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Psychosocial factors and chronic illness in childhood
Insights
Children with chronic illnesses need effective family adjustment strategies to improve their quality of life. This review explores illness factors, coping mechanisms, and interventions for better psychosocial outcomes in pediatric chronic illness.
Area of Science:
- Pediatric Psychology
- Family Health
- Chronic Illness Management
Background:
- Chronic illness in children significantly impacts family dynamics and individual well-being.
- Successful adaptation is crucial for psychological health and quality of life.
- Understanding these impacts informs care and intervention strategies.
Purpose of the Study:
- To review recent research on psychosocial adjustment in chronically ill children and their families.
- To examine the interplay of illness factors, family functioning, and coping strategies.
- To provide guidelines for assessment and intervention programs for healthcare professionals.
Main Methods:
- Systematic review of recent research findings.
- Analysis of studies within the framework of three theoretical models: family developmental approach, psychosocial typology of illnesses, and stress and coping process model.
- Examination of impacts on the child, siblings, and parents.
Main Results:
- Identified key illness stressors and risk factors related to child and family characteristics.
- Highlighted coping resources and strategies associated with positive child and parental adjustment.
- Described successful intervention programs for improving psychosocial outcomes.
Conclusions:
- Theoretical models aid in understanding the complex interactions between chronic illness, family systems, and coping.
- Assessment and targeted interventions are essential for supporting the psychosocial adjustment of chronically ill children and their families.
- Effective family adaptation is central to enhancing the well-being and quality of life for children with chronic conditions.
Abstract:
Chronic illness in a child requires successful organisational and emotional adjustment of the child and the family. The way in which the child and the family adapt to the illness will affect their psychological well-being and their quality of life. This review summarizes recent research findings on the relationship between illness factors, individual and family functioning, coping strategies and psychosocial adjustment. The findings are presented within the framework of three complementary theoretical models: the family developmental approach; the psychosocial typology of illnesses; and the process model of stress and coping. These models are useful for a better understanding of the complex interactions between illness, family and coping and offer to the professionals engaged in the care of chronically sick children, guidelines for assessment and the development of intervention programs. The review starts with examining the impact of chronic illness on the psychosocial adjustment of the sick child, his/her siblings and parents. Then psychosocial Stressors and risk factors in terms of illness and family related characteristics are discussed. Coping resources and strategies are presented which have been shown to be related to child and parental adjustment; and finally, successful intervention programs are described.
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