Thompson R J, Gustafson K E, Hamlett K W, Spock A
Division of Medical Psychology, Duke University Medical Center, Durham, North Carolina 27710.
J Pediatr Psychol. 1992 Dec;17(6):741-55. doi: 10.1093/jpepsy/17.6.741.
Found 60% of children 7-12 years old with cystic fibrosis to have a parent-reported behavior problem and 62% met the criteria for a DSM-III diagnosis based on a structured clinical interview with the child. Mixed internal and external behavior problem patterns and diagnoses of anxiety and oppositional disorder were most frequent. Support was provided for the hypothesized psycho-social/mediational roles of child perception of self-worth and maternal anxiety in child adjustment. Together, the variables of the transactional stress and coping model accounted for 39 and 43% of the variance in mother-reported internalizing and externalizing behavior problems and for 68% of the variance in child-reported problems.
发现60%的7至12岁囊性纤维化患儿存在家长报告的行为问题，且62%的患儿在接受针对其进行的结构化临床访谈后符合DSM-III的诊断标准。最常见的是混合性内外部行为问题模式以及焦虑症和对立违抗障碍的诊断。研究为儿童自我价值感认知和母亲焦虑在儿童适应过程中所假设的心理社会/中介作用提供了支持。交易性压力与应对模型中的变量共同解释了母亲报告的内化和外化行为问题中39%和43%的变异，以及儿童报告问题中68%的变异。
