Bradford R
Child Psychology Services, Wrotham Road Clinic, Gravesend, UK.
Child Care Health Dev. 1994 Nov-Dec;20(6):393-407. doi: 10.1111/j.1365-2214.1994.tb00401.x.
Mothers of 45 children with a liver disease (biliary atresia) completed a questionnaire concerned with their child's health status and psychological adjustment. Emotional and behavioural problems were found to be common; 46% of children under 5 and 43% over 5 years of age scored above the cut-off on standardized measures of adjustment. Maternal mental health difficulties were present in 36% of the sample. The study examined factors that predicted child adjustment, results indicating that maternal perceptions of severity accounted for 40% of the variance in children's psychological adjustment. Neither maternal mental health, nor objective parameters of the child's health status contributed significantly to child adjustment. The findings are discussed in terms of Wallander's model of adaptation to chronic disease and the practical implications for clinical practice are discussed.
45名患有肝病（胆道闭锁）儿童的母亲完成了一份关于其孩子健康状况和心理调适的问卷。发现情绪和行为问题很常见；5岁以下儿童中有46%、5岁以上儿童中有43%在标准化调适测量中得分高于临界值。样本中有36%的母亲存在心理健康问题。该研究考察了预测儿童调适的因素，结果表明母亲对病情严重程度的认知占儿童心理调适差异的40%。母亲的心理健康以及孩子健康状况的客观参数对儿童调适均无显著贡献。依据瓦兰德的慢性病适应模型对研究结果进行了讨论，并探讨了其对临床实践的实际意义。
