Interface between pediatrics and children's mental health:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Saunders
2011
|
| Schriftenreihe: | Pediatric clinics of North America
58,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVII S., S. 787 - 1059 Ill., graph. Darst. |
| ISBN: | 9781455712298 |
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Datensatz im Suchindex
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Interface
Between Pediatrics and Children's Mental Health
Contents
Preface: It's All Connected: Mental Health and Primary Care
xv
Sandra
L
Fritsch, MD, and Harsh
K. Trivedi, MD
Pediatrie
Medical Home: Foundations, Challenges, and Future Directions
787
Harsh K. Trivedi, Nancy A. Pattison, and Lourival
Baptista Neto
The medical home concept has been in existence since the late
1960s
and has recently been significantly broadened to encompass compre¬
hensive primary care for all patient populations throughout the lifespan.
This article provides
(1)
a review of the foundations and evolution of the
medical home concept;
(2)
an analysis of patient/family, provider, and
systemic challenges to developing an effective
pediatrie
medical home
particularly in relation to children's mental health needs; and
(3)
a dis¬
cussion of future directions for its further adoption and successful
implementation.
Unexplained Physical Complaints
803
M. Elena Garralda
Unexplained physical complaints are common in children and form the
basis for childhood somatization (the manifestation of distress through
somatic symptoms) and somatoform disorders. Emotional symptoms
and anxiety disorders are often comorbid with both unexplained physical
symptoms and somatoform disorders. Risk factors include stress sensibil¬
ity and probably biologic vulnerability in the child, mood and somatization
disorders in the family, parental overinvolvement, and possibly limited
psychological "mindedness" in relation to physical symptoms. The best
evidence of efficacy is for family behavioral cognitive treatments, but
for especially severe cases a multidisciplinary, carefully coordinated ap¬
proach has been found to be clinically helpful.
Mental Health Concerns of the Premature Infant Through the Lifespan
815
Douglas Vanderbilt and Mary Margaret Gleason
Because of increased survival rates, neurodevelopmental issues, chronic
medical problems, and sometimes complex family issues involved with
prematurity, mental health clinicians commonly assess preterm clients
and manage their behavioral and mental health problems. Understand¬
ing prematurity survival and neurodevelopmental outcomes is important
for contextualizing the mental health problems seen in this high-risk pop¬
ulation. This article provides a brief overview of prematurity outcomes in
the domains of prematurity relevant to practicing child psychiatrists. Pre¬
maturity is also examined as it relates to parental mental health chal¬
lenges, infant mental health outcomes, high frequency attention
problems, and psychiatric disorders. The complex interactions between
prematurity and family well-being are also highlighted. Finally, evidence-
based treatment modalities involved in prevention and management are
explored.
Contents
Psychiatrie Features in
Children with Genetic Syndromes: Toward Functional
Phenotypes
833
Matthew S.
Siegel
and Wendy E. Smith
Neurodevelopmental disorders with identified genetic etiologies present
a unique opportunity to study gene-brain-behavior connections in child
psychiatry. Parsing complex human behavior into dissociable components
is facilitated by examining a relatively homogenous genetic population. As
children with developmental delay carry a greater burden of mental illness
than the general population, familiarity with the most common genetic dis¬
orders will serve practitioners seeing a general child population. In this
article, basic genetic testing and
11
of the most common genetic disorders
are reviewed, including the evidence base for treatment. Based on their
training in child development, family systems, and
multimodal
treatment,
child psychiatrists are well positioned to integrate cognitive, behavioral,
social, psychiatric, and physical phenotypes, with a focus on functional
impairment.
Developmental and
Psychosocial
Issues in Cystic Fibrosis
865
Michelle M. Ernst, Mark
С
Johnson, and Lori J. Stark
Cystic fibrosis (CF) is a multisystemic life-limiting genetic disorder, primarily
affecting respiratory functioning. Most patients with CF are diagnosed by
2
years of age, and the current median predicted survival rate is
37.4
years
old, with
95%
of patients dying from complications related to pulmonary in¬
fection. Given the chronic, progressive, and disabling nature of CF, multiple
treatments are prescribed, most on a daily basis. Thus, this illness requires
children, with the aid of their families, to adopt multiple health-related be¬
haviors in addition to managing more typical developmental demands.
