Malhotra Savita, Singh Gagandeep
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Pediatr. 2002 Feb;69(2):145-8. doi: 10.1007/BF02859376.
Chronic illnesses in children and adolescents have devastating influence on them and their families. The patients have to cope up with illness, medication and it's influence on their development. Consequently a large number of them have emotional disorders which influence the course and outcome of physical disorder. In recent few years, research has shifted its focus from merely figuring out the prevalence of the emotional disorders to understanding the adjustment to chronic illness under defined theoretical constructs. Apart from temperamental variation, family burden and functioning have been identified as factors operating in determining adjustment. Distress experienced by the family and disturbed family functioning directly influences the emotional outcome in physically disordered children. Comprehensive coordinated care services are required for integration of these patients into the community.
儿童和青少年的慢性病对他们自身及其家庭具有毁灭性影响。患者必须应对疾病、药物治疗及其对自身发育的影响。因此，他们中的许多人患有情绪障碍，这会影响身体疾病的病程和结果。近年来，研究重点已从仅仅弄清楚情绪障碍的患病率，转向在特定理论框架下理解对慢性病的适应情况。除了气质差异外，家庭负担和功能已被确定为影响适应情况的因素。家庭所经历的痛苦和家庭功能紊乱直接影响身体患病儿童的情绪状况。需要全面协调的护理服务，以便将这些患者融入社区。
