scholarly journals Associations between Pretend Play, Psychological Functioning and Coping Strategies in Pediatric Chronic Diseases: A Cross-Illness Study

Author(s):  
Daniela Di Riso ◽  
Elena Cambrisi ◽  
Simone Bertini ◽  
Marina Miscioscia

Children with chronic illnesses are called to undertake complicated processes of adjustment and re-organization in their daily lives; as a result, they could experience several internalizing problems. Symbolic play could be a useful way to cope with these difficulties. The main aim of this paper is to assess pretend play, coping, and psychological symptoms in three groups of school-aged children with pediatric chronic diseases. The study involved 44 Italian school-aged, chronically ill children: 16 with type 1 diabetes mellitus (T1DM), 12 with cystic fibrosis (CF), and 15 with Leukemia. All patients were assessed by the Affect in Play Scale–Brief version (APS-Br), and the Children’s Coping Strategies Checklist–Revision1 (CCSC-R1). Children with T1DM and CF also completed the Separation Anxiety Symptom Inventory for Children (SASI-C) and the Strengths and Difficulties Questionnaire (SDQ)–children’s version. Cohen’s d (effect size) was applied between clinical and normative samples, and it showed a more organized play (APS-BR), but a more negative affect tone, comfort, and frequency of affect expression. Comparing APS-BR and CCSC-R1 rates between the three groups, significant differences were found for all the APS-BR dimensions, except for tone, and for CCSC-R1 seeking understanding. Comparing SASI-C score between T1DM and CF, higher scores were found for children with CF. In the end, correlations between all dimensions highlighted several relationships between play, coping, and adjustment problems for children with T1DM, and relationship between affect play and all variables for children with CF. Symbolic play helps chronically ill children to express emotions; helping them, as well as clinicians, to understand the difficulties caused by chronic conditions, and to cope with them.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniela Di Riso ◽  
Silvia Spaggiari ◽  
Elena Cambrisi ◽  
Valentina Ferraro ◽  
Silvia Carraro ◽  
...  

AbstractItaly was the first European country to fight the Covid-19 outbreak. To limit the transmission of the virus, the Italian Government imposed strict domestic quarantine policies and temporary closure of non-essential businesses and schools from March 10th,2020. Although more and more literature is exploring the impact of the pandemic on non-referred children and families, only a few studies are focused on the psychosocial impact of Covid-19 in chronically ill children and their caregivers. The present study investigates asthma control and children and mothers’ psychological functioning (i.e.: psychological well-being, fear of contagion, and mothers’ Covid-19 related fears) in 45 asthmatic children aged 7-to-14, compared to a control sample. The subjects were administered an online survey after the lockdown (from 28th May to 23rd August 2020). The analysis shows that asthmatic children presented higher concern in relation to contagion, however, no difference in psychological functioning was displayed between the two cohorts. Mothers reported more Covid-19 related fears, and greater worries according to the resumption of their children’s activities. Moreover, they indicated a global worsening of their psychological well-being during the lockdown. Furthermore, regarding the clinical sample, the multivariate regression model showed that a worsening of mothers' psychological and children’s physical well-being was associated with a worsening of children’s psychological well-being during the lockdown. The results of this study indicate that mothers of asthmatic children can be more prone to experience psychological fatigue in a pandemic scenario. Special programs should be developed to support caregivers of chronically ill children.


2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Dr. Ira Tripathi

This empirical paper presents a correlation between optimism and physical and mental health. Optimism is a positive variable and is found very much beneficial for maintaining health in several studies .Actually optimism is the belief that good things will happen and this belief can help a lot for physical wellbeing, psychological well-being, coping and stress management. Present study was undertaken on mothers and their children. Sample was comprised of 300 people. There were75 chronically ill children and their mothers (75) and 75 normal healthy children and their mothers (75). All children were aged between 8-12 years. Chronically ill children were those, who were suffering from any chronic disease. Mother’s optimism was measured through LOT and physical and mental health was assessed by PGIHQN1 (physical symptom reporting and psychological symptom reporting). Results revealed that optimism is very significantly correlated with physical and psychological symptom reporting. In all the three groups (combined, ill, and healthy) mothers who were optimistic reported fewer physical and psychological symptoms of illness. Thus it can be said that mothers felt physically and psychologically healthier with their optimistic outlook