The morbidity and mortality factors pose cognitive, emotional, and behav¬
ioral challenges for many children with CF and their families. This article
applies a developmental perspective to describing the
psychosocial
fac¬
tors affecting psychological adjustment and heatth-related behaviors
relevant to infants, preschool and school-age children, and adolescents
with
CF.
Topics particularly pertinent to developmental periods and medi¬
cal milestones are noted, with clinical implications highlighted.
Psychiatric Issues in
Pediatrie
Organ Transplantation
887
Margaret
L
Stuber
Solid organ transplantation has become the first line of treatment for
a growing number of life-threatening
pediatrie
illnesses. With improved
survival, research into the long-term outcome of transplant recipients
has become important to clinicians. Adherence to medical instructions re¬
mains a challenge, particularly in the adolescent population. New immuno-
suppressant approaches promise to expand organ transplantation in
additional directions. Extension of transplantation into replacement of
organs such as faces and hands raises complex ethical issues.
Inflammatory Bowel Disease
903
Eva Szigethy, Laura McLafferty, and
Alka
Goyal
This articte reviews the etiotogy, clinical characteristics, and treatment of
inflammatory bowel disease (IBD) and associated psychological sequelae
Contents
in
children and adolescents with this lifelong disease. Pediatric-onset IBD,
consisting of Crohn's disease and
ulcerative
colitis, has significant medical
morbidity and in many young persons is also associated with psycholog¬
ical and
psychosocial
challenges. Depression and anxiety are particularly
prevalent and have a multifaceted etiology, including IBD-related factors
such as cytokines and steroids used to treat IBD and
psychosocial
stress.
A growing number of empirically supported interventions, such as cogni¬
tive behavioral therapy, hypnosis, and educational resources, help youth
and their parents cope with IBD as well as the psychological and psycho-
social sequelae. While there is convincing evidence that such interventions
can help improve anxiety, depression, and health-related quality of life,
their effects on IBD severity and course await further study.
Psychological Considerations of the Child with Asthma
921
Todd E. Peters and Gregory K. Fritz
Asthma, the most common chronic disease in children and adolescents in
industrialized countries, is typified by airway inflammation and obstruction
leading to wheezing, dyspnea, and cough. However, the effect of asthma
does not end with pulmonary changes. Research has shown a direct link
between asthma and stress and psychiatric illness, which if untreated re¬
sults in heightened morbidity and effects on society. The link between
asthma and psychiatric illness, however, is often underappreciated by
many
pediatrie
and child mental health professionals. This article reviews
the diagnosis and treatment of asthma as well as the correlation between
asthma and psychiatric illness in children in an effort to improve manage¬
ment and treatment strategies for this prevalent disease.
The Interface of Child Mental Health and Juvenile Diabetes Mellitus
937
Sandra L. Fritsch, Mark W.
Överton,
and Douglas R. Robbins
Diabetes mellitus is a common childhood illness, and its management is
often complicated by mental health challenges. Psychiatric comorbidities
are common, including anxiety, depression, and eating disorders. The ill¬
ness can profoundly affect the developing brain and family functioning
and have lifelong consequences. The child mental health provider can pro¬
vide valuable assistance to support the child and family and assessment
and treatment of comorbid mental health problems and to promote posi¬
tive family functioning and normal developmental progress.
Pediatrie
Obesity: A Review for the Child Psychiatrist
955
Ann E. Maloney
Child and adolescent psychiatrists frequently encounter children who are
obese in their practices and may be asked to work alongside primary care
physicians and other specialists who treat youngsters with obesity. To
offer expert consultation, they must understand all aspects of the
pediatric
obesity epidemic. By summarizing the relevant endocrinology, cardiology,
nutrition, exercise science, and public health literature, this review of
pedi¬
atric
obesity assesses the epidemic's background, delineates the chal¬
lenges of clinical care, and appraises the therapeutic recommendations
for this population of patients and their families.
xii
Contents
Psychiatric Concerns in
Pediatric
Epilepsy
973
I. Simona
Bujoreanu, Patricia Ibeziako, and David Ray DeMaso
Pediatric
epilepsy is a common, chronic, and challenging physical illness
for children and their families. This article provides a medical overview
and discusses the cognitive functioning and
psychosocial
adjustment as
well as the psychiatric management for children and adolescents with
pe¬
diatric
epilepsy. The management of these children involves establishing
a collaborative health care approach, evaluating academic functioning,
considering psychotherapy, and managing psychopharmacologic treat¬
ment. A thorough understanding of the biopsychosocial concerns in
pedi¬
atric
epilepsy can enable medical providers and mental health clinicians to
promote resiliency and adaptation in children and their families facing trou¬
bling seizure disorders.
