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Relation to Route of Prophylaxis

Lloyd A. Thomas, MD; Doris H. Milman, MD; Ramon Rodriquez-Torres, MD

JAMA. 1970;212(12):2080-2085.

Abstract
The attitudes, emotional responses, and knowledge of rheumatic fever were studied in 52 clinic patients and their parents during the prophylactic stage of their disease. The purpose was twofold: to discover how well informed they were, and to learn whether there was a correlation between emotional responses and mode of prophylaxis. Both parents and children were considered to be deficient in their knowledge of the disease. Parents whose children were receiving intramuscular prophylaxis were more protective and more cautious in their estimate of their child's future. Children receiving intramuscular prophylaxis showed more evidence of anxiety, whereas those receiving oral prophylaxis tended to deny or ignore their disease. The method of prophylaxis appeared to be a significant factor influencing the attitudes and the defense mechanisms of both parents and children.

Author Affiliations
From the State University of New York, Downstate Medical Center, Brooklyn, NY.

Footnotes
Reprint requests to 825 Lincoln PI, Brooklyn, NY 11216 (Dr. Thomas).

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