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Il disegno della figura umana in bambini con diabete tipo 1 ed in controlli sani: quali differenze?
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Alda Troncone, Crescenzo Cascella, Antonietta Chianese, Dario Iafusco 
Anno di pubblicazione:  2018 Fascicolo: Lingua: Italiano 
Numero pagine:  18 P. 27-44 Dimensione file:  264 KB
DOI:  10.3280/PDS2018-002006
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Lo scopo del presente studio è stato valutare la presenza di problematiche psicologiche in bambini con diabete tipo 1 attraverso l’uso del disegno della figura umana. 81 pazienti consecutivi con diagnosi di diabete tipo 1 afferenti ad un centro di diabetologica pediatrica del sud Italia e 219 soggetti di controllo, appaiati ai primi per sesso ed età, sono stati valutati attraverso il disegno della figura umana secondo la procedura Draw a Person: Screening Procedure for Emotional Disturbances (DAP:SPED). Il valore medio dell’emoglobina glicosilata (Hb1Ac) è stato usato come indicatore del controllo metabolico negli ultimi 3 mesi. Non sono emerse differenze significative nei punteggi totali DAP:SPED, anche differenziando i soggetti in base al genere ed al peso. Confrontando i disegni in base ai singoli item è emerso che i bambini con diabete tipo 1 disegnano figure più piccole dei controlli per altezza e larghezza che risultano caratterizzate più frequentemente da dita appuntite e assenza di vestiti. I risultati hanno indicato la presenza di elementi distintivi nei disegni tali da suggerire l’esistenza di aspetti dell’immagine corporea nei bambini con diabete tipo 1 differenti rispetto ai controlli sani. Le differenze osservate supportano l’esigenza di monitorare le caratteristiche dell’immagine corporea nei bambini con diabete tipo 1 durante il loro sviluppo allo scopo di prevenire l’insorgenza di disagi psicologici.


