Psychological Considerations in Pediatric Chronic Illness: Case Examples

被引:14
作者
Rohan, Jennifer M. [1 ,2 ,3 ]
Verma, Tanvi [1 ]
机构
[1] Virginia Commonwealth Univ, Childrens Hosp Richmond, Richmond, VA 23219 USA
[2] Virginia Commonwealth Univ, Massey Canc Ctr, Canc Prevent & Control Program, Richmond, VA 23219 USA
[3] Virginia Commonwealth Univ, Sch Med, Richmond, VA 23219 USA
关键词
adherence; prevention; control; health behavior; psychology; pediatrics; COGNITIVE-BEHAVIORAL THERAPY; MEDICAL-TREATMENT; NEUROPEPTIDE-Y; ADHERENCE; ADOLESCENTS; CANCER; CARE; INTERVENTIONS; CHILDREN; ASTHMA;
D O I
10.3390/ijerph17051644
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Despite significant gains in survival rates for pediatric patients and adolescents/young adults (AYA) with chronic illness, patients in this vulnerable age group are also at an increased risk for developing one or more adverse effects related to their disease, treatment, or maladaptive health behaviors. Maladaptive health behaviors ultimately increase the risk for developing adverse effects, including: increased rates of morbidity and mortality, impaired physical functioning, increased fatigue, obesity, increased psychological distress, and poor quality of life. With close attention including participation in preventive and therapeutic health promotion interventions, problematic health behaviors can be mitigated and ultimately prevented over time. It is well known that improved psychological functioning and adaptive coping can result in improved health status. The present paper provides four case examples illustrating various psychological interventions in pediatric chronic illness. As evidenced in the four case examples, pediatric psychologists provide comprehensive interventions for patients with acute and chronic medical conditions through the use of health promotion interventions, adherence and self-management promotion, cognitive behavioral therapy, behavioral therapy, medical coping, parent training, and motivational interviewing. Our case series demonstrates that for the most impactful behavior change to occur, a combination of interventions is often the most effective.
引用
收藏
页数:14
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