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Psychological adjustment in young children with chronic medical conditions

Susan Immelt1

  • 1Johns Hopkins University School of Nursing, Baltimore, MD, USA.

Journal of Pediatric Nursing
|September 19, 2006
PubMed

Insights

Children with chronic illnesses face higher risks for behavioral issues. Key factors for their psychological adjustment include maternal perceptions of illness impact and the child

Area of Science:

  • Pediatric Psychology
  • Child Development
  • Chronic Illness Management

Background:

  • Children with chronic medical conditions exhibit increased vulnerability to behavioral and emotional challenges compared to healthy peers.
  • Understanding the psychosocial factors influencing adjustment in these children is crucial for effective support.

Purpose of the Study:

  • To investigate the factors associated with psychological adjustment in children aged 7-11 years with chronic illnesses.
  • To apply a conceptual model to identify key variables impacting adjustment in pediatric chronic conditions.

Main Methods:

  • A conceptual model was employed to analyze psychological adjustment in children with specific chronic illnesses.
  • Data collection focused on mothers' evaluations, children's perceptions of parental acceptance, and children's self-perceptions.

Main Results:

  • Maternal evaluation of the illness's family impact was strongly linked to child adjustment.
  • Children's perceptions of parental acceptance significantly correlated with their psychological well-being.
  • Children's self-perceptions regarding physical appearance, social acceptance, and athletic competence were key adjustment factors.

Conclusions:

  • Maternal perceptions of the chronic illness's impact on the family are vital for child adjustment.
  • Childhood perceptions of parental acceptance and self-competence are critical determinants of psychological adjustment.
  • Interventions should consider maternal and child perspectives to enhance the adjustment of children with chronic conditions.

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