Self-report measures of family functioning: A comparison of families of young children with severe cerebral palsy, mild cerebral palsy, or no medical diagnosis

Britner, P. A., Morog, M. C., Pianta, R. C., & Marvin, R. S.
(submitted for publication, 1995)


Abstract

Analyzed data from 87 mothers of children ages 15 to 44 months with cerebral palsy (CP) or no diagnosis, who completed the Dyadic Adjustment Scale, Parenting Stress Index, Support Functions Scale, and Inventory of Social Support. Principal components analysis of the 15 subscales revealed few cross-measure loadings. Mothers of children with severe CP reported more support needs than did mothers of controls. Mothers of children with CP (severe or mild) reported higher levels of parenting stress than did mothers of controls. Cluster analysis of self-report measures yielded a 5-cluster solution, with no diagnostic group differences across clusters. Presence and absence of group differences across methods of analysis are discussed in terms of the organization of family systems and their relationship to child diagnosis. Short Introduction Literature on the relation between child disabilities and family process suggests that self-report measures of family function and social ecology (parenting stress, marital quality, social support) may be related to the nature and severity of the child's condition. Whereas much of the early research suggested that childhood disabilities are associated with negative family outcomes, more recent research suggests that this conclusion is false, or at least oversimplified. This paper examines whether various self-report measures, designed to assess different dimensions of family functioning, in fact tap common underlying constructs, and describes differences in response patterns across diagnostic groups in a sample of families who have young children with severe cerebral palsy (CP), mild CP, or no medical diagnosis (controls).
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