만성적인 신체질환을 가진 아동의 정서 및 행동문제
Emotional and Behavioral Problems in Children with Chronic Physical Illness
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Children with chronic illness are known to have an increased risk of emotional and behavioral problems. Many studies have been conducted to identify risk and resistance factors associated with differences in adjustment among these children. It is a major theoretical framework of the Wallander and Varni model that modifiable risk and resistance factors can be identified empirically. Risk factors in the original model include disease/ disability parameters, functional dependence in the activities of daily living,and psychosocial stressors. Resistance factors in the original model are delineated in three categories: intrapersonal factors such as competence, temperament; socialecological factors such as family psychological environment, social support; and stressprocessing factors such as cognitive appraisal and coping strategies. In addition, it is proposed that the factors such as age of onset, certainty of diagnosis and prognosis of illness affect adjustment. Children with chronic illness are known to have an increased risk of emotional, behavioral, academic problems. Research findings show that children with chronic illnesses are at a higher risk for developing emotional problems such as anxiety, depression, social withdrawal and low self-esteem. The parents of children with Type 1 diabetes and asthma reported emotional and behavioral problems more. Also children with chronic illness tend to more behavior problems than healthy peers. Especially, increased risk of children with neurological conditions is explained by the lower level of cognitive functioning. The association of poor school performance with type I diabetes and sickle cell anemia is proposed
Abstract
Children with chronic illness are known to have an increased risk of emotional and behavioral problems. Many studies have been conducted to identify risk and resistance factors associated with differences in adjustment among these children. It is a major theoretical framework of the Wallander and Varni model that modifiable risk and resistance factors can be identified empirically. Risk factors in the original model include disease/ disability parameters, functional dependence in the activities of daily living,and psychosocial stressors. Resistance factors in the original model are delineated in three categories: intrapersonal factors such as competence, temperament; socialecological factors such as family psychological environment, social support; and stressprocessing factors such as cognitive appraisal and coping strategies. In addition, it is proposed that the factors such as age of onset, certainty of diagnosis and prognosis of illness affect adjustment. Children with chronic illness are known to have an increased risk of emotional, behavioral, academic problems. Research findings show that children with chronic illnesses are at a higher risk for developing emotional problems such as anxiety, depression, social withdrawal and low self-esteem. The parents of children with Type 1 diabetes and asthma reported emotional and behavioral problems more. Also children with chronic illness tend to more behavior problems than healthy peers. Especially, increased risk of children with neurological conditions is explained by the lower level of cognitive functioning. The association of poor school performance with type I diabetes and sickle cell anemia is proposed
참고문헌 (83)
- The national survey of children with special health care needs chartbook 2001, "U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau", Department of Health and Human Services, ~ (2004)
- Schoenborn CA, "Current estimates from the National Health Interview Survey", Vital Health Stat, 10(166), pp.1~233 (1988)
- 신충호, "1985-2000년에 15세 미만 한국인에서 발생한 1형 당뇨병의 역학적 특징", Korean Journal of Pediatrics, 51(6), pp.569~575 (2008), 대한소아과학회
