Lansky S B, Smith S D, Cairns N U, Cairns G F
Am J Pediatr Hematol Oncol. 1983 Spring;5(1):87-92.
A urinary assay (17 kgs/creatinine) was used to measure compliance in 31 acute lymphocytic leukemia patients under 15 years of age receiving oral prednisone. Demographic data and psychological test responses of patients and their parents were correlated with the urinary assays. Results indicated that while the rate of compliance was the same for boys and girls, the psychological correlates were very different. Parental personality traits and attitudes were more involved with boy's compliance than with girl's. Some of the parent variables associated with compliance in boys were hostility, anxiety, and obsessive-compulsive behavior. Parents described compliant boys as vulnerable. These traits usually are considered maladaptive but in this case appear to facilitate boy's compliance. For girls, far fewer parent variables were associated with compliance. Parents seemed to have less worry and concern about their daughters and presumably give them the responsibility for their own medication. It was the girl's own anxiety which predicted compliance.
采用尿样检测（尿17酮类固醇/肌酐）来衡量31名15岁以下接受口服泼尼松治疗的急性淋巴细胞白血病患者的依从性。将患者及其父母的人口统计学数据和心理测试反应与尿样检测结果进行关联分析。结果表明，虽然男孩和女孩的依从率相同，但心理关联因素却大不相同。父母的个性特征和态度对男孩依从性的影响大于女孩。与男孩依从性相关的一些父母变量包括敌意、焦虑和强迫行为。父母将依从性好的男孩描述为易受伤害。这些特征通常被认为是适应不良的，但在这种情况下似乎有助于男孩的依从性。对于女孩来说，与依从性相关的父母变量要少得多。父母似乎对女儿的担心较少，大概是让她们自己负责服药。是女孩自身的焦虑预测了依从性。
