Northam E, Anderson P, Adler R, Werther G, Warne G
Royal Children's Hospital, Melbourne, Australia.
J Pediatr Psychol. 1996 Oct;21(5):699-717. doi: 10.1093/jpepsy/21.5.699.
Examined the initial impact and subsequent adjustment to the diagnosis of insulin-dependent diabetes mellitus (IDDM). Children between 1 and 14 years of age and their families were assessed several weeks after diagnosis and again a year later using standardized measures of child behavior, parental mental health, and family functioning. Immediately after diagnosis, the children and both parents exhibited mild symptoms of psychological distress but these had largely resolved at 12-month follow-up. The impact of IDDM diagnosis on family functioning varied with informant, SES, and the age of the child, with an overall tendency for families to become less flexible over the year. Findings suggest that most children and their parents exhibit satisfactory individual adjustment after a period of initial stress but family functioning is affected in complex ways. Serial follow-up of the cohort is planned to establish whether the current findings are predictive of longer term outcome.
研究了胰岛素依赖型糖尿病（IDDM）诊断的初始影响及后续调整情况。对1至14岁的儿童及其家庭在诊断后数周进行了评估，并在一年后再次使用标准化的儿童行为、父母心理健康和家庭功能测量方法进行评估。诊断后立即发现，儿童及其父母双方均表现出轻度心理困扰症状，但在12个月随访时这些症状基本已消失。IDDM诊断对家庭功能的影响因报告者、社会经济地位（SES）和儿童年龄而异，总体趋势是家庭在这一年中变得不那么灵活。研究结果表明，大多数儿童及其父母在经历一段初始压力期后表现出令人满意的个体适应，但家庭功能受到复杂的影响。计划对该队列进行连续随访，以确定当前研究结果是否能预测长期结局。