- 박미정, "소아청소년에서의 대사증후군 역학", Korean Journal of Pediatrics, 51(6), pp.564~568 (2008), 대한소아과학회
- 오재원, "1995년과 2000년의 학동기와 2003년 학동전기 소아에서의 아토피피부염의 역학적 변화에 관한 전국적인 연구", Allergy Asthma & Respiratory Diseases, 13(4), pp.227~237 (2003), 대한 소아알레르기 호흡기학회
- Eiser C, "Psychological effects of chronic disease", J Child Psychol Psychiatry, 31, pp.85~98 (1990)
- Perrin EC, "Issues involved in the definition and classification of chronic health conditions", Pediatrics, 91, pp.787~793 (1993)
- Burroughs TE, "The relationship among six psychosocial domains, age, health care adherence, and metabolic control in adolescents with IDDM", Diabetes Educ, 19, pp.396~402 (1993)
- Bethell CD, "Identifying children with special health care needs: development and evaluation of a short screening instrument", Ambul Pediatr, 2, pp.38~48 (2002)
- Stein RE, "Comparing different definitions of chronic conditions in a national data set", Ambul Pediatr, 2, pp.63~70 (2002)
- World Health Organization, "International Classification of Functioning, Disability and Health (ICF)" (2001), World Health Organization
- Lollar DJ, "Diagnosis to function: classification for children and youths", J Dev Behav Pediatr, 26, pp.323~330 (2005)
- Austin JK, "Development of the coping health inventory for children", J Pediatr Nurs, 6, pp.166~174 (1991)
- Kim DH, "Effective management of chronic somatic disease in children and adolescents", Korean J Nurs Query, 6, pp.9~24 (1997)
- Pless IB, "Chronic illness and its consequences: observations based on three epidemiologic surveys", J Pediatr, 79, pp.351~359 (1971)
- Thompson RJ Jr, "Psychological adjustment of children with sickle cell disease: stability and change over a 10-month period", J Consult Clin Psychol, 62, pp.856~856 (1994)
- Wallander JL, "Perceived role restriction and adjustment of mothers of children with chronic physical disability", J Pediatr Psychol, 20, pp.619~632 (1995)
- Wallander JL, "Family resources as resistance factors for psychological maladjustment in chronically ill and handicapped children", J Pediatr Psychol, 14, pp.157~173 (1989)
- Varni JW, "Perceived physical appearance and adjustment of children with newly diagnosed cancer: a path analytic model", J Behav Med, 18, pp.261~278 (1995)
- Varni JW, "Family functioning predictors of adjustment in children with newly diagnosed cancer: a prospective analysis", J Child Psychol Psychiatry, 37, pp.321~328 (1996)
- Varni JW, "Screening for behavioral and emotional problems in children and adolescents with congenital or acquired limb deficiencies", Am J Dis Child, 146, pp.103~107 (1992)
- Brewster AB, "Chronically ill hospitalized children's concepts of their illness", Pediatrics, 69, pp.355~362 (1982)
- Varni JW, "Friedman-Bender A, Quiggins DJ. The Pediatric Cancer Quality of Life Inventory-32 (PCQL-32). II. Feasibility and range of measurement", J Behav Med, 22, pp.397~406 (1999)
- Pruitt SD, "Prosthesis satisfaction outcome measurement in pediatric limb deficiency", Arch Phys Med Rehabil, 78, pp.750~754 (1997)
- Pruitt SD, "Functional status in limb deficiency: development of an outcome measure for preschool children", Arch Phys Med Rehabil, 79, pp.405~411 (1998)
- Folkman S, "Personal control and stress and coping processes: a theoretical analysis", J Pers Soc Psychol, 46, pp.839~852 (1984)
- Varni JW, "Stress, social support and negative affectivity in children with newly diagnosed cancer: a prospective transactional analysis", Psychooncology, 6, pp.267~278 (1997)
- Varni JW, "Stress, social support, and depressive symptomatology in children with congenital", acquired limb deficiencies, 1989, pp.14, 515~530
- Varni JW, "Determinants of self-esteem in children with congenital", acquired limb deficiencies, 1989, pp.10, 13~16
- Thompson RJ Jr, "Stability and change in the psychological adjustment of mothers of children and adolescents with cystic fibrosis and sickle cell disease", J Pediatr Psychol, 19, pp.171~188 (1994)
