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  1. Chronic illness perception in adolescence : Implications for the doctor-patient relationship.

    Article - En anglais


    To describe the inter-relationship of chronic illness severity as perceived by adolescents with both psychosocial well-being and objective measures of illness severity.

    Additionally to compare the adolescents'perception of illness severity with how their physicians believe that the adolescents perceive their illness severity.


    The psychological well-being of 48 adolescents with either cystic fibrosis (CF) or insulin-dependent diabetes mellitus (IDDM) was measured by four standardized questionnaires.

    The adolescents'perception of severity of illness was measured using an original instrument (PSCI), and this measure was compared to their physicians'estimates of how the adolescents perceived the severity of their illness and clinical illness.


    There were 24 patients in both the CF and IDDM groups.

    Both groups were found to function well psychosocially ; although, there were more patients with low self image compared to normative values.

    Depression and low self image were associated with a greater adolescent perception of illness severity.

    For both chronic illness groups, physicians'assessment of assumed adolescent perception of disease severity correlated with clinical indices of disease severity and was higher than the perception of illness severity reported by the adolescents.

    For adolescents with CF, but not with IDDM, perception of severity of chronic illness correlated with clinical indices. (...)

    Mots-clés Pascal : Maladie, Chronique, Perception, Mucoviscidose, Diabète insulinodépendant, Gravité, Bien être psychologique, Evaluation, Relation médecin malade, Adolescent, Homme, Appareil respiratoire pathologie, Appareil digestif pathologie, Pancréas pathologie, Maladie héréditaire, Métabolisme pathologie, Endocrinopathie, Immunopathologie, Maladie autoimmune

    Mots-clés Pascal anglais : Disease, Chronic, Perception, Cystic fibrosis, Insulin dependent diabetes, Gravity, Psychological well being, Evaluation, Physician patient relation, Adolescent, Human, Respiratory disease, Digestive diseases, Pancreatic disease, Genetic disease, Metabolic diseases, Endocrinopathy, Immunopathology, Autoimmune disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0293861

    Code Inist : 002B30A01C. Création : 15/07/1997.