Stein R E, Westbrook L E, Silver E J
Department of Pediatrics, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York 10467, USA.
J Dev Behav Pediatr. 1998 Aug;19(4):267-72.
We assessed whether children in the 1990s who were identified as having chronic conditions by using a new noncategorical technique (the Questionnaire for Identifying Children with Chronic Conditions) were as well adjusted as children without chronic conditions, and whether selection factors or sociodemographic variables accounted for any observed differences. Random-digit-dial telephone surveys were conducted using two separate samples: one consisting of 1275 children in 654 inner-city households and the other of 1388 children in a national sample of 712 households. Children with chronic conditions had poorer parent-reported functioning on the Personal Adjustment and Role Skills Scale total score and three of its six subscales (Hostility, Dependency, and Productivity). Differences in two other subscales (Withdrawal and Anxiety/Depression) were significant only for the inner-city sample. The results were consistent when controlling for other potentially confounding factors. These findings demonstrate that mental health risks continue to occur among contemporary community-based samples of children with chronic health conditions who are identified by using noncategorical techniques. These risks have implications for the care of those children.
我们评估了20世纪90年代那些通过一种新的非分类技术（慢性病儿童识别问卷）被确定患有慢性病的儿童，其适应情况是否与无慢性病的儿童一样好，以及选择因素或社会人口统计学变量是否能解释所观察到的任何差异。我们使用两个独立样本进行了随机数字拨号电话调查：一个样本由654个市中心家庭中的1275名儿童组成，另一个样本是从712个家庭的全国样本中抽取的1388名儿童。在父母报告的个人适应和角色技能量表总分及其六个子量表中的三个（敌意、依赖和生产力）方面，患有慢性病的儿童表现较差。另外两个子量表（退缩和焦虑/抑郁）的差异仅在市中心样本中显著。在控制其他潜在混杂因素时，结果是一致的。这些发现表明，在当代通过非分类技术识别出的患有慢性健康问题的社区儿童样本中，心理健康风险仍然存在。这些风险对这些儿童的护理具有重要意义。
