A multimethod, multi-informant, and multidimensional perspective on psychosocial adjustment in preadolescents with spina bifida

A multimethod, multi-informant, and multidimensional perspective on psychosocial adjustment in preadolescents with spina bifida
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DOI:
10.1037/0022-006x.71.4.782
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发表时间:
2003-08-01
影响因子:
5.9
通讯作者:
Davison, K
Davison, K
中科院分区:
心理学1区
文献类型:
--
作者:
Holmbeck, GN;Westhoven, VC;Davison, K

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本研究探讨了心理社会调整的青春期前脊柱裂的比较样本的健全的青春期前(8-和9岁的孩子,每个样本n = 68)。该研究还探讨了窄带多方法,多信息,多维度的角度对儿童和青少年的心理社会功能的评估与儿科条件的潜在临床效用。研究结果显示,脊柱裂的儿童往往是社会不成熟和被动的,不太可能有校外的社会接触,更依赖于成人的指导,不太称职的学者,身体活动少,不太可能做出独立的决定,更有可能表现出注意力和集中的困难。没有组间差异被发现外化症状,情感功能,或全球自我价值,这表明在这些领域的脊柱裂样本的弹性。研究结果还表明,低社会经济地位和身体残疾的存在可能是某些心理社会调整困难的附加风险因素。
This study examined the psychosocial adjustment of preadolescents with spina bifida in relation to a comparison sample of able-bodied preadolescents (8- and 9-year-olds; n = 68 in each sample). The study also examined the potential clinical utility of a narrowband multimethod, multi-informant, and multidimensional perspective on the assessment of psychosocial functioning in children and adolescents with pediatric conditions. Findings revealed that children with spinal bifida tended to be socially immature and passive, less likely to have social contacts outside of school, more dependent on adults for guidance, less competent scholastically, less physically active, less likely to make independent decisions, and more likely to exhibit attention and concentration difficulties. No group differences were found for externalizing symptoms, affective functioning, or global self-worth, suggesting resilience in these domains for the spina bifida sample. Findings also suggest that low socioeconomic status and the presence of a physical disability may be additive risk factors for certain psychosocial adjustment difficulties.