- Buss AH, "The inheritance of temperaments", J Pers, 41, pp.513~524 (1973)
- Chess S, "Temperamental differences: a critical concept in child health care", Pediatr Nurs, 11, pp.167~171 (1985)
- Varni JW, "Family functioning, temperament, and psychologic adaptation in children with congenital or acquired limb deficiencies", Pediatrics, 84, pp.323~330 (1989)
- Kim SP, "Temperamental characteristics of asthmatic children in Korea", J Korean Neuropsychiatr Assoc, 36, pp.1080~1088 (1997)
- 박수빈, "Temperament and character factors in Korean children with seizure disorders", JOURNAL OF NERVOUS AND MENTAL DISEASE, 195, pp.470~476, LIPPINCOTT WILLIAMS & WILKINS
- 심미경, "만성질환아의 극복력과 대처, 질병, 적응", Child Health Nursing Research, 12(2), pp.151~159 (2006), 아동간호학회
- 신영희, "만성질환아의 극복력(resilience)과 건강관련 삶의 질", Child Health Nursing Research, 12(3), pp.295~303 (2006), 아동간호학회
- Brown RT, "Psychiatric and family functioning in children with leukemia and their parents", J Am Acad Child Adolesc Psychiatry, 31, pp.495~502 (1992)
- Kazak AE, "Parental perceptions of procedure-related distress and family adaptation in childhood leukemia", Child Health Care, 24, pp.143~158 (1995)
- Dolgin MJ, "Trajectories of adjustment in mothers of children with newly diagnosed cancer: a natural history investigation", J Pediatr Psychol, 32, pp.771~782 (2007)
- Varni JW, "Perceived social support and adjustment of children with newly diagnosed cancer", J Dev Behav Pediatr, 15, pp.20~26 (1994)
- Varni JW, "Effects of parental adjustment on the adaptation of children with congenital or acquired limb deficiencies", J Dev Behav Pediatr, 14, pp.13~20 (1993)
- Lerner RM, "Physical attractiveness, physical effectiveness, and self-concept in late adolescents", Adolescence, 11, pp.313~326 (1976)
- Eiser C, "Changes in understanding of illness as the child grows", Arch Dis Child, 60, pp.489~492 (1985)
- Greenberg HS, "Psychologic functioning in 8- to 16-year-old cancer survivors and their parents", J Pediatr, 114, pp.488~493 (1989)
- Blair C, "Psychosocial functioning of young adults with cystic fibrosis and their families", Thorax, 49, pp.798~802 (1994)
- Kazak AE, "Psychological outcomes and health beliefs in adolescent and young adult survivors of childhood cancer and controls", J Clin Oncol, 28, pp.2002~2007 (2010)
- Graungaard AH, "Why do we need a diagnosis? A qualitative study of parents' experiences, coping and needs, when the newborn child is severely disabled", Child Care Health Dev, 33, pp.296~307 (2007)
- Lenhard W, "Psychological benefit of diagnostic certainty for mothers of children with disabilities: lessons from Down syndrome", Am J Med Genet A, 133A, pp.170~175 (2005)
- Suthahar A, "Psychological distress, quality of life and coping in cancer patients: a prospective study", Med J Malaysia, 63, pp.362~368 (2008)
- Steinhausen HC, "Correlates of psychopathology in sick children: an empirical model", J Am Acad Child Psychiatry, 22, pp.559~564 (1983)
- Waller DA, "Coping with poor prognosis in the pediatric intensive care unit. The Cassandra prophecy", Am J Dis Child, 133, pp.1121~1125 (1979)
- Coyne IT, "Chronic illness: the importance of support for families caring for a child with cystic fibrosis", J Clin Nurs, 6, pp.121~129 (1997)
- Lavigne JV, "Psychological adjustment to pediatric physical disorders: a meta-analytic review", J Pediatr Psychol, 17, pp.133~157 (1992)
- Chavira DA, "Comorbidity of generalized social anxiety disorder and depression in a pediatric primary care sample", J Affect Disord, 80, pp.163~171 (2004)
- Witt WP, "Childhood functional status, family stressors, and psychosocial adjustment among schoolaged children with disabilities in the United States", Arch Pediatr Adolesc Med, 157, pp.687~695 (2003)
- Hysing M, "Chronic physical illness and mental health in children. Results from a large-scale population study", J Child Psychol Psychiatry, 48, pp.785~792 (2007)
