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Chronic disease: effect on health cognition and health locus of control

C L Carraccio, M C McCormick, S C Weller

    The Journal of Pediatrics
    |June 1, 1987
    PubMed

    Insights

    Children's understanding of health and their health locus of control (HLOC) develop over time. Chronic illness experience doesn't accelerate this development, impacting pediatrician communication strategies.

    Area of Science:

    • Pediatric Health Psychology
    • Developmental Psychology
    • Childhood Chronic Illness

    Background:

    • Health cognition and health locus of control (HLOC) are crucial for understanding children's health behaviors.
    • Limited research exists on how chronic illness impacts the developmental trajectory of these constructs in children.

    Purpose of the Study:

    • To assess health cognition and HLOC in healthy and chronically ill children.
    • To investigate the developmental nature of health cognition and HLOC.
    • To examine the relationship between HLOC and compliance in children with spina bifida undergoing self-catheterization.

    Main Methods:

    • Utilized instruments adapted from Piaget's work and standard HLOC measures.
    • Assessed 85 healthy children and 81 chronically ill children.
    • Examined a subset of children with spina bifida for HLOC and compliance correlation.

    Main Results:

    • Documented the developmental progression of health cognition and HLOC in children.
    • Found that chronic disease experience did not alter developmental progression in these areas, unlike formal learning.
    • Observed a relationship between HLOC and compliance in children with spina bifida.

    Conclusions:

    • Health cognition and HLOC exhibit a developmental pattern in children.
    • Pediatricians should maintain consistent communication approaches, regardless of a child's apparent sophistication due to chronic illness experience.

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