Haavet O R, Grünfeld B
Romsås helsesenter, Oslo.
Tidsskr Nor Laegeforen. 1997 Oct 20;117(25):3644-7.
This review presents the relationship between serious life events, chronic family difficulties and illness, and focuses on how healthy children cope. Hospitalised children had experienced about twice as many serious life events as children in healthy environments. Known diseases related to stress are eczema, upper respiratory tract infections, asthma, ulcerative colitis, heart disease in adults, juvenile rheumatoid arthritis, fibromyalgia and juvenile diabetes. Research on healthy children at risk (resiliences) has revealed a number of social and interpersonal protective factors. A modified biopsychosocial model, for the purpose of understanding the health status and care of children at high risk, is presented. More research is needed to understand these multietiological diseases in order to develop strategies for the promotion of good health.
本综述阐述了严重生活事件、长期家庭困境与疾病之间的关系,并着重探讨健康儿童如何应对。住院儿童经历的严重生活事件数量约为生活在健康环境中的儿童的两倍。已知与压力相关的疾病有湿疹、上呼吸道感染、哮喘、溃疡性结肠炎、成人心脏病、青少年类风湿性关节炎、纤维肌痛和青少年糖尿病。对处于风险中的健康儿童(复原力)的研究揭示了一些社会和人际保护因素。为了理解高危儿童的健康状况和护理,提出了一种改良的生物心理社会模型。为了制定促进健康的策略,需要开展更多研究来了解这些多病因疾病。