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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Brief report: illness factors and child behavior before and during pediatric hospitalization
Michelle C Levy1, William G Kronenberger, Bryan D Carter
1Department of Psychological Sciences, Purdue University, USA.
Insights
Illness type and severity impact children's behavior differently in and out of the hospital. Chronic illnesses may lead to more behavioral issues outside the hospital, while acute illnesses cause more problems during hospitalization.
Area of Science:
- Pediatric Psychology
- Child Health Behavior
- In-hospital Adjustment
Background:
- Limited understanding of factors influencing children's in-hospital adjustment.
- Need to identify risk and protective factors for in-hospital versus out-of-hospital behavior.
Purpose of the Study:
- Investigate the relationship between illness factors (chronicity, severity) and child adjustment.
- Compare in-hospital and out-of-hospital behavioral adjustment in relation to illness characteristics.
Main Methods:
- Utilized parent and nurse questionnaires to assess behavior.
- Sample included 85 hospitalized children.
- Evaluated both in-hospital and home behavior.
Main Results:
- In-hospital: Acute illnesses linked to more internalizing problems than chronic illnesses.
- In-hospital: Life-threatening illnesses associated with increased internalizing and externalizing problems.
- Out-of-hospital: Chronic illnesses linked to more internalizing problems compared to healthy children.
Conclusions:
- Illness factors differentially predict in-hospital versus out-of-hospital behavioral adjustment.
- Chronicity and severity of illness are key considerations for child behavior in different settings.
Objective:
Little is known about factors predicting in-hospital adjustment in children with chronic illnesses or about risk/protective factors for in-hospital behavior compared to out-of-hospital behavior. This study investigated the relationship between illness factors (chronicity and severity) and child adjustment in and out of the hospital.
Methods:
Parents and nurses completed questionnaires about in-hospital and home behavior for a sample of 85 hospitalized children.
Results:
In the hospital, children with acute illnesses demonstrated more internalizing behavior problems than children with chronic illnesses. Children with life-threatening illnesses had more internalizing and externalizing problems than children with non-life-threatening illnesses. Out of the hospital, children with chronic illnesses demonstrated more internalizing problems and a trend toward more externalizing problems than healthy children who later developed acute illnesses. Out of hospital behavior problems were unrelated to illness severity.
Conclusions:
Results suggest that different illness factors may predict in-hospital as compared to out-of-hospital behavioral adjustment.
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