Skip to main content
Published Online:https://doi.org/10.1024/1421-0185.63.1.3

Seven illness appraisals (situation and resource appraisals) were examined in paediatric patients with cancer, diabetes, or accidental injuries and their parents. It was hypothesized that situation appraisals but not resource appraisals would co-vary with the diagnosis and other medical variables. It was also expected that corresponding appraisals in children and their parents would be associated. 244 newly hospitalised paediatric patients (aged 6-16 years) with cancer, diabetes or an accidental injury were interviewed regarding illness appraisals. Corresponding parent illness appraisals were assessed by means of a questionnaire. Situation appraisals co-varied with medical diagnosis and other medical variables in both patients and their parents. There were also associations between corresponding parents’ appraisals and paediatric patients’ appraisals. Findings encourage measurement of distinct categories of illness appraisals.

References

  • Affleck, G. , Tennen, H. (1991). Appraisal and coping predictors of mother and child outcomes after newborn intensive care. Journal of Social and Clinical Psychology, 10, 424– 447. First citation in articleCrossrefGoogle Scholar

  • Bluebond-Langner, M. (1996). In the shadow of illness. Princeton, NJ: University Press. First citation in articleGoogle Scholar

  • Boyle, M. , Pickles, A. (1997). Influence of maternal depressive symptoms on ratings of child behaviour. Journal of Abnormal Child Psychology, 25, 399– 412. First citation in articleCrossrefGoogle Scholar

  • Burgess, E. S. , Haaga, A. F. (1998). Appraisals, coping responses, and attributions as predictors of individual differences in negative emotions among pediatric cancer patients. Cognitive Therapy and Research, 22, 5 457– 473. First citation in articleGoogle Scholar

  • Carver, C. S. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375– 390. First citation in articleCrossrefGoogle Scholar

  • Carver, C. S. , Scheier, M. F. (1982). Control theory: A useful conceptual framework for personality, social, clinical, and health psychology. Psychological Bulletin, 92, 111– 135. First citation in articleCrossrefGoogle Scholar

  • Cohen, S. , Kamarck, T. , Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385– 396. First citation in articleCrossrefGoogle Scholar

  • Compas, B. E. , Banez, G. A. , Malcarne, V. , Worsham, N. (1991). Perceived control and coping with stress: A developmental perspective. Journal of Social Issues, 47, 4 23– 34. First citation in articleCrossrefGoogle Scholar

  • DeMaso, D. R. , Campis, L. K. , Wypij, D. , Bertram, S. , Lipshitz, M. , Freed, M. (1991). The impact of maternal perceptions and medical severity on the adjustment of children with congenital heart disease. Journal of Pediatric Psychology, 16, 137– 149. First citation in articleCrossrefGoogle Scholar

  • Drotar, D. (1997). Relating parent and family functioning to the psychological adjustment of children with chronic health conditions: What have we learned? What do we need to know?. Journal of Pediatric Psychology, 22, 149– 165. First citation in articleCrossrefGoogle Scholar

  • Eiser, C. , Kopel, S. J. (1997). Children’s perceptions of health and illness. In K. J. Petrie & J. A. Weinman (Eds.), Perceptions of health and illness. Current research and applications(pp. 47-76). Amsterdam: Harwood. First citation in articleGoogle 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. First citation in articleCrossrefGoogle Scholar

  • Fox, B. H. (1998). Psychosocial factors in cancer incidence and prognosis. In J. C. Holland (Ed.), Psycho-oncology(pp. 110-124). New York: Oxford University Press. First citation in articleGoogle Scholar

  • Frank, N. C. , Blount, R. L. , Brown, R. T. (1997). Attributions, coping, and adjustment in children with cancer. Journal of Pediatric Psychology, 22, 4 563– 576. First citation in articleCrossrefGoogle Scholar

  • Gartstein, M. A. , Short, A. D. , Vannatta, K. , Noll, R. B. (1999). Psychosocial adjustment of children with chronic illness: An evaluation of three models. Journal of Developmental and Behavioral Pediatrics, 20, 3 157– 163. First citation in articleCrossrefGoogle Scholar

  • Janz, N. K. , Becker, H. M. (1984). The health belief model: A decade later. Health Education Quaterly, 11, 1– 47. First citation in articleCrossrefGoogle Scholar

  • Kanner, A. D. , Coyne, J. C. , Schaefer, C. , Lazarus, R. S. (1981). Comparision of two modes of stress measurement: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 4, 1– 39. First citation in articleCrossrefGoogle Scholar

  • LaGreca, A. M. , Varni, J. W. (1990). Issues and perspectives on the child assessment process. In A. M. LaGreca (Ed.), Through the eyes of the child: Obtaining self-report from children and adolescents(pp. 3-17). Boston: Allyn and Bacon. First citation in articleGoogle Scholar

  • Lazarus, R. S. (1991). Emotion and adaptation. London: Oxford University Press. First citation in articleGoogle Scholar

  • Lazarus, R. S. , Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. First citation in articleGoogle Scholar

  • Leventhal, H. , Nerenz, D. R. (1985). The assessment of illness cognition. In P. Karoly (Ed.), Measurement strategies in health psychology(pp. 517-554). New York: John Wiley & Sons. First citation in articleGoogle Scholar

