The effect of Cystic Fibrosis (CF) on the structure and social climate of the family was examined with self‐report scales and independent observations of family functioning. Families in which the child with CF was not the firstborn were found to be functioning more healthily than those in which the child was the firstborn. This was found on 7 of 10 family environment scales, a family hierarchy test, and on all three of the family system scales used by the independent observers (power, cohesion and closeness). Significant correlations between specific family variables and problem behaviors and social competencies were also found.
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Johnson et al. (1985) studied this question.
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