ORIGINAL ARTICLE Stress in Adolescents with a Chronically Ill Parent: Inspiration from Rolland’s Family Systems-Illness Model

# The Author(s) 2012. This article is published with open access at Springerlink.com Abstract This article was inspired by Rolland’s Family Systems-Illness (FSI) model, aiming to predict adolescent stress as a function of parental illness type. Ninety-nine parents with a chronic medical condition, 82 partners, and 158 adolescent children (51 % girls; mean age015.1 years) participated in this Dutch study. The Dutch Stress Ques-tionnaire for Childrenwas used to measure child report of stress. Ill parents completed the Beck Depression Inventory. Children filled in a scale of the Inventory of Parent and Peer Attachment measuring the quality of parent attachment. Both parents filled in the Parent-Child-Interaction Questionnaire-Revised. We conducted multilevel regression analyses including illness type, the ill parent’s depressive symptoms, family functioning (quality of marital relationship, parent-child interaction, and parent attachment), and adolescents’ gender and age. Four regression analyses were performed separately for each illness type as defined by disability (Model 1), and onset (Model 2), course (Model 3), and outcome of illness (Model 4). In all models, higher adolescent stress scores were linked to lower quality of parent-child interaction and parent attachment, and adolescents ’ female gender. The four models explained approximately 37 % of the variance in adolescent stres