Social functioning in children with a chronic illness
Social functioning in children with a chronic illness
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DOI：
10.1017/s0021963099005211
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发表时间：
2000-03-01
期刊：
影响因子：
--
通讯作者：
Wolters, WHG
中科院分区：
文献类型：
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作者：
Meijer, SA;Sinnema, G;Wolters, WHG
行为，认知和情感方面的社会功能的107名儿童与慢性疾病进行了研究。这项研究有两个目的。(I)探讨慢性病儿童的同伴交往与疾病特征、身体限制和疼痛的关系。同伴互动的社会活动（CBCL），父母报告的社会技能（CABS），儿童报告的社会技能（MESSY），社会自尊（SPPC）和社会焦虑（SASK）的措施进行了评估。结果显示诊断组之间没有差异，这表明慢性病的社会后果不是诊断特异性的。与健康儿童相比，慢性病儿童的攻击性行为较少。父母报告的措施表明了类似的趋势。患有慢性疾病的儿童也往往表现出比健康标准更顺从的行为：正如他们的父母所认为的那样。关于疾病的特点。身体限制和疼痛都与社交活动受限有关，但与其他社交同伴互动措施无关。表现出顺从行为的儿童和社会活动受到限制的儿童应得到额外关注，因为他们在社会发展方面特别容易出现问题。
Behavioural, cognitive, and affective aspects of social functioning of 107 children with a chronic illness were studied. The aim of the study was twofold. (I) to describe peer interaction of children with a chronic illness in comparison with normative data of healthy children; (2) to examine whether peer interaction was related to the illness characteristics physical restrictions and pain. Peer interaction was assessed with measures of social activities (CBCL), parent-reported social skills (CABS), child-reported social skills (MESSY), social self-esteem (SPPC), and social anxiety (SASK). Results showed no differences between diagnosis groups, suggesting that the social consequences of chronic illness are not diagnosis specific. Compared with healthy norms, chronically ill children reported less aggressive behaviour. The parent-report measures suggested a similar trend. Children with chronic illness also tended to display more submissive behaviour than healthy norms: as perceived by their parents. With regard to illness characteristics. both physical restrictions and pain were associated with restricted social activities, but not with other measures of social peer interaction. Children who display submissive behaviour and children who are restricted in their social activities should receive extra attention because they are especially vulnerable for problems in their social development.