Description

The vulnerable child syndrome refers to physically healthy children who are viewed by their parents as being at greater risk for developmental or medical problems. This tends to occur more commonly when the child has had a serious illness in the past. Culley et al surveyed parents of premature infants on how they felt about their child's health, using a Vulnerable Child Scale. The authors are from Vanderbilt University in Nashville.


 

The scale was a modification of that described by Forsyth and Canny (1985). It differs with:

(1) adding some additional questions (from 12 to 15)

(2) eliminating a neutral response ("neither true nor false") from the options

 

The parent is asked about how s/he feel about their child.

 

Questions (modified from Figure 2, page 240) - 15 items

 

Responses are definitely true, mostly true, mostly false or definitely false.

 

Negatively directed questions (true indicates poor health perception, false good): 1, 2, 3, 4, 6, 7, 8, 10, 11, 12, 13, 14, 15.

 

Positively directed questions (true indicates good health perception, false poor): 5, 9

Response

Points for Positively Directed Statements

Points for Negatively Directed Statements

definitely true

4

1

mostly true

3

2

mostly false

2

3

definitely false

1

4

 

where:

• The precise points for the responses are not given in the paper. The options are to score from 0 to 3 vs from 1 to 4. The use of 0 to 3 is easier to use. To get the scores shown in the reference, a range of 1 to 4 seems to have been used.

 

total score =

= SUM(points for all 15 items)

 

Interpretation:

• minimum score: 15

• maximum score: 60

• A low indicates a greater sense of vulnerability, while a high score indicates a lesser sense of vulnerability.

 

Limitations:

• The results given on page 241 indicates that the mean score for premature infants (vulnerable child) was only 3.5 points from that for the reference population.

 


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