Perceived problem-solving ability, stress, and coping in mothers of children with physical disabilities: potential cognitive influences on adjustment.

Examined the contribution of perceived problem-solving ability to the adjustment of mothers of children with a physical disability, in conjunction with appraised disability-related stress and approach and avoidance coping, as a further evaluation of Wallander and Varni's Disability-Stress-Coping model emphasizing cognitive processes. One hundred sixteen mothers of children, ages 2 to 20, with spina bifida or cerebral palsy completed measures of relevant constructs. Results show that the mother's appraisal of disability-related stress is strongly associated with her reported maladjustment.

Development and evaluation of a measure of concerns related to raising a child with a physical disability.

Developed a measure of perceived disability-related stress, the Parents of Children with Disabilities Inventory (PCDI). A content analysis of concerns expressed by mothers identified four primary domains: Medical and Legal Concerns, Concerns for the Child, Concerns for the Family, and Concerns for the Self. Item analysis performed on an initial item pool administered to 48 mothers recruited from area spina bifida and cerebral palsy clinics identified 40 items for further investigation.