Simmons R J, Corey M, Cowen L, Keenan N, Robertson J, Levison H
Psychosom Med. 1987 May-Jun;49(3):291-301. doi: 10.1097/00006842-198705000-00008.
One hundred and twenty-six 6 to 11-year-old latency age children with Cystic Fibrosis regularly attending the CF clinic of the Hospital for Sick Children were asked to complete the Piers-Harris Self-Concept Scale and the Children's Health Locus of Control. Their parents were requested to complete the Child Behavior Checklist and the Family Assessment Measure. One hundred and eight (86%) participated in the study. Twenty-three percent of the children were found to have sufficient behavior problems to indicate a significant degree of maladjustment. Latency-age CF children show an increase in problems compared to a pre-school group, suggesting that leaving the protection of the family is problematic for a child with a chronic physical disorder. Males show more behavior problems than females. Males' behavior is characterized by somatic complaint profile. In spite of difficulties, CF latency children are able to maintain good social competence and self-concept suggesting compensatory mechanisms. These mechanisms are different for males and females. Females' self-concept and social competence are supportive of each other, whereas for males, this is not the case. Similarly, female behavior is relevant to family functioning. Males and females adjust to difficulty as indicated by differences in behavior profiles.
126名年龄在6至11岁的囊性纤维化潜伏期儿童，他们定期前往病童医院的囊性纤维化诊所就诊，被要求完成皮尔斯 - 哈里斯自我概念量表和儿童健康控制点量表。他们的父母被要求完成儿童行为清单和家庭评估量表。108名（86%）儿童参与了该研究。发现23%的儿童存在足够多的行为问题，表明其适应不良程度显著。与学龄前儿童组相比，潜伏期的囊性纤维化儿童问题增多，这表明对于患有慢性身体疾病的儿童而言，离开家庭的庇护存在问题。男孩比女孩表现出更多行为问题。男孩的行为以躯体主诉特征为特点。尽管存在困难，但囊性纤维化潜伏期儿童能够保持良好的社会能力和自我概念，表明存在补偿机制。这些机制在男性和女性中有所不同。女性的自我概念和社会能力相互支持，而男性则不然。同样，女性的行为与家庭功能相关。男性和女性根据行为特征的差异来适应困难。
