MacLean W E, Perrin J M, Gortmaker S, Pierre C B
Department of Psychology and Human Development, Peabody College of Vanderbilt University, Nashville, Tennessee 37203.
J Pediatr Psychol. 1992 Apr;17(2):159-71. doi: 10.1093/jpepsy/17.2.159.
Although children with chronic illness are at greater risk for decreased psychological adjustment than physically healthy children, little is known about the factors that lead to increased risk. Eighty-one children with asthma between the ages of 6 and 14 years and their parents participated in a study to determine the relative contribution of background variables (age, gender, and socioeconomic status), recent stressful life events, and illness severity to psychological adaptation. Overall 11.5% of the children had CBCL Total Behavior Problems scores above the 98th percentile. Multiple regression revealed that lower SES, negative life change, and high illness severity were predictive of less optimal psychological adjustment. The results highlight the need for interventions to improve coping with both disease and nondisease issues.
尽管患有慢性病的儿童比身体健康的儿童在心理调适方面面临更大的风险降低，但对于导致风险增加的因素却知之甚少。81名年龄在6至14岁之间的哮喘儿童及其父母参与了一项研究，以确定背景变量（年龄、性别和社会经济地位）、近期压力性生活事件以及疾病严重程度对心理适应的相对影响。总体而言，11.5%的儿童CBCL总行为问题得分高于第98百分位。多元回归分析显示，较低的社会经济地位、负面生活变化和较高的疾病严重程度预示着心理调适较差。研究结果凸显了采取干预措施以改善应对疾病和非疾病问题的必要性。
