Family functioning and behavioral adjustment in children with leukemia and their healthy peers
Family functioning and behavioral adjustment in children with leukemia and their healthy peers
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DOI：
10.1207/s15326888chc2602_1
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发表时间：
1997-03-01
影响因子：
0.9
通讯作者：
Brown, RT
中科院分区：
文献类型：
--
作者：
Morris, JAB;Blount, RL;Brown, RT
在这项研究中，我们调查了33名白血病儿童和32名健康儿童在儿童适应和家庭功能方面的差异，研究了各组内家庭因素和适应之间的独特关系，并使用人口统计学和家庭变量来预测两组的儿童适应。结果表明，与健康儿童的家庭相比，白血病儿童的家庭认为自己的凝聚力较低，冲突更多。我们发现白血病儿童和健康儿童在儿童适应方面没有差异;两组的得分都在正常范围内。然而，我们发现两组家庭功能和儿童适应之间存在不同的关联。对于白血病儿童，更大的家庭冲突和更少的鼓励自主性与更大的儿童外化症状，而更低的家庭凝聚力，更少的开放表达，和更高水平的控制在家庭内与更多的儿童内化问题。对于健康儿童，家庭个人成长与更好的适应有关（即，孩子的内在化问题较少）。我们预测儿童适应使用分层。多元回归分析，我们讨论了这些结果的影响，在儿科心理学的家庭系统的方法。
In this study we investigated differences in child adjustment and family functioning of 33 children with leukemia and 32 healthy children, examined unique relationships between familial factors and adjustment within each group, and used demographic and family variables to predict child adjustment for both groups. Results indicated that the families of children with leukemia rated themselves as less cohesive and more conflictual than did the families of healthy children. We found no differences in child adjustment between children with leukemia and healthy children; both groups scored well within normal ranges. However, we found different associations between family functioning and child adjustment for the two groups. For the children with leukemia, greater family conflict and less encouragement of autonomy were associated with greater child externalizing symptoms, whereas lower family cohesion, less open expression, and higher levels of control within the family were associated with more child internalizing problems. For the healthy children, family personal growth was associated with better adjustment (i.e., fewer child internalizing problems). We predicted child adjustment using hierarchical. multiple regression analyses and we discuss implications of these findings for a family systems approach in pediatric psychology.