In the Eyes of the Beholder: Family and Maternal Influences on Perceptions of Adjustment of Children with a Chronic Illness
In the Eyes of the Beholder: Family and Maternal Influences on Perceptions of Adjustment of Children with a Chronic Illness
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旁观者眼中：家庭和母亲对慢性病儿童适应能力的影响
DOI：
10.1097/00004703-199304000-00004
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发表时间：
1993
影响因子：
2.4
通讯作者：
J. Willett
中科院分区：
文献类型：
--
作者：
E. Perrin;C. Ayoub;J. Willett
由于适应的定义不精确、研究的慢性病种类的巨大多样性以及儿童行为测量的多种仪器和来源，对患有慢性病的儿童的适应的调查变得复杂。在这项研究中，我们使用了复合调整结构，分别查看了三个独立观察者对儿童行为的报告，并将我们的调查限制在几种不同类型的疾病上。该调查探讨了儿童、母亲和老师所报告的母亲和家庭的选定特征对儿童适应的贡献。正如所有三位观察者所报告的，家庭互动对于所有儿童（健康或患有慢性病且与年龄和社会经济地位无关）的心理调整都很重要。母亲的自尊和社交网络的规模与孩子的适应无关，但母亲的健康控制信念与孩子的智力相互作用，可以预测孩子的适应。对于不同的疾病组和三位观察者来说，这些关联的模式是不同的。
Investigation of the adjustment of children with a chronic illness has been complicated by an imprecise definition of adjustment, immense diversity in the kinds of chronic illnesses studied, and multiple instruments and sources of measurement of the child's behavior. In this study we have used a composite construct of adjustment, looked separately at reports from three separate observers of children's behavior, and limited our investigation to a few discrete types of illnesses. The investigation explores the contribution of selected characteristics of mothers and of families to children's adjustment as reported by children, their mothers, and their teachers. Family interactions were important to the psychological adjustment of all children (healthy or with a chronic illness and independent of age and socioeconomic status) as reported by all three observers. The mother's self-esteem and reported size of her social network were not associated with children's adjustment, but the mother's health locus of control beliefs interacted with the child's intelligence to predict children's adjustment. The pattern of these associations was different for different illness groups and for each of the three observers.