Thoughts of Children in Different Age Groups About The Disease

Yıl 2026, Cilt: 15 Sayı: 1, 27 - 40, 16.01.2026

Asya Çetin , Feyza Yalman Çetinkaya , Mehmet Seyit Çetin

https://doi.org/10.33206/mjss.1574354

Öz

This study aimed to comparatively examine the thoughts of children in the pre-operational, concrete and abstract thinking stages about illnesses according to Piaget's Cognitive Development Theory. 3 different study groups were included in the study. Based on past research, children aged 4 years old representing the pre-operational stage, 7 years old representing the concrete operational stage and 11 years old representing the abstract operational stage as stated in Piaget's cognitive development theory were included in the study. The study group consisted of a total of 288 children, 48 girls and 48 boys in each of the three groups. Phenomenology, one of the qualitative research designs, was used in the study. The data were analyzed using the descriptive analysis method. According to the findings obtained from the study, children in the pre-operational stage mostly defined the illness according to they got sick due to the transmission of microbes, the illness can be treated with medical procedures; those in the concrete thinking stage defined the illness as the transmission of viruses, they can be treated by going to a hospital and the illness can be prevented with a healthy diet; It was determined that those at the concrete thinking stage defined the disease with physical symptoms, that it can be treated with regular medication use. When evaluated in general, it was determined that children's ideas about the concept of disease, the causality of the disease, how it can be treated and prevented are consistent with Piaget's Cognitive Development Theory, that is, they are acquired gradually from concrete components to abstract components and develop over time.

Anahtar Kelimeler

Cognitive Development , Illness , Children

Etik Beyan

During the writing process of the study “Thoughts of Children in Different Age Groups About The Disease” scientific rules, ethical and citation rules were followed. No falsification was made on the collected data and this study was not sent to any other academic publication medium for evaluation. In addition, permission was obtained from the Ondokuz Mayıs University Social and Humanities Sciences Ethics Committee (Date: 26/08/2020 and Decision no: 2020/537) to conduct the research

Farklı Yaş Grubundaki Çocukların Hastalığa İlişkin Düşünceleri

Öz

Bu çalışmada Piaget’nin Bilişsel Gelişim Kuramı’na göre işlem öncesi, somut ve soyut düşünme aşamalarında olan çocukların hastalıkla ilgili düşüncelerini karşılaştırmalı olarak incelemek amaçlanmıştır. Araştırmada 3 farklı çalışma grubuna yer verilmiştir. Geçmiş araştırmalara dayalı olarak, Piaget’nin bilişsel gelişim kuramında belirtildiği üzere işlem öncesi aşamasını temsilen 4 yaş, somut işlemler aşamasını temsilen 7 yaş ve soyut işlemler aşamasını temsilen 11 yaş tipik gelişim gösteren çocuklar çalışmaya dahil edilmiştir. Üç grubun her birinde 48 kız ve 48 erkek çocuk olmak üzere toplam 288 çocuk çalışma grubunu oluşturmuştur. Araştırmada nitel araştırma desenlerinden biri olan fenomenoloji kullanılmıştır. Veriler betimsel analiz yöntemi ile analiz edilmiştir. Çalışmadan elde edilen bulgulara göre işlem öncesi aşamada olan çocukların daha çok mikropların bulaşmasından hasta olunduğu, hastalığın tıbbi işlemlerle tedavi edilebileceğini; somut düşünme aşamasında olanların hastalığın tanımını virüslerin bulaşması şeklinde yaptıkları, hastaneye giderek tedavi olunabileceği ve sağlıklı beslenme ile hastalığın önlenebileceğini; somut düşünme aşamasında olanların ise hastalığın tanımını fiziksel belirtilerle yaptıkları, düzenli ilaç kullanımı ile tedavi olunabileceğini ifade ettikleri belirlenmiştir. Genel olarak değerlendirildiğinde ise çocukların hastalık kavramı, hastalığın nedenselliği, nasıl tedavi edilebileceği ve önlenmesi ile ilgili düşüncelerinin Piaget’nin Bilişsel Gelişim Kuramı ile tutarlı olduğu, yani somut bileşenlerden soyut bileşenlere doğru kademeli olarak edinildiği ve zaman içinde geliştiği belirlenmiştir.

