Abstract

Introduction: Pediatric patients may be at higher risk for depression and a lower self-concept when difficulties within the family arise. The Mastering Each New Direction (MEND) program is a psychosocial intervention aimed at addressing adherence and family issues in adolescent CI. Methods: Drawing data from 50 MEND participants, we used multilevel modeling techniques to test changes in self-concept over time as predicted by number of weeks in MEND, depression, family cohesion and flexibility, and baseline levels of maternal and paternal attachment. Results: At Level 1, depression negatively predicted self-concept over time. At Level 2, higher baseline maternal and paternal avoidant attachment predicted higher initial self-concept. Higher maternal avoidant attachment was also associated with a stronger relationship between self-concept and depression. Discussion: Given that avoidant attachment predicted affective well-being and identity stabilization in youth with CI, targeting the parent-child relationship may be key to reducing co-morbid psychological issues in this population. Programs like MEND by focusing on family well-being and health may help adolescents individuate while maintaining adherence.

LLU Discipline

Clinical Psychology

Department

Psychology

School

School of Behavioral Health

First Advisor

Neece, Cameron L.

Second Advisor

Distelberg, Brian

Third Advisor

Morrell, Holly E. R.

Degree Name

Doctor of Philosophy (PhD)

Degree Level

Ph.D.

Year Degree Awarded

2016

Date (Title Page)

6-2016

Language

English

Library of Congress/MESH Subject Headings

Depression; Chronic Disease -- child; Pediatrics;

Subject - Local

Parent-Child Attachment; Self-Concept; Mastering Each New Direction (MEND) Program; Avoidant Attachment

Type

Thesis

Page Count

57

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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