You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 150 No. 7, July 1996 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLES
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Risk and Resilience Among Children and Youth With Disabilities

Joän Patterson, PhD; Robert W. Blum, MD, PhD

Arch Pediatr Adolesc Med. 1996;150(7):692-698.


Abstract

Objective
To review the literature on risk and protective factors as applied to children with chronic and disabling conditions so as to assist the health care professional in developing clinical strategies and interventions.

Design
Literature review.

Main Outcome Variables
Risk factors (eg, emotional problems, school failure) and protective variables (eg, family cohesion, school involvement).

Results
Both risk and protective factors can be identified at multiple levels: the condition, the child, the family, and the community. Conditions that are invisible have remitting-relenting courses, and where the prognosis is uncertain, these conditions are associated with the greatest emotional problems. Males with chronic conditions appear to have more emotional sequelae than do females. Likewise, personality characteristics of sociability and flexibility and physical characteristics of attractiveness are protective. Families with clear boundaries and a capacity to balance competing family needs, maintain flexibility, and ascribe positive meanings to life events all are protective.

Conclusions
As increasing numbers of children with chronic conditions survive through adolescence to adulthood, the creation of environments where children can optimally develop becomes ever more pressing. It is evident that a range of factors, many amenable to interventions, can influence outcomes for these young people.

Arch Pediatr Adolesc Med. 1996;150:692-698



Author Affiliations

From the Maternal and Child Health Major School of Public Health (Dr Patterson) and the Division of General Pediatrics and Adolescent Health and Center for Children With Chronic Illness and Disability, School of Medicine (Dr Blum), University of Minnesota, Minneapolis.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Belief Systems of Families of Children With Autism Spectrum Disorders or Down Syndrome
King et al.
Focus Autism Other Dev Disabl 2009;24:50-64.
ABSTRACT  

Adolescence: what the cystic fibrosis team needs to know
Segal
JRSM 2008;101:15-27.
FULL TEXT  

Social Support Processes and the Adaptation of Individuals With Chronic Disabilities
King et al.
Qual Health Res 2006;16:902-925.
ABSTRACT  

Growing up and moving on in rheumatology: development and preliminary evaluation of a transitional care programme for a multicentre cohort of adolescents with juvenile idiopathic arthritis
McDonagh et al.
J Child Health Care 2006;10:22-42.
ABSTRACT  

Quality of Life in Children Surviving Cancer: A Personality and Multi-Informant Perspective
De Clercq et al.
J Pediatr Psychol 2004;29:579-590.
ABSTRACT | FULL TEXT  

The adolescent with a chronic condition. Part II: healthcare provision
Michaud et al.
Arch. Dis. Child. 2004;89:943-949.
ABSTRACT | FULL TEXT  

Transitional care for adolescents with juvenile idiopathic arthritis: a Delphi study
Shaw et al.
Rheumatology (Oxford) 2004;43:1000-1006.
ABSTRACT | FULL TEXT  

User perspectives of transitional care for adolescents with juvenile idiopathic arthritis
Shaw et al.
Rheumatology (Oxford) 2004;43:770-778.
ABSTRACT | FULL TEXT  

Preparing Student Nurses to Provide Home Care for Children with Disabilities: A Strengths-Based Approach
Guillett
Home Health Care Management Practice 2002;15:47-58.
ABSTRACT  

Self-Efficacy as a Predictor of Adult Adjustment to Sickle Cell Disease: One-Year Outcomes
Edwards et al.
Psychosom. Med. 2001;63:850-858.
ABSTRACT | FULL TEXT  

The adolescent challenge
McDonagh
Nephrol Dial Transplant 2000;15:1761-1765.
FULL TEXT  

Bridging the gap in rheumatology
McDonagh et al.
Ann Rheum Dis 2000;59:86-93.
FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1996 American Medical Association. All Rights Reserved.