Thesis (Ph. D.)--University of Washington, 1997. / Vita. Includes bibliographical references (leaves [145]-153).

Thesis (MA(Science of Religion and Missiology)--University of Pretoria, 2006. / Includes bibliographical references (p. 129-133)

In an effort to prevent serious psychological damage to individuals and families due to illness or disability, professionals in the health field have studied every aspect of one's health. From the "traumatic violence" of birth to the painful complexities of death and dying, the emotional health of human beings has been observed, recorded and analysed. Despite the breadth of this voluminous research, one area of interest merits more thorough study and evaluation. In order to more fully understand the intricacies of health and illness we need to know more about the effect one seriously ill child has upon the emotional health of his or her siblings. This study was conducted to gather more information about this important area of human experience. The focus was specifically aimed at the interaction between the parents of a sick child and his or her siblings.

The present study was an investigation of recall following presentation of diagnostic information. The setting was the Crippled Children's Division of the University of Oregon Medical School. The purpose of the study was to test the hypothesis that one session conferencing imparting diagnostic information to parents of handicapped children reduces recall. Additionally, it was hypothesized that multi-discipline conferencing is related to greater diagnostic recall than single discipline conferencing. The sample was made up of 20 parent units whose children were evaluated at the Crippled Children's Division for suspected Cerebral Palsy and/or Mental Retardation. There were ten families from the Cerebral Palsy Clinic and ten from the Mental Retardation Clinic. Three comparisons were made: (1) The amount of information presented at the staffing session was the baseline against which the amount of information imparted at the parent conference was compared. (2) The amount of information imparted at the parent conference was compared with the amount of information that was recalled six weeks later at the follow up interview. (3) The amount of information recalled at the time of the follow up interview was compared with the staffing information in order to determine the loss of diagnostic information. The results supported the hypotheses. Diagnostic congruence was by far, more the exception than the rule Implications suggest that additional follow up services are necessary.

This descriptive study utilized semi-structured interviews and observations to examine the experiences of hospitalized school-age children, and explore the potential of a live, closed-circuit television program as a psychosocial intervention. Among findings, Phase I data from 16 subjects indicates a) concern with painful medical procedures, particularly intraveneous (IV) injections, b) a desire for more information, especially concerning medical equipment, c) a variety of responses to social issues among subjects, d) the importance of activities, and e) the central role of the hospital playroom. Phase II data indicates that live, closed-circuit television can provide ambulatory and room-bound children opportunities for making choices, social interaction, participation, and information on their environment. Conclusions and implications are included.

The purpose of this retrospective study was to investigate some psychosocial factors that may be related to the development of childhood cancer. The questions that guided the study were: When compared to families of healthy children (1) Do the family structure, dynamics and atmosphere present any commonalities among children with cancer? (2) Are there any personality characteristics common to children with cancer? (3) Have children with cancer experienced more of stressful events during the year that preceded diagnosis? (4) Have children with cancer experienced a major loss? Twelve children between the ages of 2 to 13 who were diagnosed with a form of cancer were compared to twelve healthy but accidently injured children of the same age, and sex and socioeconomic background hospitalized at the 2nd Pediatric Department of The University of Athens. A semistructured interview was used to gather information from their mothers within the month that followed the child's diagnosis or accident. Chi-square and T-test analyses were used at the .05 level of significance to determine differences between groups on each of the variables. Findings revealed that, compared to healthy children, children with cancer tended to belong to "broken home" families in which most had experienced (a) the loss or absence of a significant person (particularly the father) early in their life or (b) an unhappy marriage between their parents, frequently resulting from an "arranged" marriage. Within their family children occupied a special status and were raised as "only" or "first-borns." A major upcoming event was anticipated in most of their families within the same month that the diagnosis was pronounced; this event was aborted as a result of the child's diagnosis. Limitations of the study, discussion of the methodology and recommendations for further research are presented.

Coccidioidomycosis is a fungal infection endemic to the southwestern United States. Hematogenous dissemination of the etiologic agent produces a chronic basilar meningitis in a small percentage of children. While new and aggressive therapy has decreased mortality, children with coccidioidal meningitis (CM) continue to suffer significant morbidity. A comprehensive investigation of intellectual, achievement, and behavioral outcomes in a series of 9 children who were diagnosed and treated for CM at the Arizona Health Sciences Center between 1977 and 1988 was conducted. Nearest-age siblings were also evaluated. Findings revealed compromised cognitive abilities and an increased incidence of academic and behavioral difficulties in the patient group as compared to normative expectations and the performance of siblings. Results support the need for timely educational interventions to assist such patients in maximizing their potential in the academic environment.

The improving prognosis for pediatric leukemia patients requires that involved professionals increase attention to the emotional adjustment of these children. This study was designed to determine (a) how mothers of leukemia patients perceived their children's personalities in order to identify any specific emotional difficulties which these children may experience and (b) if their perceptions differed from either mothers of cystic fibrosis and diabetes patients or mothers of healthy children. Subjects included 24 mothers in each of three groups: leukemia, other illness, and healthy. Children in both illness groups received higher scores than healthy children on Adjustment, Achievement, Somatic Concern, Depression, Psychosis, and Social Skills scales as measured by the Personality Inventory for Children; however, only the leukemic children were rated higher in areas of Anxiety and Withdrawal. Implications for treatment and future research are discussed.

Photocopy of typescript. / Digitized by Kansas Correctional Industries

This thesis investigated whether or not the parents of children seen in emergency treatment department could learn the child's medical regime better if reinstructed on the regime in a quiet place after the child has been discharged from the department. An experimental group reinstructed under the above conditions was compared with a control group.The investigation revealed that there was better learning of medical instructions by those parents reinstructed on the medical regime under the ideal conditions in the emergency treatment department.Ball State UniversityMuncie, IN 47306