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Surviving chronic physical illness: psychosocial outcome in adult life
Julia Gledhill, Luiza Rangel, Elena Garralda
Academic
Unit of Child and Adolescent Psychiatry, Imperial College School of
Medicine (St Mary's), Norfolk Place, London W2 1PG, UK
Correspondence to: Dr Gledhill. email: j.gledhill@ic.ac.uk
Accepted 5
April 2000
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Recent advances in physical treatments have changed the implications of receiving a diagnosis of chronic physical illness in childhood. Individuals with disorders such as diabetes, cystic fibrosis, renal failure, and cancer, who may previously have had a limited life expectancy are now surviving into adulthood.
During childhood, chronic physical illness confers an increased risk of emotional and behavioural disorders,1 although the majority of children and families successfully adapt to the diagnosis. The increased likelihood of psychiatric disorder during childhood does not seem to be specific to the diagnostic category beyond those involving brain dysfunction,2 3 but reflects the difficulties inherent in living with a chronic illness.
Children at greater risk are those with more severe physical
disorder,4 and perhaps those with illnesses carrying a
greater degree of life threat.5 The risk also varies with
the stage of the illness. Adjustment disorders (emotional and/or
behavioural symptoms clearly linked in onset to a
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Relevant Article
- Arch Dis Child 2000 Volume 83 No 2
- HARVEY MARCOVITCH
Arch. Dis. Child. 2000 83: 0.[Extract] [Full Text]
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