Although it has been considered useful for teachers to understand the psychological status of hospitalized children and youth in order to be able to provide appropriate educational support, very few studies have been done in this field, mainly because of concerns about protection of privacy. The purpose of the present study was to clarify the structure of anxiety and the patterns of anxiety among hospitalized children and youth. Participants, 157 children and youth, 9 to 18 years of age, who had been hospitalized for long periods of time, completed a newly developed questionnaire. Factor analysis of the results revealed 5 sub-types of anxiety: anxiety about the future, loneliness, fear of medical treatments, maladjustment to long-term hospital stay, and worry about being left behind by friends. The results indicated that the girls felt deeper loneliness than the boys. Also, the older youths had higher anxieties about the future and greater maladjustment to living in the hospital. A cluster analysis, based on the sub-type scores, done in order to determine possible differences in the anxiety patterns, identified 3 patterns of anxiety. In addition, examination of free descriptions of opinion showed that some of the participants' serious anxieties could not be clearly expressed.
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