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接受骨髓移植后存活儿童的社会功能

Social functioning of children surviving bone marrow transplantation.

作者信息

Vannatta K, Zeller M, Noll R B, Koontz K

机构信息

Children's Hospital Medical Center, University of Cincinnati, Ohio 45229, USA.

出版信息

J Pediatr Psychol. 1998 Jun;23(3):169-78. doi: 10.1093/jpepsy/23.3.169.

DOI:10.1093/jpepsy/23.3.169
PMID:9640896
Abstract

OBJECTIVE

To evaluate the behavioral reputation and peer acceptance of pediatric bone marrow transplant (BMT) survivors.

METHODS

Forty-eight BMT survivors (8-16 years of age) were compared to 48 nonchronically ill, same-classroom, same-gender comparison peers (COMP). Peer, teacher, and self-report data were collected.

RESULTS

Relative to COMP, BMT survivors had fewer friends and were described by peers, but not teacher or self-report, as more socially isolated. In addition, peers described BMT survivors as being less physically attractive and athletically skilled. Further analyses suggested that these nonsocial attributes (physical appearance and athletic ability) and treatment variables (whether cranial irradiation was received) mediated the social difficulties of BMT survivors.

CONCLUSIONS

These data are suggestive of an unremitting pattern of difficulties with peers that has the potential to disrupt normal social and emotional development. Differences between peer, teacher and self-reports highlight the need for multiple informants in future work.

摘要

目的

评估小儿骨髓移植(BMT)幸存者的行为声誉和同伴接纳程度。

方法

将48名BMT幸存者(8至16岁)与48名非慢性病、同班、同性别的对照同伴(COMP)进行比较。收集了同伴、教师和自我报告数据。

结果

相对于COMP,BMT幸存者的朋友较少,同伴将其描述为更具社交孤立性,但教师和自我报告未这样描述。此外,同伴认为BMT幸存者身体吸引力较低且运动技能较差。进一步分析表明,这些非社交属性(外貌和运动能力)以及治疗变量(是否接受头颅照射)介导了BMT幸存者的社交困难。

结论

这些数据表明,BMT幸存者与同伴之间存在持续的困难模式,这有可能扰乱正常的社交和情感发展。同伴、教师和自我报告之间的差异凸显了未来研究中需要多个信息提供者。

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