Anahtar Kelimeler

Bilişsel Gelişim , Hastalık , Çocuklar

Etik Beyan

“Farklı Yaş Grubundaki Çocukların Hastalığa İlişkin Düşünceleri” başlıklı çalışmanın yazım sürecinde bilimsel kurallara, etik ve alıntı kurallarına uyulmuş; toplanan veriler üzerinde herhangi bir tahrifat yapılmamış ve bu çalışma herhangi başka bir akademik yayın ortamına değerlendirme için gönderilmemiştir. Gerekli olan etik kurul izinleri, Karabük Üniversitesi Sosyal ve Beşeri Bilimler Araştırmaları Etik Kurulu’nun 18.01.2023 tarih ve 19 nolu kararı ile alınmıştır.

Kaynakça

• Bibace, R. ve Walsh, M. E. (1979). Clinical development psychologists in family practice settings. Professional Psychology, 10(4), 441–450.
• Bibace, R. ve Walsh, M. E. (1980). Development of children's concepts of illness. Pediatrics, 66(6), 912-917.
• Blacker, K. J., & LoBue, V. (2016). Behavioral avoidance of contagion in childhood. Journal of Experimental Child Psychology, 143, 162–170.
• Bröder, J., Chang, P., Kickbusch, I., Levin-Zamir, D., McElhinney, E., Nutbeam, D., … Okan, O. (2019). IUHPE position statement on health literacy: A practical vision for a health literate world. Global Health Promotion, 26(4), 3–12.
• Brewster, A. B. (1982). Chronically ill hospitalized children's concepts of their illness. Pediatrics 69 (3), 355– 362.
• Carandang, M., Folkins, C, Hines, P. ve Steward, M. (1979). The role of cognitive level and sibling illness in children's conceptualizations of illness. American Journal of Orthopsychiatry, 49(3), 474.
• Carey, S., Zaitchik, D., & Bascandziev, I. (2015). Theories of development: In dialog with Jean Piaget. Developmental Review, 38, 36–54.
• Carson, D. K., Gravley, J. E. ve Council, J. R. (1992). Children's prehospitalization conceptions of illness, cognitive development, and personal adjustment. Children's Health Care, 21 (2), 103-110.
• Coyne, I., Hallström, I., & Söderbäck, M. (2016). Reframing the focus from a family-centred to a child-centred care approach for children’s healthcare. Journal of Child Health Care, 20(4), 494–502.
• Cheetham, T. J., Turner‐Cobb, J. M., & Gamble, T. (2016). Children's implicit understanding of the stress-illness link: Testing development of health cognitions. British journal of health psychology, 21(4), 781-795.
• Cheetham, T. J., Turner-Cobb, J. M., & Gamble, T. (2016). Children’s implicit understanding of the stress– illness link: Testing development of health cognitions. British Journal of Health Psychology, 21(4), 781–795.
• Christensen, L. B., Johnson, B., ve Turner, L. A. (2011). Research methods, design, and analysis. Pearson: New York.
• Dalton, L., Rapa, E., & Stein, A. (2020). Protecting the psychological health of children through effective communication about COVID-19. The Lancet Child & Adolescent Health, 4(5), 346-347.
• Gillis, A. J. (1990). Nurses' knowledge of growth and developmental principles in meeting psychosocial needs of hospitalized children. Journal of Pediatric Nursing, 5 (2), 78-87.
• Hagger, M. S., Koch, S., Chatzisarantis N. L. D, et al. (2017) The common sense model of self-regulation: Meta- analysis and test of a process model. Psychological Bulletin 143: 1117–1154.
• Hamideh Hosseini, S., Nosraty, N., & Tomraee, S. (2025). Children, healthy lifestyle and media literacy. Journal of Cyberspace Studies, 9(1), 1-23.
• Harris, P. L. (2012). Trusting what you're told: How children learn from others. Harvard University Press.
• Hansdottir, I. ve Malcarne, V. L. (1998). Concepts of illness in Icelandic children. Journal of Pediatric Psychology, 23(3), 187-195.
