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Published on: September 19, 2019
Social challenges for children with hemophilia: child and parent perspectives
Kelly A Williams1, Mimi V Chapman
1Department of Social Work at Appalachian State University, Boone, North Carolina 28608-2155, USA. williamska3@appstate.edu
Insights
Boys with hemophilia often feel different and try to hide their condition, impacting friendships. This chronic illness can lead to social stigma and limited peer interactions, affecting social adjustment.
Area of Science:
- Pediatric Psychology
- Social Psychology
- Hematology
Background:
- Chronic pediatric illnesses can significantly affect a child's social development.
- Hemophilia presents unique challenges to psychosocial adjustment in school-aged boys.
Purpose of the Study:
- To explore the impact of hemophilia on peer relationships and social adjustment in school-aged boys.
- To understand the lived experiences of boys with hemophilia concerning their social interactions.
Main Methods:
- Qualitative interview methods were employed.
- Nine school-aged boys diagnosed with hemophilia participated in the study.
- Psychosocial development literature informed the theoretical framework.
Main Results:
- Three core themes emerged: awareness of difference, concealment of the condition, and efforts to connect with peers.
- Hemophilia was identified as a potentially stigmatizing condition.
- Gender-typical interactions with same-sex peers were often limited.
Conclusions:
- Findings highlight the social challenges boys with hemophilia face.
- Interventions are recommended to help children discuss their health condition with peers.
- Involving friends and parents in interventions is suggested for improved social adjustment.
Abstract:
The impact of pediatric chronic illness on peer relations and social adjustment in nine school-aged boys with hemophilia was examined using qualitative interview methods. Literature on boys' psychosocial development provided a theoretical perspective to interpret findings. Three main themes emerged from the interviews: Awareness of difference, efforts to conceal difference, and efforts to connect with peers and friends. Findings suggest that hemophilia may be a socially stigmatizing condition for many boys because it limits gender-typical interactions with same-sex peers. Recommendations are offered for research on interventions to assist children in communicating with peers about their health condition and to involve close friends and parents in such interventions.
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