Adaptation to diabetes: behavior symptoms and family context.
Adaptation to diabetes: behavior symptoms and family context.
复制标题
适应糖尿病：行为症状和家庭背景。
DOI：
10.1093/jpepsy/11.4.463
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发表时间：
1986
影响因子：
3.6
通讯作者：
Jacobson,AM
中科院分区：
文献类型：
--
作者：
Wertlieb,D;Hauser,ST;Jacobson,AM
对46名新近发病的胰岛素依赖型糖尿病儿童（9-16岁）进行的一项纵向研究的初步第一年数据探讨了家庭环境或背景与行为症状之间的关系。一组29名最近患有急性疾病的儿童作为对照组。当社会阶层受控制时，儿童行为症状的内化和外化水平在组间的差异不显著。在家庭环境量表（Moos, 1974）上，各组之间的差异很少，而且通常不显著。然而，一系列家庭环境变量与症状有关。两组患者的共同特点是行为症状与高水平的家庭冲突之间存在关联，对糖尿病家庭而言更是如此。其他关系是临床定义组特有的。对于糖尿病患者来说，社交和娱乐的家庭活动以及清晰的常规和组织与较少的行为问题有关。此外，强调道德-宗教与内化症状正相关。对于急性疾病组，低水平的家庭凝聚力与行为症状相关。此外，家庭对竞争、成就和控制的重视预示着更高水平的症状。最终，这些发现必须整合到纵向研究中，以澄清家庭过程与急性和慢性疾病青少年症状学之间这种不同模式的关系的含义。
Preliminary first-year data from a longitudinal study of a group of 46 recent-onset insulin-dependent diabetic children (ages 9–16 years) addressed relationships between family environment or context and behavior symptomatology. A group of 29 children with a recent acute illness served as a comparison group. Differences between groups on levels of internalizing and externalizing child behavior symptoms were nonsignificant when social class was controlled. Differences between groups on Family Environment Scales (Moos, 1974) were few and generally nonsignificant. However, a range of family environment variables was associated with symptoms. Common to both groups was an association between behavior symptomatology and high levels of family conflict, more so for diabetic families. Other relationships were specific to the clinically defined group. For diabetics, social and recreational family activities and clear routines and organization were linked with fewer behavior problems. In addition, a moral-religious emphasis correlated positively with internalizing symptoms. For the acutely ill group, low levels of family cohesion were associated with behavior symptoms. Moreover, family emphasis upon competition, achievement and control predicted higher levels of symptomatology. Ultimately, these findings must be integrated into longitudinal study for clarification of the implications of such different patterns of relationships between family processes and symptomatology in acutely and chronically ill adolescents.