2014 ◽  
Vol 40 (2) ◽  
pp. 160-177 ◽  
Author(s):  
Nur Saadah M. A. ◽  
Siti Hajar A. B. ◽  
M. Rezaul Islam

2017 ◽  
Vol 29 (2) ◽  
pp. 146-154 ◽  
Author(s):  
Neslihan Partlak Günüşen ◽  
Marian Wilson ◽  
Burcu Aksoy

Purpose: This study investigated secondary traumatic stress and its relationship to burnout among nurses working at a Turkish hospital. Design: A mixed-methods design included a cross-sectional survey administering the Professional Quality of Life instrument and Maslach Burnout Inventory to 106 nurses. Interviews with a subgroup of eight participants explored nurses’ experiences and coping strategies related to caring for chronically ill pediatric patients. Results: High risk levels of secondary traumatic stress existed among 40.6% participants, and those over the age of 40 years were at greater risk. Two main interview themes emerged that identified (a) consequences and (b) coping strategies while caring for chronically ill children. Nurses experience emotional burdens and may purposefully distance themselves from chronically ill children. Social support from nurse colleagues and spiritual beliefs assist coping. Implications: Workplaces should acknowledge stressors inherent in chronic pediatric nursing care. Environments that welcome spiritual practices and actively encourage social support could address job hazards.


2019 ◽  
Vol LXXX (3) ◽  
pp. 175-189
Author(s):  
Karolina Wiśniewska

In the article, I emphasize the interdisciplinary nature of the quality of life concept, which is used in many scientific disciplines. The approach to this issue depends largely on the perspective of the subject that is concerned with this problem. Quality of life changes with age, the level of self-awareness, and social roles and life tasks a person takes on. That is why I have sought to outline the determinants of quality of life and its dimensions. I stress the point that these issues are particularly important from the point of view of chronically ill children, as the development of illness may have a negative impact on their physical, mental, and social spheres. Moreover, the constantly increasing number of children with chronic diseases creates a need for a closer investigation into problems in their psychosocial functioning that are determined by their health condition. The article aims to present the issues of quality of life as well as illness and its impact on the quality of life of children with chronic diseases.


2018 ◽  
Vol 44 (3) ◽  
pp. 400-413
Author(s):  
Emmanuel Janagan Johnson ◽  
Samantha Onieka Mendoza

2017 ◽  
Vol 7 (3) ◽  
pp. 111-121
Author(s):  
Barbora Plisková ◽  
Petr Snopek

Abstract Introduction: More and more children and adolescents suffering from chronic diseases are included in common school education. Unfortunately, teachers do not feel confident enough about how to cope, fulfil and satisfy the needs of these children in the educational, social and emotional spheres. The aim ofp this part of research was to discover how teachers work with chronically ill children of younger school-age. There were three aims. The first aim was to investigate if teachers have basic awareness and knowledge about selected chronic diseases in children of younger school-age. The second aim was to discover what experience and attitudes towards chronically ill children of younger school-age teachers have. The third aim was to discover, how the quality of school care of chronically ill children of younger school-age can be improved. Methods: We used qualitative research methodology. Data were processed and gathered from semi-structured interviews. Interviews were conducted with 12 teachers. Results: Our findings revealed that teachers should be acquainted with the disease itself and its consequences in all aspects. In some cases, teachers must be acquainted also with the practical aspects of a chronic disease, e.g. first aid and application of drugs and aids in order to assist children if necessary. Discussion: The study offers unique insights into primary teachers’ views and experiences with chronically ill children, how teachers work with chronically ill pupils of younger school-age and how the quality of school care of chronically ill children of younger school-age can be improved. Limitations: The research is still being conducted and therefore, it is not possible to provide more detailed results and conclusions. However, our main aim was to draw attention to the very problem from the point of view of teachers themselves and to highlight their vivid experiences. Conclusions: It is necessary to create interconnected networks of experts and families who will cooperate and communicate and who will participate in satisfying needs of a child together. These networks will ensure that children will be integrated into common school life in spite of their disease without serious consequences affecting their development and education.


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