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- Title
A Multidimensional Assessment of Children with Chronic Physical Conditions.
- Authors
Evans, Theora
- Abstract
The article presents practice suggestions for a multidimensional assessment of children with chronic physical conditions. In the U.S., approximately 20 million children under age 18 have a chronic physical illness or disability (CID). As a result of the advances in medical technology, most of these children will attain adulthood, an outcome heretofore not readily achieved. Many of these children will be well physically and psychologically. There are two schools of thought regarding the etiology of social morbidities experienced by children who have chronic conditions. One perspective is that the health status (the actual manifestation and management of a CID or the inherent characteristics of CID) of a child is the primary source of psychosocial problems such as diminished self-worth, depression, and lower sense of competence than that of peers without chronic conditions. The second perspective identifies social isolation and other sequelae of living with a chronic condition as teh cause of psychosocial problems. Social isolation is reported to be particularly potent when coupled with invisible physical chronic conditions such as asthma, diabetes, and congenital heart disease. Earlier research suggests that children with these conditions face especially complex challenges in developing a sense of self-worth
- Subjects
UNITED States; CHILDREN with disabilities; CHRONIC diseases; PEOPLE with disabilities; DISABILITIES; SELF-esteem
- Publication
Health & Social Work, 2004, Vol 29, Issue 3, p245
- ISSN
0360-7283
- Publication type
Article
- DOI
10.1093/hsw/29.3.245