research was supported in pan by grants K04 HD00867 and R0I HD25310 awarded to Jan L. Wallander from NIH/NICHD.

The assistance from Trudi Venters. Susan Moore. Sarah Morris, Edic Cole, and Winnie Lowe in collecting these data and the substantial support provided by the staff at Children’s Rehabilitation Service. Birmingham, Alabama (Randy Hebson, Director) are gratefully acknowledged.

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Noojin, A.B., Wallander, J.L. Perceived Problem-Solving Ability, Stress, and Coping in Mothers of Children with physical disabilities: Potential cognitive influences on adjustment. Int. J. Behav. Med. 4, 415–432 (1997). https://doi.org/10.1207/s15327558ijbm0404_10

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