  • Monroe, S. , Kelley, J. M. (1997). Measurement of stress appraisal. In S. Cohen, R. C. Kessler, & L. U. Gordon (Eds.), Measuring stress(pp. 122-147). New York: Oxford University Press. First citation in articleGoogle Scholar

  • Murphy, L. M. B. , Thompson, R. J. J. , Morris, M. A. (1997). Adherence behavior among adolescents with Type I insulin dependent diabetes mellitus: The role of cognitive apraisal processes. Journal of Pediatric Psychology, 22, 811– 825. First citation in articleCrossrefGoogle Scholar

  • Norusis, M. J. (2000). SPSS 10.0. Guide to data analysis. Upper Saddle River, NJ: Prentice Hall. First citation in articleGoogle Scholar

  • Perrez, M. , Reicherts, M. (1992). A situation-behavior approach to stress and coping. In M. Reicherts (Ed.), Stress, coping, and health(pp. 17-38). Seattle: Hogrefe. First citation in articleGoogle Scholar

  • Phipps, S. , Srivastava, D. K. (1999). Approaches to the measurement of depressive symptomatology in children with cancer: Attempting to circumvent the effects of defensiveness. Journal of Developmental and Behavioral Pediatrics, 20, 3 150– 156. First citation in articleCrossrefGoogle Scholar

  • Reicherts, M. (1988). Diagnostik der Belastungsverarbeitung: Neue Zugänge zu Stress-Bewältigungs-Prozessen. [Diagnosis of coping with stress]. Bern: Verlag Hans Huber. First citation in articleGoogle Scholar

  • Rolland, J. S. (1984). Toward a psychosocial typology of chronic and life-threatening illness. Family Systems Medicine, 2, 245– 262. First citation in articleCrossrefGoogle Scholar

  • Smith, C. A. , Haynes, K. N. , Lazarus, R. S. , Pope, L. K. (1993). In search of the “hot” cognitions: Attributions, appraisals, and their relation to emotion. Journal of Personality and Social Psychology, 65, 916– 929. First citation in articleCrossrefGoogle Scholar

  • Snyder, C. R. (1991). The will and the ways: Development and validation of an individual-difference measure of hope. Journal of Personality and Social Psychology, 60, 570– 585. First citation in articleCrossrefGoogle Scholar

  • Stein, R. E. K. (1996). To be or not to be … noncategorical. Developmental and Behavioral Pediatrics, 17, 36– 37. First citation in articleCrossrefGoogle Scholar

  • Stein, R. E. K. , Jessop, D. J. (1982). A non-categorical approach to chronic childhood illness. Public Health Reports, 97, 35– 362. First citation in articleGoogle Scholar

  • Stuber, M. L. , Nader, K. O. , Houskamp, B. M. , Pynoos, R. S. (1996). Appraisal of life threat and acute trauma responses in pediatric bone marrow transplant patients. Journal of Traumatic Stress, 9, 673– 686. First citation in articleCrossrefGoogle Scholar

  • Taylor, S. E. , Armor, D. A. (1996). Positive illusions and coping with adversity. Journal of Personality, 64, 873– 898. First citation in articleCrossrefGoogle Scholar

  • Taylor, S. E. , Aspinwall, L. G. (1996). Mediating and moderating processes in psychosocial stress. Appraisal, coping, resistance, and vulnerability. In H. B. Kaplan (Ed.), Psychosocial stress(pp. 71-110). New York: Academic Press. First citation in articleGoogle Scholar

  • Thompson, R. J. , Gustafson, K. E. , Gil, K. M. , Godfrey, J. , Bennett Murphy, L. M. (1998). Illness specific patterns of psychological adjustment and cognitive adaptational processes in children with cystic fibrosis and sickle cell disease. Journal of Clinical Psychology, 54, 121– 128. First citation in articleCrossrefGoogle Scholar

  • Thompson, R. J. , Zeman, J. L. , Fanurik, D. , Roses, M. S. (1992). The role of parent stress and coping and family functioning in parent and child adjustment to Duchenne muscular dystrophy. Journal of Clinical Psychology, 48, 1 11– 19. First citation in articleCrossrefGoogle Scholar

  • Thompson, S. C. , Sobolex-Shubin, A. , Galbrainth, M. E. , Schwankobsky, L. , Cruzen, D. (1993). Maintaining perceptions of control: Finding perceived control in low-control cirumstances. Journal of Personality and Social Psychology, 64, 2 293– 304. First citation in articleCrossrefGoogle Scholar

  • Varni, J. W. , Katz, E. R. , Colegrove, R. Jr. , Dolgin, M. (1994). Perceived stress and adjustment of long-term survivors of childhood cancer. Journal of Psychosocial Oncology, 12, 1– 16. First citation in articleCrossrefGoogle Scholar

  • Wallander, J. L. , Varni, J. W. (1992). Adjustment in children with chronic physical disorders: Programmatic research on a disability-stress-coping model. In A. M. LaGreca, L. J. Siegel, J. L. Wallander & C. E. Walker (Eds.), Stress and coping in child health(pp. 279-298). New York: The Guilford Press. First citation in articleGoogle Scholar

  • Weinstein, N. D. (1989). Perceptions of personal susceptibility to harm. In V. M. Mays, G. W. Albee, & S. F. Schneider (Eds.), Primary prevention of AIDS(pp. 142- 167). Newbury Park: Sage. First citation in articleGoogle Scholar