Each year, 11.8 million adolescents in the United States cope with a chronic condition (CC), yet much of the research about these youth has been framed from a deficit perspective. The author developed and validated a measure of Positive Youth Development (PYD) for use with adolescents with CCs to address their unique circumstances. Expert ratings reduced 51 items selected from the Connecting Adolescents Beliefs and Behaviors survey to 16 items. Two exploratory factor analyses using orthogonal and oblique rotations further reduced the number of items to 12. Three factors emerged: PYD-Connections to Peers and Schools (α = .81), PYD-Connection to Family (α = .82), and PYD-Confidence (α = .89). Relations between these constructs and perceived health were assessed in healthy youth and youth with CCs. Youth with CCs reported feeling less healthy and worrying more about their health, and endorsed greater levels of feeling depressed. Compared with a matched sample of youth without CCs, youth with CCs had significantly higher correlations between both PYD-Confidence and composite PYD, and degree of health worry and feeling depressed, as well as between connection to peers and school and feeling depressed. The findings highlight the need for a measure of PYD specifically for adolescents with CCs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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慢性病青少年的感知健康和积极的青年发展的新措施。

每年，美国有1180万青少年应对慢性病（CC），但有关这些青年的许多研究都是从赤字的角度进行的。作者开发并验证了“积极青年发展”（PYD）的量度，该方法可用于具有CC的青少年解决其特殊情况。专家评级将“连接青少年的信念和行为”调查中选择的51个项目减少到16个项目。使用正交和倾斜旋转进行的两个探索性因素分析将项目数进一步减少到12。出现了三个因素：PYD-与同伴和学校的连接（α= .81），PYD-与家庭的连接（α= .82）和PYD -置信度（α= 0.89）。在健康的青年和患有CC的青年中评估了这些结构与感知健康之间的关系。患有CC的年轻人报告说自己的健康状况不佳，对自己的健康状况的担忧更多，并认可他们的沮丧情绪更高。与没有CC的年轻人的配对样本相比，有CC的年轻人在PYD信心和复合PYD之间，健康忧虑程度和沮丧感以及与同伴和学校的联系与沮丧之间的相关性显着更高。研究结果突出表明，有必要专门针对患有CC的青少年测量PYD。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。以及与同龄人和学校的联系与沮丧之间。研究结果突出表明，有必要专门针对患有CC的青少年测量PYD。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。以及与同龄人和学校的联系与沮丧之间。研究结果突出表明，有必要专门针对患有CC的青少年测量PYD。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。