ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_1

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor

摘要:

We investigated the epidemiology of pediatric anxiety and distress associated with magnetic resonance imaging procedures (MRIPs). Scores on the State Trait Anxiety inventory (Spielberger, Gorsuch, Lushene, Vagg,&Jacobs, 1983) and the State-Trait Anxiety Inventory for Children (Spielberger, Edwards, Lushene, Montuori,&Platzek, 1973), and subjective ratings of distress associated with MRIP were obtained from 55 pediatric oncology patients and their parents. Approximately 30% of children and their parents reported that MRIP produced significant distress. However, parents' ratings of their child's distress were significantly higher than children's self-ratings, and agreement between child and parent pairs was poor. Insertion of an intravenous line was identified as the most aversive component of MRIP by both parents (55%) and children (38%). The selective application of cognitive-behavioral interventions for noninvasive diagnostic procedures is suggested.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_2

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor

摘要:

The revitalization of the Supplemental Security Income Program for low income children with disabilities has important implications for state Title V programs for children with special health care needs. Historically, this program has focused primarily on recipients under the age of 7. The files of children between the ages of 7 and 16 referred to Children's Special Health Services, North Carolina's Title V children with special health care needs program from July to August 1991 were analyzed to determine whether there was documentation that children in this age group were receiving recommended services. Reports in the files indicated that most (n = 214, 77%) of the children's needs for specific services were being met. The utility of information that currently exists on older children and adolescents eligible for SSI for assisting Title V children with special health care needs programs in coordinating care is discussed.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_3

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor

摘要:

The recent dramatic medical and technological advances have meant that many children, who would have died previously of their chronic illnesses, now survive and live longer with their families. The purpose of this undertaking was to evaluate whether the implementation of home-based pediatric respite care reduced stress and improved the quality of life for families caring for children with chronic illnesses. Utilization of respite services was associated with a statistically significant (p<.05) reduction in somatic complaints by primary caregivers. There was also a trend in the data suggestive of an association between respite utilization and a subsequent decrease in the number of hospitalization days required by children (p<.07). Public health policy implications of the intervention are discussed.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_4

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor

摘要:

This study explored parental and sibling perceptions and feelings about sibling information needs during a pediatric admission to an intensive care unit (ICU). Using a qualitative research design, patents (n = 14) and school-age siblings (n = 12) of children who were patients in ICU were interviewed using open-ended questions. Themes of information that the parents report having given to the siblings were similar to the themes that siblings report having heard. However, parents reported that the siblings had numerous questions about the reasons for hospitalization and expectations for the future of the family. The findings indicate that parents may neither be aware of the effects of the ICU experience on the siblings nor have the knowledge and skill to assist them. Parents may need counseling to increase their awareness of the siblings' need for information and teaching to increase skill in providing the information.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_5

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor

摘要:

This study evaluated gender differences in glycemic control among adolescents with insulin-dependent diabetes mellitus (IDDM). Drawing upon a conceptual model, the role of diabetes-specific and psychological variables in predicting gender differences in adolescents' glycemic control was examined. Following routine appointments for medical care, 42 adolescents with IDDM completed several measures: Test of Diabetes Knowledge and Problem Solving-Revised; Self-Care Inventory; Beck Depression Inventory; and the State-Trait Anxiety Inventory. Metabolic control was assessed via HbA[sub 1c] assays. Findings revealed that girls were in worse metabolic control than boys and reported more symptoms of depression and anxiety. Furthermore, gender differences in metabolic control could be explained by the greater depressive symptomatology reported by adolescent girls. Possible reasons for the linkage between depression and poor metabolic control are discussed, as well as directions for future research and clinical implications.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2401_6

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1995

数据来源: Taylor