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Social functioning in children with a chronic illness.

S A Meijer1, G Sinnema, J O Bijstra

  • 1University Medical Center Utrecht, The Wilhelmina Children's Hospital, Department of Pediatric psychology, The Netherlands. s.meijer@wkz.azu.nl

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|April 28, 2000
PubMed
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Children with chronic illnesses show fewer aggressive behaviors but more submissive behaviors compared to healthy peers. Physical restrictions and pain correlate with reduced social activities, highlighting vulnerability in social development.

Area of Science:

  • Child Psychology
  • Pediatric Health
  • Social Functioning

Background:

  • Chronic illness in children impacts behavioral, cognitive, and affective aspects of social functioning.
  • Understanding peer interaction is crucial for the social development of chronically ill children.

Purpose of the Study:

  • To compare peer interaction in chronically ill children with healthy norms.
  • To investigate the relationship between illness characteristics (physical restrictions, pain) and peer interaction.

Main Methods:

  • Assessed peer interaction using multiple measures: social activities (CBCL), parent-reported social skills (CABS), child-reported social skills (MESSY), social self-esteem (SPPC), and social anxiety (SASK).
  • Included 107 children with chronic illnesses and compared them with normative data from healthy children.

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Main Results:

  • No significant differences in social functioning were found across different chronic illness diagnoses.
  • Chronically ill children reported less aggressive behavior and exhibited more submissive behavior compared to healthy children.
  • Physical restrictions and pain were associated with reduced social activities, but not other social interaction measures.

Conclusions:

  • Social consequences of chronic illness are not diagnosis-specific.
  • Children with chronic illnesses exhibiting submissive behavior or restricted social activities are particularly vulnerable to social development issues.
  • Targeted attention and support are needed for vulnerable chronically ill children to mitigate social development problems.