Test of a model of the effects of parental illness on youth and family functioning

Pakenham, Kenneth I. & Cox, Stephen (2012) Test of a model of the effects of parental illness on youth and family functioning. Health Psychology, 31(5), pp. 580-590.

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Objective: Parental illness (PI) may have adverse impacts on youth and family functioning. Research in this area has suffered from the absence of a guiding comprehensive framework. This study tested a conceptual model of the effects of PI on youth and family functioning derived from the Family Ecology Framework (FEF; Pedersen & Revenson, 2005). Method. A total of 85 parents with multiple sclerosis and 127 youth completed questionnaires at Time 1 and 12 months later at Time 2. Results. Structural equation modeling results supported the FEF with regards to physical-illness disability. Specifically, the proposed mediators (role redistribution, stress, and stigma) were implicated in the processes that link parental disability to several domains of youth adjustment. The results suggest that the effects of parental depression (PD) are not mediated through these processes; rather, PD directly affects family functioning, which in turn mediates the effects onto youth adjustment. Family functioning further mediated between PD and youth well-being and behavioral-social difficulties. Conclusions. Although results support the effects of parental-illness disability on youth and family functioning via the proposed mediational mechanisms, the additive effects of PD on youth physical and mental health occur through direct and indirect (via family functioning) pathways, respectively.

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16 citations in Scopus
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17 citations in Web of Science®

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ID Code: 48172
Item Type: Journal Article
Refereed: Yes
Keywords: parental illness, youth adjustment, family functioning, stress, caregiving
DOI: 10.1037/a0026530
ISSN: 1930-7810
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > QUT Business School
Copyright Owner: Copyright 2011 American Psychological Association
Copyright Statement: This article may not exactly replicate the final version published in the APA journal. It is not the copy of record.
Deposited On: 23 Jan 2012 00:15
Last Modified: 24 Jun 2015 06:27

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