Psychiatric Considerations in Children and Adolescents with HIV/AIDS
989
Tami
D.
Benton
The
psychosocial
impact of human immunodeficiency virus
(HIV)
disease
has been recognized since the beginning of the epidemic for affected
adults, but there has been less focus on the impact of
HIV
on young peo¬
ple. Among HIV-positive (HIV+) adults, high levels of distress, psychiatric
symptoms, and their associations with worse health outcomes were rec¬
ognized early in the epidemic. Subsequently, many studies have focused
on understanding the prevalence of psychiatric symptoms among HIV+
adults and on identifying effective treatments for these symptoms. Fewer
studies have examined these symptoms and their treatments among HIV+
children and adolescents. This article reviews what is known about psychi¬
atric syndromes among HIV+ youths, their treatments, and other psycho-
social factors of concern to the psychiatrist when treating children and
adolescents with
HIV
disease.
Psychiatric Aspects of
Pediatric
Cancer
1003
Brian P. Kurtz and Annah
N.
Abrams
The diagnosis and treatment of children and adolescents with cancer has
a tremendous and lasting effect on the patients, their families, and other
individuals in their social network. It carries a host of psychological and be¬
havioral ramifications, from questions of mortality to changes in levels of
functioning in multiple domains. In this review the authors address the psy-
chosocial and treatment-related issues that arise in children with cancer,
with attention to the adjustment to cancer at different developmental
stages, mood and anxiety issues, treatment-related psychiatric sequelae,
and the challenges faced by childhood cancer survivors.
Partnerships Between
Pediatric
Palliative Care and Psychiatry
1025
Caprice
Knapp,
Vanessa Madden, Daniel Button, Rebecca Brown, and
Barbara
Hastie
Children with iife-threatening illnesses and their families may face physical,
emotional,
psychosocial,
and spiritual challenges throughout the child¬
ren's course of illness.
Pediatric
palliative care is designed to meet such
Contents
challenges.
Given the
psychosocial
and emotional needs of children and
their families it is clear that psychiatrists can, and do, play a role in deliv¬
ering
pediatrie
palliative care. In this article the partnership between
pedi¬
atrie
palliative care and psychiatry is explored. The authors present an
overview of
pediatrie
palliative care followed by a summary of some of
the roles for psychiatry. Two innovative
pediatrie
palliative care programs
that psychiatrists may or may not be aware of are described. Finally, some
challenges that are faced in further developing this partnership and sug¬
gestions for future research are discussed.
Index
1041 |
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| spelling | Interface between pediatrics and children's mental health guest ed. Sandra L. Fritsch ... Philadelphia, Pa. Saunders 2011 XVII S., S. 787 - 1059 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Pediatric clinics of North America 58,4 Psychische Gesundheit (DE-588)4126412-5 gnd rswk-swf Kind 4 Jahre (DE-588)4120560-1 gnd rswk-swf Kind 4 Jahre (DE-588)4120560-1 s Psychische Gesundheit (DE-588)4126412-5 s DE-604 Fritsch, Sandra L. Sonstige (DE-588)141656719 oth Pediatric clinics of North America 58,4 (DE-604)BV000001093 58,4 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024458978&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Interface between pediatrics and children's mental health Pediatric clinics of North America Psychische Gesundheit (DE-588)4126412-5 gnd Kind 4 Jahre (DE-588)4120560-1 gnd |
| subject_GND | (DE-588)4126412-5 (DE-588)4120560-1 |
| title | Interface between pediatrics and children's mental health |
| title_auth | Interface between pediatrics and children's mental health |
| title_exact_search | Interface between pediatrics and children's mental health |
| title_full | Interface between pediatrics and children's mental health guest ed. Sandra L. Fritsch ... |
| title_fullStr | Interface between pediatrics and children's mental health guest ed. Sandra L. Fritsch ... |
| title_full_unstemmed | Interface between pediatrics and children's mental health guest ed. Sandra L. Fritsch ... |
| title_short | Interface between pediatrics and children's mental health |
| title_sort | interface between pediatrics and children s mental health |
| topic | Psychische Gesundheit (DE-588)4126412-5 gnd Kind 4 Jahre (DE-588)4120560-1 gnd |
| topic_facet | Psychische Gesundheit Kind 4 Jahre |
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