Department of Psychology, DePaul University, Chicago, IL 60614, USA.
J Pediatr Psychol. 2011 Sep;36(8):878-90. doi: 10.1093/jpepsy/jsr035. Epub 2011 Jul 10.
To conduct a meta-analysis of social competence in children with a chronic illness.
The meta-analysis included 57 studies comparing levels of social competence in children with chronic illness to those of children without chronic illness. A random effects model was used to calculate overall effect, subgroup, and meta-regression analyses.
Overall, the meta-analysis calculated 90 unique outcomes, producing a summary standardized mean difference of d = -0.44, 95% confidence interval (95% CI) -0.52 to -0.36 indicating a medium overall effect for decrease social competence. Chronic illness, measure, and informant moderated social competence outcomes.
The impact of chronic illness on youth varied by individual child factors (e.g., gender, chronic illness type) and by measurement features such as informant and measure type. The current study demonstrates a need for further research of the assessment of social competence and has implications for the development of social skills programs for children with chronic illness.
对慢性病儿童的社会能力进行荟萃分析。
该荟萃分析纳入了 57 项比较慢性病儿童和无慢性病儿童社会能力水平的研究。采用随机效应模型计算总体效应、亚组和元回归分析。
总体而言，荟萃分析计算了 90 个独特的结果，得出标准化均数差的综合值为 d = -0.44，95%置信区间（95%CI）为-0.52 至-0.36，表明社会能力总体呈中度下降。慢性病、测量和报告人因素均影响社会能力结果。
慢性病对青少年的影响因个体儿童因素（如性别、慢性病类型）和测量特征（如报告人类型和测量类型）而异。本研究表明需要进一步研究社会能力的评估，并对慢性病儿童社会技能项目的发展具有启示意义。
