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Certain congenital anomalies : some psycho-social implications in adulthood

Bibliography: pages 195-202.

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Main Author: Heydenrych, Joan Ingrid
Other Authors: Sippel, Gerd
Format: Thesis
Language:English
Published: Department of Social Development 2016
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access_status_str Open Access
author Heydenrych, Joan Ingrid
author2 Sippel, Gerd
author_browse Heydenrych, Joan Ingrid
Sippel, Gerd
author_facet Sippel, Gerd
Heydenrych, Joan Ingrid
author_sort Heydenrych, Joan Ingrid
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description Bibliography: pages 195-202.
format Thesis
id oai:open.uct.ac.za:11427/17157
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:42:00.590Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Social Development
publisherStr Department of Social Development
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/17157 Certain congenital anomalies : some psycho-social implications in adulthood Heydenrych, Joan Ingrid Sippel, Gerd Isaacs, Gordon Abnormalities, Human - Psychological aspects Abnormalities, Human - Social aspects Bibliography: pages 195-202. This study is an investigation of some psycho-social implications in adulthood of being born with a congenital anomaly. The congenital anomalies - oesophageal atresia, Hirschsprung's disease and high anorectal malformations are surgically corrected at birth, but can be associated with residual problems. These problems could put patients at risk for psycho-social maladjustment. The three anomaly groups were seen to represent varying degrees of severity. The oesophageal atresia respondents represented the no to mild disability/residual problems group. Those who had Hirschsprung's disease represented the moderate disability/residual problem group. The high anorectal malformation respondents' represented the severe disability/residual problem group. The research hypothesis is that the severity of residual problems and psycho-social functioning will be directly proportional to each other, i.e. the more severe the handicap, the poorer the psycho-social functioning. A research study was conducted on 38 adult patients whose congenital anomalies were surgically corrected at The Red Cross War Memorial Children's Hospital. The research methods used were a descriptive survey method and a case-study method. The former involved three self-administered questionnaires. Information obtained concerned demographic, socio-economic, family background, medical and psycho-social problem data. An in-depth case-study was conducted with one respondent from each anomaly group. Information was obtained concerning the effect that residual problems had had on various aspects of patients' lives. Data was analysed descriptively. The findings of the study supported the research hypothesis, the medical prognosis and on the whole agreed with the literature. Severity of residual problems was found to be directly related to psycho-social functioning. Patients with severe disability/residual problems were experiencing the most psycho-social problems, those who had moderate disability/residual problems were found to have some psycho-social disability/residual problems, whereas those with mild disability/residual problems were found to have few or no psycho-social problems. Self-esteem, depression, interpersonal relationships and restricted social functioning were the psycho-social aspects found to be most affected by residual problems. The study revealed gaps in both medical and social work services for these patients in terms of ongoing follow-up services. Recommendation to improve these services have been proposed. 2016-02-22T07:14:32Z 2016-02-22T07:14:32Z 1988 Master Thesis Masters MSocSc http://hdl.handle.net/11427/17157 eng application/pdf Department of Social Development Faculty of Humanities University of Cape Town
spellingShingle Abnormalities, Human - Psychological aspects
Abnormalities, Human - Social aspects
Heydenrych, Joan Ingrid
Certain congenital anomalies : some psycho-social implications in adulthood
thesis_degree_str Master's
title Certain congenital anomalies : some psycho-social implications in adulthood
title_full Certain congenital anomalies : some psycho-social implications in adulthood
title_fullStr Certain congenital anomalies : some psycho-social implications in adulthood
title_full_unstemmed Certain congenital anomalies : some psycho-social implications in adulthood
title_short Certain congenital anomalies : some psycho-social implications in adulthood
title_sort certain congenital anomalies some psycho social implications in adulthood
topic Abnormalities, Human - Psychological aspects
Abnormalities, Human - Social aspects
url http://hdl.handle.net/11427/17157
work_keys_str_mv AT heydenrychjoaningrid certaincongenitalanomaliessomepsychosocialimplicationsinadulthood