Carraccio C L, McCormick M C, Weller S C
J Pediatr. 1987 Jun;110(6):982-7. doi: 10.1016/s0022-3476(87)80432-8.
An assessment of health cognition and health locus of control (HLOC) was obtained in 85 healthy and 81 chronically ill children, using instruments adapted from Piaget's work and standard HLOC measures. A relationship between HLOC and compliance was sought in a subset of children with spina bifida taught self-catheterization. Evidence of the developmental nature of health cognition and HLOC was documented. Contrary to the effect of experience in formal learning, experience with chronic disease did not alter developmental progression in these health-related areas. Our results suggest that in communicating with children about illness, the pediatrician's approach should not be altered by an appearance of superficial sophistication that some children may acquire as part of their experience with chronic disease.
我们使用改编自皮亚杰著作的工具和标准的健康控制点（HLOC）测量方法，对85名健康儿童和81名慢性病儿童进行了健康认知和健康控制点评估。在一组接受自我导尿术训练的脊柱裂儿童中，研究了健康控制点与依从性之间的关系。记录了健康认知和健康控制点的发展性质的证据。与正规学习中的经验效果相反，慢性病经历并未改变这些与健康相关领域的发展进程。我们的结果表明，在与儿童交流疾病问题时，儿科医生的方法不应因某些儿童可能因慢性病经历而表现出的表面成熟而改变。
