Coping with Chronic Illness in Childhood and Adolescence
Coping with Chronic Illness in Childhood and Adolescence
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DOI：
10.1146/annurev-clinpsy-032511-143108
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发表时间：
2012-01-01
期刊：
影响因子：
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通讯作者：
Rodriguez, Erin M.
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文献类型：
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作者：
Compas, Bruce E.;Jaser, Sarah S.;Rodriguez, Erin M.
慢性疾病和医疗状况使数百万儿童和青少年承受着巨大的压力，这种压力与情绪和行为问题的风险有关，并干扰了对治疗方案的坚持。我们回顾研究的作用，儿童和青少年应对压力的一个重要特征的过程中适应疾病。最近的研究结果支持基于控制的应对模式，包括主要控制或主动应对（努力对压力源或情绪采取行动），次要控制或被动应对（努力适应压力源）和脱离或被动应对（努力避免或否认压力源）。有证据表明，二级控制应对在儿童和青少年慢性疾病的成功适应的疗效，脱离接触的应对与较差的调整，和初级控制应对的结果是混合的。未来研究的途径是突出的。
Chronic illnesses and medical conditions present millions of children and adolescents with significant stress that is associated with risk for emotional and behavioral problems and interferes with adherence to treatment regimens. We review research on the role of child and adolescent coping with stress as an important feature of the process of adaptation to illness. Recent findings support a control-based model of coping that includes primary control or active coping (efforts to act on the source of stress or one's emotions), secondary control or accommodative coping (efforts to adapt to the source of stress), and disengagement or passive coping (efforts to avoid or deny the stressor). Evidence suggests the efficacy of secondary control coping in successful adaptation to chronic illness in children and adolescents, disengagement coping is associated with poorer adjustment, and findings for primary control coping are mixed. Avenues for future research are highlighted.