Almost 20 million children in the U.S. have a chronic illness. Chronic illness requires ongoing management in the home, often with complex, stressful regimens. The increased lifespan of chronically ill children may lead to increased long term psychosocial and physical sequelae. Enhancing the quality of life for these children could promote optimal long-term adaptation. Health benefits of companion animals have been described across psychosocial, physiological, and behavioral spheres for healthy children and children with disabilities. These benefits have not been empirically examined for chronically ill children. This paper uses a stress-coping model to examine the role animals may play in adaptation for children with chronic illnesses. The contribution of companion animals to the constructs within the model and the adaptation process is discussed. This model provides a potential theoretical framework for synthesizing literature and pursuing empirical work on the role of companion animals in chronic childhood illness.
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References
1.
Allen, K. M. , Blascovich, J., Tomaka, J., & Kelsey, R. M. (1991). Presence of human friends and pet dogs as moderators of autonomic responses to stress in women. Journal of Personality and Social Psychology, 61, 582-589.
2.
American Veterinary Medical Association . (1993). U.S. pet ownership and demographic sourcebook. Schaumberg, IL: Central Information Management.
3.
Barbarin, O. A. (1990). Adjustment to serious illness. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 13, pp. 377-403). New York: Plenum.
4.
Baun, M. M. , Bergstrom, N., Langston, N. F., & Thoma, L. (1984). Physiological effects of human/companion animal bonding. Nursing Research, 33, 126-130.
5.
Baun, M. M. , Oetting, K., & Bergstrom, N. (1991). Health benefits of companion animals in relation to the physiologic indices of relaxation. Holistic Nursing Practice, 5, 16-23.
6.
Beardsley, G. , & Goldstein, M. G. (1993). Psychological factors affecting physical condition: Endocrine disease literature review. Psychosomatics, 34, 12-19.
7.
Beck, A. , & Katcher, A. H. (1996). Between pets and people: The importance of animal companionship. West Lafayette, IN: Purdue University Press.
8.
Beck, A. M. , & Meyers, N. M. (1996). Health enhancement and companion animal ownership. Annual Review of Public Health, 17, 247-257.
9.
Bennett-Murphy, L. M. , Thompson, R. J., & Morris, M. A. (1997). Adherence behavior among adolescents with Type I insulin-dependent diabetes mellitus: The role of cognitive appraisal processes. Journal of Pediatric Psychology, 22, 811-825.
10.
Boland, E. A. , & Grey, M. (1996). Coping strategies of school-age children with diabetes mellitus. Diabetes Educator, 22, 592-597.
11.
Borner, A. , & Steinhauer, H. C. (1977). A psychological study of family characteristics in juvenile diabetes. Pediatric and Adolescent Endocrinology, 3, 36-51.
12.
Bryant, B. K. (1985). The neighborhood walk: Sources of support in middle childhood. Monographs of the Society for Research in Childhood Development, 50(3, Serial No. 210).
13.
Bryant, B. K. (1990). The richness of the child-pet relationship: A consideration of both the benefits and cost of pets to children. Anthrozoös, 3, 253-261.
14.
Canning, R. D. , Harris, E. S., & Kelleher, K. J. (1996). Factors predicting distress among care-givers to children with chronic medical conditions. Journal of Pediatric Psychology, 21, 735-749.
15.
Close, H. , Davies, A. G., Price, D. A., & Goodyer, I. M. (1986). Emotional difficulties in diabetes mellitus. Archives of Diseases in Childhood, 61, 337-340.
16.
Covert, A. M. , Whiren, A. P., Keith, J., & Nelson, C. (1985). Pets, early adolescents, & families. In M. Sussman (Ed.), Pets and the family (pp. 95-108). New York: Haworth.
17.
Cox, D. J. , & Gonder-Frederick, L. (1992). Major developments in behavioral diabetes research. Journal of Consulting and Clinical Psychology, 60, 628-638.
18.
Delameter, A. M. , Kurtz, S. M., Bubb, J., White, N. H., & Santiago, J. V. (1987). Stress and coping in relation to metabolic control in adolescents with Type I diabetes. Developmental and Behavioral Pediatrics, 8, 136-140.
19.
Drotar, D. (Ed.). (1998). Measuring health-related quality of life in children and adolescents: Implications for research and practice. Mahwah, NJ: Lawrence Erlbaum.
20.
Fonaghy, P. , Moran, G. S., Lindsay, M. K. M., Kurtz, A. B., & Brown, R. (1987). Psychological adjustment and diabetes control. Archives of Diseases in Childhood, 62, 1009-1013.
