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Psychological Considerations in Pediatric Chronic Illness: Case Examples

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  • Jennifer M. Rohan

    (Children’s Hospital of Richmond at Virginia Commonwealth University, Richmond, VA 23219, USA
    Cancer Prevention and Control Program, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23219, USA
    Virginia Commonwealth University School of Medicine, Richmond, VA 23219, USA)

  • Tanvi Verma

    (Children’s Hospital of Richmond at Virginia Commonwealth University, Richmond, VA 23219, USA)

Abstract

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.

Suggested Citation

  • Jennifer M. Rohan & Tanvi Verma, 2020. "Psychological Considerations in Pediatric Chronic Illness: Case Examples," IJERPH, MDPI, vol. 17(5), pages 1-14, March.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1644-:d:327981
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    References listed on IDEAS

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    1. Carol C. Choo & Peter K.H. Chew & Pinhong Tan & Jessica Q. Choo & Amanda M.H. Choo & Roger C. Ho & Thuan Chong Quah, 2019. "Health-Related Quality of Life in Pediatric Patients with Leukemia in Singapore: A Cross-Sectional Pilot Study," IJERPH, MDPI, vol. 16(12), pages 1-9, June.
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    Cited by:

    1. Immacolata Dall’Oglio & Giulia Gasperini & Claudia Carlin & Valentina Biagioli & Orsola Gawronski & Giuseppina Spitaletta & Teresa Grimaldi Capitello & Michele Salata & Valentina Vanzi & Gennaro Rocco, 2021. "Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models," IJERPH, MDPI, vol. 18(7), pages 1-24, March.
    2. Daniela Di Riso & Elena Cambrisi & Simone Bertini & Marina Miscioscia, 2020. "Associations between Pretend Play, Psychological Functioning and Coping Strategies in Pediatric Chronic Diseases: A Cross-Illness Study," IJERPH, MDPI, vol. 17(12), pages 1-11, June.

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