Keywords: Disegno della figura umana, diabete tipo 1, problematiche psicologiche

  1. Ackard D.M., Vik N., Neumark-Sztainer D., Schmitz K.H., Hannan P. and Jacobs D.R. Jr. (2008). Disordered eating and body dissatisfaction in adolescents with type 1 diabetes and a population-based camparison sample: comparative prevalence and clinical implications. Pediatric Diabetes, 9 (part I): 312-319.
  2. Argüelles T., Garcìa R. and Agramonte A. (2006). El dibujo como exponente de las percepciones sobre la enfermedad en niños y niñas con diabetes mellitus. Revista Cubana de Endocrinologia, 17 (1): 0-0.
  3. Celano C.M., Beale E.E., Moore S.V., Wexler D.J. and Huffman J.C. (2013). Positive psychological characteristics in diabetes: a review. Current Diabetes Reports, 13 (6): 917-929.
  4. Colton P.A., Rodin G.M., Olmsted M.P. and Daneman D. (1999) Eating disturbances in young women with type 1 diabetes mellitus: Mechanisms and consequences. Psychiatric Annals 29 (4): 213-218., 10.3928/0048-5713-19990401-0DOI: 10.3928/0048-5713-19990401-0
  5. Eiser C., Patterson D. and Tripp J.H. (1983). Diabetes and developing knowledge of the body. Archives Disease Childhood, 59 (2): 167-169.
  6. Flanagan R. and Motta R.W. (2007). Figure Drawings: A popular method. Psychology in the Schools, 44 (3): 257-270.
  7. Frank R.G., Hagglund K.J., Schopp L. et al. (1998). Disease and family contributors to adaptation in juvenile rheumatoid arthritus and juvenile diabetes. Arthritus Care and Research, 11 (3): 166-76.
  8. Hamlett K.W., Pellegrini D.S. and Katz K.S. (1992). Childhood chronic illness as a family stressor. Journal of Pediatric Psychology, 17 (1): 33-47.
  9. Hoey H., Aanstoot H., Chiarelli F., Daneman D., Danne T., Dorchy H. et al. (2001). Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes. Diabetes Care, 24 (11): 1923-1928.
  10. Kahill S. (1984). Human figure drawing in adults: An update of the empirical evidence, 1967–1982. Canadian Psychology, 25 (4): 269-292.
  11. Kakleas K., Kandyla B., Karayianni C. and Karavanaki K. (2009). Psychosocial problems in adolescents with type 1 diabetes mellitus. Diabetes & Metabolism, 35 (5): 339-350.
  12. Kalyva E., Malakonaki E., Eiser C. and Mamoulakis D. (2011). Health‐related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatric diabetes, 12 (1): 34-40.
  13. Kamphaus R.W. (1993). Comment on “The use and abuse of human drawing figure”. School Psychology Quarterly, 8: 187-188.
  14. Koppitz E.M. (1968). Psychological evaluation of children’s human figure drawings. New York: Grune & Stratton.
  15. Kortesluoma R.L., Punamaki R.L. and Nikkoken M. (2008). Hospitalized children drawing their pain: the contents and cognitive and emotional characteristic of pain drawings. Journal of Child Health Care, 12 (4): 284-300., 10.1177/136749350809620DOI: 10.1177/136749350809620
  16. Kovacs M., Iyengar S., Goldston D., Stewart J., Obrosky D.S. and Marsh J. (1990). Psychological functioning of children with insulin-dependent diabetes mellitus: A longitudinal study. Journal of Pediatric Psychology, 15 (5): 619-32.
  17. Larrañaga A., Docet M.F. and García-Mayor R.V. (2011). Disordered eating behaviors in type 1 diabetic patients. World Journal of Diabetes, 11 (2): 189-195.
  18. Lilienfeld S.O., Wood J.M. and Garb H.N. (2000). The scientific status of projective techniques. Psychological Science in the Public Interest, 1 (2): 27-66., 10.1111/1529-1006.00DOI: 10.1111/1529-1006.00
  19. Manucci E., Rotella F., Ricca V., Moretti S., Placidi G.F. and Rotella C.M. (2005). Eating disorders in patients with type 1 diabetes: A meta-analysis. Journal of Endocrinological Investigation, 28 (7): 417-419.
  20. Matto H.C. (2002). Investigating the validity of the Draw-A-Person: Screening Procedure for Emotional Disturbance: a measurement validation study with high-risk youth. Psychological Assessment, 14 (2): 221-5., 10.1037/1040-3590.14.2.22DOI: 10.1037/1040-3590.14.2.22
  21. McNeish T.J. (1989). Reliability and validity of a human figure drawing screening measure to identify emotional or behavioral disorders in children (Doctoral dissertation, The Ohio State University).
  22. McNeish T.J. and Naglieri J.A. (1993). Identification of individuals with serious emotional disturbance using the Draw-A-Person: Screening Procedure for Emotional Disturbance. The Journal of Special Education, 27 (1): 115-121., 10.1177/00224669930270010DOI: 10.1177/00224669930270010
  23. Naglieri J.A. (1988). Draw a Person: a Quantitative Scoring System. New York: Psychological Corporation.
  24. Naglieri J.A. (1993) Human figure drawings in perspective. School Psychology Quarterly, 8: 170-176.
  25. Naglieri J.A. and Pfeiffer S.I. (1992). Performance of disruptive behavior disordered and normal samples on the Draw-A-Person: Screening Procedure for Emotional Disturbance. Psychological Assessment, 4(2): 156-159., 10.1037/1040-3590.4.2.15DOI: 10.1037/1040-3590.4.2.15
  26. Naglieri J.A., McNeish T. and Bardos A. (1991). DAP: SPED. Draw-a-Person: Screening Procedure for Emotional Disturbance. Examiner’s Manual. Austin, TX: Pro-Ed.
  27. National Institute for Health and Care Excellence (2016). Diabetes in children and young people. Quality standard 125. Retrieved from: https://www.nice.org.uk/
  28. Northam E.A., Matthews L.K., Anderson P.J., Cameron F.J. and Werther G.A. (2005). Psychiatric morbidity and health outcome in Type 1 diabetes–perspectives from a prospective longitudinal study. Diabetic Medicine, 22 (2): 152-157.
  29. Nuvoli G., Maioli M., Ferrari C., Pala G. and Chiaretti G. (1989). Diabetes and illness image: an analysis of diabetic early-adolescents’ self-perception through the draw-a-person test. Psychological Reports, 65 (1): 83-93.
  30. Pinquart M. (2013). Body image of children and adolescents with chronic illness: A meta-analytic comparison with healthy peers. Body Image, 10(2): 141-148.
  31. Pipe M.E., Lamb M.E., Orbach Y. and Esplin P.W. (2004). Recent research on children’s testimony about experienced and witnessed events. Developmental Review, 24 (4): 440–468.
  32. Prewett P.N., Bardos A.N. and Naglieri J.A. (1988). Use of the Matrix Analogies Test-Short Form and the Draw A Person: A Quantitative Scoring System with learning-disabled and normal students. Journal of Psychoeducational Assessment, 6 (4): 347-353., 10.1177/07342829880060040DOI: 10.1177/07342829880060040
  33. Reynolds K.A. and Helgeson V. (2011). Children with diabetes compared to peers: Depressed? Distressed? Annals of Behavioral Medicine 42 (1): 29-41.
  34. Shaban C. (2010). Body image, intimacy and diabetes. European Diabetes Nursing, 7(2): 82-86.
  35. Stein M.T. (2001). The Use of Family Drawings by Children in Pediatric Practice. Journal of Developmental and Behavioral Pediatrics, 22 (supp.): 49-54.
  36. Troncone A., Prisco F., Cascella C., Chianese A. et al. (2014) The evaluation of body image in children with type 1 diabetes: A case-control study. Journal of Health Psychology. Health Psychology Open, 2(2).

Alda Troncone, Crescenzo Cascella, Antonietta Chianese, Dario Iafusco, in "PSICOLOGIA DELLA SALUTE" 2/2018, pp. 27-44, DOI:10.3280/PDS2018-002006

   

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