21.
Friedmann, E. , Katcher, A. H., Lynch, J. J., & Thomas, S. A. (1980). Animal companions and one year survival of patients after discharge from a coronary care unit. Public Health Reports, 95, 307-312.
22.
Friedmann, E. , Katcher, A. H., Thomas, S. A., Lynch, J. J., & Messent, P. R. (1983). Social inter-action and blood pressure: Influence of animal companions. Journal of Nervous and Mental Disease, 171, 461-465.
23.
Furman, W. (1989). The development of children’s social networks. In D. Belle (Ed.), Children’s social networks and social supports (pp. 151-172). New York: John Wiley.
24.
Goldston, D. B. , Kovacs, M., Obrosky, D. S., & Iyengar, S. (1995). A longitudinal study of life events and metabolic control among youths with insulin-dependent diabetes mellitus. Health Psychology, 14, 409-414.
25.
Grey, M. , Boland, E., Davidson, M., Yu, C., Sullivan-Bolyai, S., & Tamborlane, W. V. (1998). Short-term effects of coping skills training as adjunct to intensive therapy in adolescents. Diabetes Care, 21, 902-908.
26.
Grey, M. , Boland, E. A., Davidson, M., Yu, C., & Tamborlane, W. V. (1999). Coping skills training for youths with diabetes on intensive therapy. Applied Nursing Research, 12, 3-12.
27.
Grey, M. , Cameron, M. E., Lipman, T. H., & Thurber, F. W. (1995). Psychosocial status of children with diabetes in the first 2 years after diagnosis. Diabetes Care, 18, 1330-1336.
28.
Grey, M. , Lipman, T., Cameron, M. E., & Thurber, F. W. (1997). Coping behaviors at diagnosis and in adjustment one year later in children with diabetes. Nursing Research, 46, 312-317.
29.
Hanson, C. L. , Henggeler, S. W., & Burghen, G. A. (1987). Social competence and parental support as mediators of the link between stress and metabolic control in adolescents with insulin-dependent diabetes mellitus. Journal of Consulting and Clinical Psychology, 55, 529-533.
30.
Hines, L. , & Fredrickson, M. (1998). Perspectives on animal-assisted activities and therapy. In C. C. Wilson & D. C. Turner (Eds.), Companion animals in human health (pp. 23-39). Thousand Oaks, CA: Sage.
31.
Hunt, S. J. , Hart, L. A., & Gomulkiewcz, R. (1992). The role of small animals in social interaction between strangers. Journal of Social Psychology, 132, 245-256.
32.
Jessop, D. J. , Riessman, C. K., & Stein, R. E. K. (1988). Chronic illness and maternal mental health. Journal of Developmental and Behavioral Pediatrics, 9, 147-156.
33.
Johnson, S. B. (1994). Family management of childhood diabetes. Journal of Clinical Psychology in Medical Settings, 1, 309-315.
34.
Kidd, A. H. , & Kidd, R. M. (1990). Factors in children’s attitudes toward pets. Psychological Reports, 66, 775-786.
35.
Kovacs, M. , Brent, D., Steinberg, T. F., Paulauskas, S., & Reid, J. (1986). Children’s self-reports of psychologic adjustment and coping strategies during the first year of insulin-dependent diabetes mellitus. Diabetes Care, 9, 472-478.
36.
Kovacs, M. , Iyengar, S., Goldston, D., Obrosky, D. S., Stewart, J., & Marsh, J. (1990a). Psychological functioning of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Pediatric Psychology, 15, 619-632.
37.
Kovacs, M. , Iyengar, S., Goldston, D., Stewart, J., Obrosky, D. S., & Marsh, J. (1990b). Psychological functioning among mothers of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Consulting and Clinical Psychology, 58, 189-195.
38.
Kovacs, M. , Obrosky, D. S., Goldston, D., & Bonar, L. K. (1997). Psychiatric disorders in youths with IDDM: Rates and risk factors. Diabetes Care, 20, 36-44.
39.
LaGreca, A. M. , Follansbee, D. J., & Skyler, J. S. (1990). Developmental and behavioral aspects of diabetes management in children and adolescents. Children’s Health Care, 19, 132-139.
40.
Lavigne, J. V. , & Faier-Routman, J. (1992). Psychological adjustment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 17, 133-137.
41.
Levinson, B. (1972). Pets and human development. Springfield, IL: Charles C Thomas.
42.
McCubbin, H. I. , & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. In H. I. McCubbin, M. A. Sussman, & J. M. Patterson (Eds.), Social stress and the family: Advances in family stress theory and research (pp. 7-37). New York: Haworth.
