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developmental disorders of childhood, exam 3 > pediatric psychology > Flashcards

pediatric psychology Flashcards

1
Q

what is pediatric psychology?

A

generally, it has poorly defined boundaries
“the study of children in medical settings”
“the study of relations between physical and psychological health”

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2
Q

behavioral medicine

A

multidisciplinary approach: CLINICIANS, EDUCATORS, AND SCIENTISTS study interactions of behavior with biology and environment, then apply that knowledge to helping the population

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3
Q

health psychology

A

psychology branch dealing with health etiology/promotion/maintenance and ALL the psychological factors of health. also improvement of healthcare system and health policy.

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4
Q

pediatric psychology

A

psychological and physical health, children and adolescents, developmental perspective

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5
Q

examples of topics in pediatric psychology

A
  1. health promo
  2. physical conditions - asthma, cystic fibrosis, diabetes, leukemia, arthritis
  3. sleep disturbance
  4. eating/elimination disorders
  5. medical rehab - boy and the sprinkler example, otherwise healthy but physically injured
  6. psychoneuroimmunology - brain, mental health, immune response
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6
Q

psychoneuroimmunology

A

study of brain, mental health, immune response

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7
Q

general issue in pediatric psychology

A

chronic vs. acute illness
CHRONIC is not served as well as ACUTE.
Acute: injuries
Chronic: recurring, not always a cure, cystic fibrosis

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8
Q

rate of chronic illness

A

5-30%

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9
Q

most common chronic illness

A

asthma, allergies, repeated ear infections

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10
Q

less common chronic illness

A

diabetes, cancer, sickle-cell anemia, HIV/AIDS

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11
Q

pediatric psychology settings

A
  1. inpatient medical center
  2. medical outpatient clinics
  3. outpatient and primary care clinics for emotional & behavioral problems
  4. specialty facilities
  5. camps/groups
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12
Q

inpatient medical center

A

In a hospital
Disease and Illness
also acute units
Consultation and liaison

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13
Q

medical outpatient clinics

A

private pediatric practices
chronic illness

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14
Q

range of clinical activities

A

psychosocial services for pediatric health
psychological interventions
general mental health services for behavior problems
health programs
training for intellectual/developmental disabilities
education for pediatricians in training
public health and policy

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15
Q

major area of research: psychological disorders related to appearance and physical health

A

psychological disorders related to appearance AND physical health
- Body dysmorphia
- Somatoform disorder
- Eating disorders
- Enuresis / encopresis

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16
Q

major area of research: youth health/risk behavior

A
  • treatment to regimen compliance/adherence
17
Q

list the major areas of research in pediatric psychology

A
  • disorders related to appearance and physical health
  • youth health/risk behaviors, like treatment regimen adherence/compliance
  • effects of physical illness on cog funct.
18
Q

smoking prevention program theory/findings

A

evans, 1986

risk taking is a normal part – if you tell adolescents something is risky, it’s even MORE attractive, so instead use peer models, correct misconceptions, and inoculate against social pressures and cig ad campaigns (counter marketing info)

19
Q

pediatric psychology adherence rate

A

59% adherence

20
Q

issues with adherence

A

adaptive non-compliance (parents know better in the moment)
assessment methods
either/or vs. dimensional models

21
Q

problems with adherence developmentally

A

magical thinking and blaming behavior
adolescence: pressure to conform and rebellion

22
Q

adherence: negative indicators

A

no immediate symptom relief
negative side effect: example = immunosuppressants and meds following kidney transplant - puffy face, pimples
long-term benefit

23
Q

adherence interventions

A

detailed instructions for meds

support and supervision from med. staff

relaxation and self-monitoring - like exercises for cerebral palsy

reinforcement - like rewarding a child when their blood sugars are good

24
Q

MST adaption for DIABETES

A

MST originally for diverting kids from the criminal justice system

adapt for diabetes noncompliance - individualized and intensive program taking into account family, school, tutoring, family’s needs

25
Q

traits in children w/ chronic illness

A

learned helplessness in diabetes - negative internal attributes decrease metabolic control

self-image/concept/esteem in children w/ chronic illness

26
Q

panic, allergies, asthma

A

far greater rates than chance

each can predispose to the others

genetic links

symptom interpretation

medication

developmental disorders of childhood, exam 3 (4 decks)

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