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Special needs of the chronically ill child during middle childhood: application of a stress-coping paradigm
1University of Pittsburgh School of Nursing, Pittsburgh, PA 15261, USA.
Insights
The tween years present unique developmental challenges, which are amplified for children with chronic illnesses. This article offers a framework to understand how chronic illness, coping mechanisms, and quality of life interact during this critical period.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Chronic Illness Management
Background:
- The tween years (ages 9-12) are a critical developmental stage.
- Children with chronic illnesses face unique stressors during this period.
- These stressors can impact developmental milestones and quality of life.
Purpose of the Study:
- To address the specific challenges faced by children with chronic illnesses during the tween years.
- To propose a conceptual framework for understanding adaptation in this population.
- To guide future research and clinical practice.
Main Methods:
- A conceptual framework is proposed.
- The framework is based on a stress/coping paradigm.
- It integrates chronic illness, coping resources, adaptation, and quality of life.
Main Results:
- The framework highlights the interplay between chronic illness stressors and coping resources.
- It emphasizes the impact on developmental adaptation and quality of life.
- It provides a model for understanding and supporting tweens with chronic conditions.
Conclusions:
- A stress/coping framework is essential for addressing the complexities of chronic illness in tweens.
- Understanding coping resources is key to promoting adaptation.
- This framework can inform interventions to improve quality of life for these children and their families.
Abstract:
The "tween years" are often challenging for both the children experiencing this period of development and their families. Adding to this challenge could be the stress of a chronic illness. This compounded dilemma can alter the achievement of normal developmental milestones and disrupt quality of life. This article addresses the special challenges of children with chronic illness during the tween years and proposes a conceptual framework based on a stress/coping paradigm relating chronic illness, coping resources for adaptation, and quality of life for research and practice.
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