43.
McCubbin, H. I. , & Thompson, A. I. (Eds.). (1987). Family assessment inventories for research and practice. Madison, WI: University of Wisconsin Press.
44.
Melson, G. F. (1998). The role of companion animals in human development. In C. C. Wilson & D. C. Turner (Eds.), Companion animals in human health (pp. 219-236). Thousand Oaks, CA: Sage.
45.
Melson, G. F. , Peet, S., & Sparks, C. (1991). Children’s attachment to their pets: Links to socioemotional development. Children’s Environment Quarterly, 8, 55-65.
46.
Melson, G. F. , Schwartz, R. L., & Beck, A. M. (1997). Importance of companion animals in children’s lives—implications for veterinary practice. Journal of the American Veterinary Medical Association, 211, 1512-1518.
47.
Nagengast, S. L. , Baun, M. M., Megel, M., & Leibowitz, J. M. (1997). The effects of the presence of a companion animal on physiological arousal and behavioral distress in children during physical examination. Journal of Pediatric Nursing, 12, 323-330.
48.
Nassau, J. H. , & Drotar, D. (1995). Social competence in children with IDDM and asthma: Child, teacher, and parent reports of children’s social adjustment, social performance, and social skills. Journal of Pediatric Psychology, 20, 187-204.
49.
National Institutes of Health . (1988). Summary of working group on health benefits of pets (DHHS Publication No. 216-107). Washington, DC: Government Printing Office.
50.
Newacheck, P. W. , & Halfon, N. (1998). Prevalence and impact of disabling chronic conditions in childhood. American Journal of Public Health, 88, 610-617.
51.
Newacheck, P. W. , Stoddard, J. J., & McManus, M. (1993). Ethnocultural variations in the prevalence and impact of childhood chronic conditions. Pediatrics, 91, 1031-1039.
52.
Newacheck, P. W. , & Taylor, W. R. (1992). Childhood chronic illness: Prevalence, severity, and impact. American Journal of Public Health, 82, 364-371.
53.
Patterson, J. M. , & McCubbin, H. I. (1983). Chronic illness: Family stress and coping. In C. R. Figley & H. I. McCubbin (Eds.), Stress and the family, Vol II: Coping with catastrophe (pp. 21-36). New York: Brunner/Mazel.
54.
Poresky, R. H. , & Hendrix, C. (1990). Differential effects of pet presence and pet-bonding on young children. Psychological Reports, 67, 51-54.
55.
Reid, G. J. , Dubow, E. F., Carey, T. C., & Dura, J. R. (1994). Contribution of coping to medical adjustment and treatment responsibility among children and adolescents with diabetes. Developmental and Behavioral Pediatrics, 15, 327-335.
56.
Siegel, J. M. , Angulo, F. J., Detels, R., Wesch, J., & Mullen, A. (1999). AIDS diagnosis and depression in the multicenter AIDS cohort study: The ameliorating impact of pet ownership. AIDS Care, 11, 157-170.
57.
Skinner, T. C. , John, M., & Hampson, S. E. (2000). Social support and personal models of diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology, 25, 257-267.
58.
Spieth, L. E. , & Harris, C. V. (1996). Assessment of health-related quality of life in children and adolescents: An integrative review. Journal of Pediatric Psychology, 21, 175-193.
59.
Spirito, A. , DeLawyer, D. D., & Stark, L. J. (1991). Peer relations and social adjustment of chronically ill children and adolescents. Clinical Psychology Review, 11, 539-564.
60.
Stein, R. E. (1983). Growing up with a physical difference. Children’s Health Care, 12, 53-61.
61.
Thompson, R. J. , Gil, K. M., Burbach, D. A., Keith, B. R., & Kinney, T. R. (1993). The role of child and maternal processes in the psychological adjustment of children with sickle cell disease. Journal of Consulting and Clinical Psychology, 61, 468-474.
62.
Veevers, J. E. (1985). The social meanings of pets: Alternative roles for companion animals. In M. Sussman (Ed.), Pets and the family (pp. 11-30). New York: Haworth.
63.
Venters, M. (1981). Familial coping with chronic and severe childhood illness: The case of cystic fibrosis. Social Science and Medicine, 15A, 289-297.
64.
Wilson, C. C. (1998). A conceptual framework for human-animal interaction research: The challenge revisited. In C. C. Wilson & D. C. Turner (Eds.), Companion animals in human health (pp. 61-89). Thousand Oaks, CA: Sage.