• Inagaki, K., & Hatano, H. (2005). A role of vital power in young children’s understanding of illness causality. In meeting of the Europ Assoc Res Learn Instruct.
• Jensen, R. A. (1955). The hospitalized child: Round table, 1954. American Journal of Orthopsychiatry, 25(2), 293.
• Johnson, B. ve Christensen, L. (2008). Educational research: Quantitative, qualitative, and mixed approaches. Sage.
• Kalish, C. (1996). Causes and symptoms in preschoolers' conceptions of illness. Child development, 67(4), 1647-1670.
• Koopman, H. M., Baars, R. M., Chaplin, J. ve Zwinderman, K. H. (2004). Illness through the eyes of the child: the development of children's understanding of the causes of illness. Patient education and counseling, 55(3), 363-370.
• Langford, W S. (1948). Physical illness and convalescence: Their meaning to the child. Journal of Pediatrics, 32, 242-250.
• Legare, C. H., Wellman, H. M., & Gelman, S. A. (2009). Evidence for an explanation advantage in naïve biological reasoning. Cognitive psychology, 58(2), 177-194.
• Li, Y., DeJesus, J. M., Lee, D. J., & Liberman, Z. (2020). Social identity and contamination: Young children’s willingness to eat contaminated foods. Journal of Experimental Child Psychology, 201, 104967.
• Neuhauser, C, Amsterdam, B., Hines, P. ve Steward, M. (1978). Children's concepts of healing: Cognitive development and locus of control factors. American Journal of Orthopsychiatry, 48(2), 335.
• Paakkari, L., & Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249–e250.
• Perrin, E. ve Gerrity, P. S. (1981). There's a demon in your belly: Children's understanding of illness. Pediatrics, 67, 841-849.
• Piko, B. F. ve Bak, J. (2006). Children's perceptions of health and illness: images and lay concepts in preadolescence. Health education research, 21(5), 643-653.
• Pinquart, M. (2018). Parenting stress in caregivers of children with chronic physical condition—A meta‐ analysis. Stress and health, 34(2), 197-207.
• Raman, L. ve Winer, G. A. (2002). Children’s and adults’ understanding of illness: evidence in support of a coexistence model. Genetic, social, and general psychology monographs, 128(4), 325.
• Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The lancet child & adolescent health, 2(3), 223-228.
• Sigelman, C. K., & Glaser, S. E. (2019). Children’s understanding of infectious disease: Testing an intuitive theory framework. Cognitive Development, 52, 100805.
• Simeonsson, R., Buckley, L. ve Monson, L. (1979). Conceptions of illness causality in hospitalized children. Journal of Pediatric Psychology, 4(1), 77-84.
• Sobel, D. M., & Kushnir, T. (2019). Children’s causal learning. Current Directions in Psychological Science, 28(1), 60–66.
• Sönmez, V. ve G. Alacapınar, F. (2011). Örneklendirilmiş Bilimsel Araştırma Yöntemleri. Ankara: Anı Yayıncılık.
• Stein, A., Dalton, L., Rapa, E., Bluebond-Langner, M., Hanington, L., Stein, K. F., ... ve Yousafzai, A. (2019). Communication with children and adolescents about the diagnosis of their own life-threatening condition. The Lancet, 393(10176), 1150-1163.
• Steinberg, L. (2017). Adolescence (11th ed.). McGraw-Hill Education.
• Tümüklü, A. (2000). Eğitimbilim Araştırmalarında Etkin Olarak Kullanılabilecek Nitel Bir Araştırma Tekniği: Görüşme. Kuram ve Uygulamada Eğitim Yönetimi Dergisi, 24, 543-559.
• Williams, J. M., & Binnie, L. M. (2002). Children's concepts of illness: An intervention to improve knowledge. British journal of health psychology, 7(2), 129-147.
• Yıldırım, A. ve Şimşek, H. (2008). Sosyal Bilimlerde Nitel Araştırma Yöntemleri (6. Baskı). Ankara: Seçkin Yayıncılık.