Van Sciver M M, D'Angelo E J, Rappaport L, Woolf A D
Division of Ambulatory Medicine, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Dev Behav Pediatr. 1995 Oct;16(5):350-8.
Much research and clinical practice derives from the assumption that there is a set of psychological-social variables that commonly influence medical (non)compliance. This assumption may lead to overly general strategies for managing specific illnesses in children with chronic illness. With this concern in mind, a study was made of health provider ratings of compliance, treatment attitudes, and illness-related family stress for three pediatric cohorts (N = 75, ages 8 to 20 years): boys with hemophilia (n = 31), sickle cell disease (n = 22), or asthma (n = 22). Between-group differences were found on compliance and treatment attitudes (p < .05), with patients with sickle cell demonstrating greater treatment cooperation than their counterparts and boys with hemophilia expressing more positive outlooks on medical advice and about health outcomes (Newman-Keuls test, p < .05). Positive treatment attitudes were associated with specific compliance behaviors for boys with hemophilia (p < .045) but not for other groups.
许多研究和临床实践都基于这样一种假设，即存在一组心理社会变量，它们通常会影响医疗依从性（或不依从性）。这一假设可能会导致针对慢性病患儿管理特定疾病的策略过于笼统。出于这种担忧，针对三个儿科队列（N = 75，年龄8至20岁）的医疗服务提供者对依从性、治疗态度以及与疾病相关的家庭压力的评分进行了一项研究：患有血友病的男孩（n = 31）、镰状细胞病患者（n = 22）或哮喘患者（n = 22）。在依从性和治疗态度方面发现了组间差异（p <.05），镰状细胞病患者比其他患者表现出更高的治疗合作性，患有血友病的男孩对医疗建议和健康结果表现出更积极的看法（纽曼-基尔斯检验，p <.05）。积极的治疗态度与患有血友病的男孩的特定依从行为相关（p <.045），但与其他组无关。
