This study examined role restriction in 365 inner-city mothers of 5- to 8-year-old children with chronic health conditions and tested whether it could account for a previously reported relationship between children's functional limitations and maternal psychological distress. Functional limitations in the children were related to maternal role restriction with sociodemographic factors controlled. Children's functional limitations also independently predicted maternal Depression subscale scores in a regression model. Adding role restriction to this model significantly increased explained variance in Depression scores, indicating that it also is directly related to maternal distress symptoms. However, adding role restriction only slightly reduced the impact of functional limitations in the model, suggesting that it plays a small role, if any, in explaining the relationship between the other two variables. Because perceived role restriction independently predicts maternal depressive symptoms and represents a potentially modifiable risk factor, it warrants attention as a useful target for intervention.
Address for reprints: Ellen Johnson Silver, Ph.D., Department of Pediatrics, Albert Einstein College of Medicine. Jack and Pearl Resnick Campus, 1300 Morris Park Avenue, NR 7 South 15, Bronx, NY 10461.
A previous version of this article was presented at the 14th Annual Meeting of the Society for Developmental and Behavioral Pediatrics. San Francisco, CA, September 30, 1996.
Dr. Weiss currently is affiliated with the New York Academy of Medicine. New York, New York.
© 1999 Lippincott Williams & Wilkins, Inc.