PEDIATRICS Vol. 64 No. 1 July 1979, pp. 53-59
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Adolescents with Myelodysplasia: Impact of Physical Disability on Emotional Maturation

Patricia W. Hayden MD1, Sandra L. H. Davenport MD1, and Mary M. Campbell PhD1

1 Division of Congenital Defects, Department of Pediatrics, University of Washington, School of Medicine, Seattle

Certain physical, psychological and social characteristics of 20 adolescents with myelodysplasia are compared to those of age and gender-matched controls. In addition to the obvious physical differences the areas of greatest concern are self-esteem and social-sexual adjustment. Family relations, feelings, and modes of expression were not different in the two groups. Lack of appropriate chores, decreased opportunities to interact and compete with peers, plus uncertainties about bowel and bladder continence appear to be the greatest impediments to emotional growth in this physically handicapped group of teenagers. Early recognition of such problems and finding strategies to overcome them are important aspects of the comprehensive care of any person with a chronic disability.

Submitted on July 27, 1978
Accepted on October 23, 1978




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[Abstract] [PDF]