Sherman M, Koch D, Giardina P, Hymowitz P, Siegel R, Shapiro T
Ann N Y Acad Sci. 1985;445:327-36. doi: 10.1111/j.1749-6632.1985.tb17203.x.
A study that explored children's understanding of the body and illness was conducted with 23 thalassemic outpatients and 27 healthy controls. The findings were supportive of a developmental progression in children's understanding that is reflective of their underlying cognitive maturity. Behavioral compliance was related to psychiatric adjustment. There was a trend toward poorer psychiatric adjustment in children with impaired understanding of their illness. These findings hold implications for both educational and psychiatric intervention with this group. Optimal health care of chronically ill children requires knowledge of the developmental course and interplay of children's cognition and their familial and personal adjustment.
一项针对23名地中海贫血门诊患儿和27名健康对照儿童进行的研究，探讨了儿童对身体和疾病的理解。研究结果支持了儿童理解能力的发展进程，这反映了他们潜在的认知成熟度。行为依从性与精神状态调整有关。对自身疾病理解受损的儿童存在精神状态调整较差的趋势。这些发现对该群体的教育和精神干预均具有启示意义。慢性病患儿的最佳医疗保健需要了解儿童认知的发展过程及其与家庭和个人调整之间的相互作用。
