Medical manageability and psychosocial factors in childhood XXXX .

@entity748 @entity1 @entity148 @entity565
Five psychosocial factors were empirically derived from a questionnaire administered to 175 @entity748 @entity1 who were taken from three subsamples representing hospitalized inpatients, outpatients and private practice @entity1 . The scales included three measures of @entity148 labeled Despair Over Social Debilitation, Quality of Life, and Dread of Illness, one attitude scale labeled Orientation Towards Compliance, and one scale labeled Family Communication. These scales correlated with measures of debilitation during the 6 month period prior to treatment, which included the number of @entity565 attacks, emergency room visits, days hospitalized, days of school missed and parental ratings of interference in physically strenuous activities. Two groups of @entity1 were defined for each psychosocial factor by a mean split of the scores. The incidence of @entity1 with relatively much @entity148 as defined by three of these scales and a poor attitude about compliance was greatest in the inpatient subsample and least in the private practice subsample. Inpatients also experienced the most debilitation during the 6 month period before testing. Follow-up measures of debilitation were recorded for the 6 month period post discharge. The relationship between the debilitation experienced by the @entity1 and their @entity148 was evaluated. @entity1 groups with much and @entity148 showed comparable and significant reductions in debilitation post hospital treatment. The results were interpreted to indicate that the @entity148 assessed upon admission was the consequence of a history of poor medical manageability. The @entity148 assessed did not appear to contribute to poor control of this illness.
