Table 1.

Psychosocial Issues Among Children and Adolescents With Chronic Conditions

Psychological Adjustment
 Behavioral and emotional problems
 Low self-esteem
 Psychiatric disorders
 Sleep disorders affecting daytime performance and behavior
Social Adjustment
 Social adjustment problem
 Effects of illness on growth and development
 Difficulties in peer relationships
 Participation in peer activities (eg, clubs, sports)
School Adjustment and Performance
 Effects of illness or treatment on cognitive functioning
 Fatigue
 Effects of treatment on central nervous system function
 Absenteeism
Treatment Adherence