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© 1972 Oxford University Press

research-article

Chronic Illness, Family Functioning, and Psychological Adjustment: A Model for the Allocation of Preventive Mental Health Services*

I. B. PLESS1,{dagger},, K. ROGHMANN2 and R. J. HAGGERTY3

1Departments of Pediatrics and Sociology, University of Rochester School of Medicine and Dentistry 260 Crittendon Blvd., Rochester, N.Y. 14624, U.S.A.
2Departments of Pediatrics and Sociology, University of Rochester School of Medicine and Dentistry 260 Crittendon Blvd., Rochester, N.Y. 14624, U.S.A.
3 Departments of Pediatrics and Sociology, University of Rochester School of Medicine and Dentistry 260 Crittendon Blvd., Rochester, N.Y. 14624, U.S.A.
{dagger} Milbank Faculty Fellow

Requests for reprints may be addressed to Dr. I. B. Pless.

Pless, I. B. (Dept. of Pediatrics, University of Rochester School of Medicine and Dentistry, 260 Crittendon Blvd., Rochester, N.Y. 14624, U.S.A.), Roghmann, K., and Haggerty, R. J. Chronic illness, family functioning, and psychological adjustment: a model for the allocation of preventive mental health services. Int. J. Epid. 1972, 1 : 271–277.

A random sample of school age children with chronic physical disorders residing in Monroe County, New York, is described. The frequency of psychological maladjustment, as assessed by self, parent and teacher ratings, is found to be 10–15 per cent greater among the chronically ill than among healthy controls. Those among the chronically ill who are at highest risk for psychological difficulties are further identified by consideration of the quality of family life as measured by an index of family functioning. Based on these findings, it is recommended that children with chronic disorders with certain family characteristics are a high risk group who deserve special consideration in planning the allocation of mental health services.

Received 29 August 1972


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