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Emotional behaviors in chronically ill children
1Department of Nursing, California State University, Long Beach 90840.
Journal of Abnormal Child Psychology
|December 1, 1989
Summary
Chronically ill children showed higher empathy, emotional responsiveness, and depression than well children. Diabetic children reported higher aggression and lower self-concept than asthmatic children.
Area of Science:
- Child Psychology
- Pediatric Health
- Emotional Development
Background:
- Chronic illnesses like diabetes and asthma can impact a child's emotional well-being and self-perception.
- Understanding these impacts is crucial for providing appropriate support to ill children.
- Previous research has explored various psychological aspects of childhood illness, but comparisons between specific conditions are less common.
Purpose of the Study:
- To compare emotional functioning, including empathy, emotional responsiveness, depression, aggression, and self-concept, between chronically ill (diabetes, asthma) and well school-age children.
- To investigate differences in these psychological measures between children with diabetes and those with asthma.
- To examine the relationship between specific chronic illnesses and children's self-concept and aggression levels.
Main Methods:
- A quasi-experimental design was employed.
- Participants included 80 chronically ill school-age children (9-11 years) with diabetes or asthma, and 40 age-matched well children.
- Standardized measures were used to assess empathy, emotional responsiveness, depression, aggression, and self-concept.
Main Results:
- Chronically ill children exhibited significantly higher levels of empathy, emotional responsiveness, and depression compared to well children.
- No significant differences were found in empathy, emotional responsiveness, or depression between children with diabetes and those with asthma.
- Diabetic children reported significantly higher aggression and lower self-concept than asthmatic children, though neither ill group differed from well children in aggression. Diabetic children did not differ from well children in self-concept.
Conclusions:
- Chronic childhood illnesses are associated with heightened emotional challenges, including increased empathy, emotional responsiveness, and depression.
- While overall emotional functioning is similarly affected across different chronic conditions, specific illnesses like diabetes may present unique challenges regarding aggression and self-concept.
- Interventions should consider the specific psychological needs of children with different chronic conditions to improve overall well-being.