02d_Behavioral Pediatrics

Question 1

Behavioral Pediatrics (Pediatric Psychology):

Overview

Answer 1

Branch of behavioral medicine concerned with the psychological aspects of children’s medical illnesses

Question 2

Behavioral Pediatrics:

Disclosure

Answer 2

Best course is developmentally appropriate, open communication with child about their illness

Question 3

Behavioral Pediatrics:

CBT Interventions Used to Reduce Anxiety about medical procedures and the pain they cause

Answer 3

Stress Inoculation Model:

Filmed modeling

Reinforcement

Breathing exercises

Emotive imagery/distraction

Behavioral rehearsal

Question 4

Age group that has most negative reactions to Hospitalization

Answer 4

1 -4 yo

Due to separation from family

*Offset by increased visitation hours and “rooming in”

Question 5

Physical Disability with greatest risk for psychopathology among children and adolescents

Answer 5

Major Neurological Disorder

Question 6

Behavioral Pediatrics:

Effects of CNS irradiation and chemotherapy

Answer 6

Impaired neurocognitive functioning

Learning disabilities

[irradiation and chemotherapy used for leukemia]

Question 7

Behavioral Pediatrics:

Main factors that influence lack of compliance

Answer 7

Lack of knowledge or skill

Parent-child conflict

Communication difficulties

Developmental issues

Question 8

Behavioral Pediatrics:

Factors that influence lack of compliance in adolescents

Answer 8

Peer acceptance

Reduced conformity to rules

Question credibility of healthcare provider

Reduced parental supervision