Self-Management, Satisfaction With Family Functioning, and the Course of Psychological Symptoms in Emerging Adults With Spina Bifida

Bellin, Melissa H.; Dosa, Nienke; Zabel, T. Andrew; Aparicio, Elizabeth; Dicianno, Brad E.; Osteen, Philip
January 2013
Journal of Pediatric Psychology;Jan/Feb2013, Vol. 38 Issue 1, p50
Academic Journal
Objective To explore psychological symptoms in emerging adults with spina bifida (SB) and their association with self-management and satisfaction with family functioning. Methods Longitudinal data were collected at 2 time points, 15 months apart, in 48 individuals with SB. Reliable change indices and paired samples t-tests assessed change in anxiety and depressive symptoms. Hierarchical regression models explored the contributions of SB severity, family satisfaction, and self-management in explaining change in psychological symptoms. Results No significant group level differences in psychological symptoms were found across time in participants (Mean age 22 years), but significant individual-level change in anxiety symptoms (n = 13) and depressive symptoms (n = 9) was observed. Improved satisfaction with family functioning was associated with decreased anxiety symptoms (b = −0.30, p = .02), and increased SB self-management was related to reduced depressive symptoms (b = −0.63, p = .01). Conclusions Changes in self-management and satisfaction with family functioning may influence the course of psychological symptoms.


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