- Hysing M, "Emotional and behavioural problems in subgroups of children with chronic illness: results from a large-scale population study", Child Care Health Dev, 35, pp.527~533 (2009)
- Taras H, "Chronic health conditions and student performance at school", J Sch Health, 75, pp.255~266 (2005)
- Adewuya AO, "Prevalence of and risk factors for anxiety and depressive disorders in Nigerian adolescents with epilepsy", Epilepsy Behav, 6, pp.342~347 (2005)
- Wagner JL, "The influence of parental distress on child depressive symptoms in juvenile rheumatic diseases: the moderating effect of illness intrusiveness", J Pediatr Psychol, 28, pp.453~462 (2003)
- Thompson RJ Jr, "Illness specific patterns of psychological adjustment and cognitive adaptational processes in children with cystic fibrosis and sickle cell disease", J Clin Psychol, 54, pp.121~128 (1998)
- Klinnert MD, "A multimethod assessment of behavioral and emotional adjustment in children with asthma", J Pediatr Psychol, 25, pp.35~46 (2000)
- Vila G, "Prevalence of DSM IV anxiety and affective disorders in a pediatric population of asthmatic children and adolescents", J Affect Disord, 58, pp.223~231 (2000)
- Miller BD, "Influence of specific emotional states on autonomic reactivity and pulmonary function in asthmatic children", J Am Acad Child Adolesc Psychiatry, 36, pp.669~677 (1997)
- Rodenburg R, "Psychopathology in children with epilepsy: a metaanalysis", J Pediatr Psychol, 30, pp.453~468 (2005)
- Boni LC, "Social information processing and magnetic resonance imaging in children with sickle cell disease", J Pediatr Psychol, 26, pp.309~319 (2001)
- Akbas S, "Association between emotional and behavioral problems and metabolic control in children and adolescents with type 1 diabetes", J Endocrinol Invest, 32, pp.325~329 (2009)
- Garrison MM, "The impact of psychiatric comorbidities on readmissions for diabetes in youth", Diabetes Care, 28, pp.2150~2154 (2005)
- Moussa MA, "Social and psychological characteristics of Kuwaiti children and adolescents with type 1 diabetes", Soc Sci Med, 60, pp.1835~1844 (2005)
- Reynolds KA, "Children with diabetes compared to peers: depressed? Distressed? A meta-analytic review", Ann Behav Med, 42, pp.29~41 (2011)
- Hysing M, "Chronic physical illness and mental health in children. Results from a large-scale population study", J Child Psychol Psychiatry, 48, pp.785~792 (2007)
- Glazebrook C, "Detecting emotional and behavioural problems in paediatric clinics", Child Care Health Dev, 29, pp.141~149 (2003)
- Hinton VJ, "Social behavior problems in boys with Duchenne muscular dystrophy", J Dev Behav Pediatr, 27, pp.470~476 (2006)
- Stehbens JA, "Intelligence and achievement testing in childhood cancer: three years postdiagnosis", J Dev Behav Pediatr, 5, pp.184~188 (1984)
- Brouwers P, "Attentional deficits in long-term survivors of childhood acute lymphoblastic leukemia (ALL)", J Clin Neuropsychol, 6, pp.325~336 (1984)
- Hannonen R, "Neurocognitive functioning in children with type-1 diabetes with and without episodes of severe hypoglycaemia", Dev Med Child Neurol, 45, pp.262~268 (2003)
- Northam EA, "Predictors of change in the neuropsychological profiles of children with type 1 diabetes 2 years after disease onset", Diabetes Care, 22, pp.1438~1444 (1999)
- Rovet J, "Attentional functioning in children and adolescents with IDDM", Diabetes Care, 20, pp.803~810 (1997)
- Ohmann S, "Cognitive functions and glycemic control in children and adolescents with type 1 diabetes", Psychol Med, 40, pp.95~103 (2010)
- Schatz J, "Cognitive functioning in children with sickle cell disease: a meta-analysis", J Pediatr Psychol, 27, pp.739~748 (2002)
- Austin JK, "Adolescents with active or inactive epilepsy or asthma: a comparison of quality of life", Epilepsia, 37, pp.1228~1238 (1996)
- Austin JK, "Does academic achievement in children with epilepsy change over time?", Dev Med Child Neurol, 41, pp.473~479 (1999)