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Trajectories of Autonomy Development across the Adolescent Transition in Children with Spina Bifida.
Rehabilitation Psychology
  • Deborah Friedman, Massachusetts General Hospital
  • Grayson N Holmbeck, Loyola University Chicago
  • Christian DeLucia, Nova Southeastern University, Center for Psych Studies
  • Barbara Jandasek, Warren Alpert Medical School of Brown University
  • Kathy Zebracki, Shriners Hospital for Children, Chicago
Document Type
Publication Date
  • Spina Bifida,
  • Autonomy,
  • Growth Curve,
  • Adolescence
Objective: The current study investigated individual growth in autonomy development across the adolescent transition, comparing the trajectories of children with and without spina bifida. Method: Individual growth curve modeling procedures were utilized to describe the developmental course of autonomy across four waves of data collection, from ages 9 to 15, and to test whether illness status [spina bifida vs. matched comparison group (N = 68 for both groups at Time 1)] would significantly predict individual variability in autonomy development. Potential moderators [child gender, SES, and Peabody Picture Vocabulary Test (PPVT) score] of the association between illness status and autonomy development were also examined. Results: Children with spina bifida demonstrated distinct developmental trajectories, though the nature of the group differences varied by type of autonomy development (emotional vs. behavioral), context (i.e. school vs. family), and reporter. Significant interactions with PPVT score and child gender were found. Conclusion: Overall, children with spina bifida show considerable developmental resiliency, but may lag behind their peers in specific areas of autonomy. Boys with spina bifida, and children with spina bifida who have lower than average levels of verbal intelligence, appear to be at greater risk for exhibiting delays in autonomy development.
Citation Information
Deborah Friedman, Grayson N Holmbeck, Christian DeLucia, Barbara Jandasek, et al.. "Trajectories of Autonomy Development across the Adolescent Transition in Children with Spina Bifida." Rehabilitation Psychology Vol. 54 Iss. 1 (2009) p. 16 - 27 ISSN: 0090-5550
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