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在儿童及其家庭对儿童慢性疾病的适应过程中控制一般影响和疾病特异性影响。

Controlling for general and disease-specific effects in child and family adjustment to chronic childhood illness.

作者信息

Holden E W, Chmielewski D, Nelson C C, Kager V A, Foltz L

机构信息

University of Maryland School of Medicine, Department of Pediatrics Baltimore 21201-1585, USA.

出版信息

J Pediatr Psychol. 1997 Feb;22(1):15-27. doi: 10.1093/jpepsy/22.1.15.

DOI:10.1093/jpepsy/22.1.15
PMID:9019045
Abstract

Investigated the differential associations of asthma and diabetes on children's self-competence, family functioning, and maternal coping. Interactions of gender with the presence of chronic childhood illness were also assessed. Seventy-two children with diabetes and 40 children with asthma participated as subjects. Mothers completed measures of family functioning, coping, and disease severity while children completed Harter's (1985) Self-Perception Profile for Children. Results indicated that gender and type of chronic illness were independently associated with children's self-competence and family functioning but not maternal coping. However, differences attributable to specific illnesses dissipated once general family factors and general chronic childhood illness variables were controlled statistically. Differences based on child gender remained robust. Results are discussed within the context of categorical and noncategorical approaches to the study of chronic childhood illness.

摘要

研究了哮喘和糖尿病与儿童自我能力、家庭功能及母亲应对方式之间的差异关联。还评估了性别与儿童慢性疾病之间的相互作用。72名糖尿病患儿和40名哮喘患儿参与了研究。母亲们完成了家庭功能、应对方式和疾病严重程度的测量,而孩子们完成了哈特(1985年)的儿童自我认知量表。结果表明,性别和慢性疾病类型与儿童自我能力和家庭功能独立相关,但与母亲的应对方式无关。然而,一旦在统计上控制了一般家庭因素和儿童慢性疾病的一般变量,特定疾病导致的差异就消失了。基于儿童性别的差异仍然显著。研究结果在儿童慢性疾病研究的分类和非分类方法的背景下进行了讨论。

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J Pediatr Psychol. 1997 Feb;22(1):15-27. doi: 10.1093/jpepsy/22.1.15.
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