Skip to main content

Working in Pediatrics

  • Chapter
  • First Online:
Handbook of Clinical Psychology in Medical Settings

Abstract

Nowhere does the interface between clinical psychology and the medical experience pose as many interesting challenges and opportunities as in the field of pediatric psychology. Here, factors such as developmental level and the particularly strong influence of systems on children need to be considered in addition to other behavioral medicine variables. This chapter will review a variety of behavioral health issues in both acute and chronic medical experiences that children commonly encounter, and present evidence-based interventions designed to assist children and their families in managing these situations with an emphasis on both developmental and systems perspective.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Berge JM, Patterson JM. Cystic fibrosis and the family: a review and critique of the literature. Fam Syst Health. 2004;22:74–100.

    Article  Google Scholar 

  2. Reis HT, Collins WA, Berscheid E. The relationship context of human behavior and development. Psychol Bull. 2000;126:844–72.

    Article  CAS  PubMed  Google Scholar 

  3. Karreman A, Van Tuijl C, van Aken MAG, Dekovi M. Parenting and self-regulation in preschoolers: a meta-analysis. Infant Child Dev. 2006;15:561–79.

    Article  Google Scholar 

  4. Myant KA, Williams JM. Children’s concepts of health and illness: understanding of contagious illnesses, non-contagious illnesses and injuries. J Health Psychol. 2005;10(6):805–19.

    Article  PubMed  Google Scholar 

  5. Britto MT, Garrett JM, Dugliss MA, et al. Risky behavior in teens with cystic fibroris or sickle cell disease: a multicenter study. Pediatrics. 1998;101(2):250–6.

    Article  CAS  PubMed  Google Scholar 

  6. Suris JC, Michaud P, Akre C, Sawyer SM. Health risk behaviors in adolescents with chronic illness. Pediatrics. 2008;122:e1113–8.

    Article  PubMed  Google Scholar 

  7. Modi A, Marciel K, Slater S, et al. The influence of parental supervision on medical adherence in adolescents with cystic fibrosis: developmental shifts from pre to late adolescence. Child Health Care. 2008;37(1): 78–92.

    Article  Google Scholar 

  8. Wodrich DL, Hasan K, Parent KB. Type 1 diabetes mellitus and school: a review. Pediatr Diabetes. 2011;12:63–70.

    Article  PubMed  Google Scholar 

  9. Kazak A, Rourke M, Crump T. Families and other systems in pediatric psychology. In: Roberts M, editor. Handbook of pediatric psychology. 3rd ed. New York: Guilford Press; 2003. pp. 159–75.

    Google Scholar 

  10. Stark L. Adherence to diet in chronic conditions. In: Drotar D, editor. Promoting adherence to medical treatment and chronic childhood illness. Mahwah: Erlbaum; 2001. pp. 409–27.

    Google Scholar 

  11. Satin W, La Greca A, Zigo M, Skyler J. Diabetes in adolescence: effects of multifamily group intervention and parent simulation of diabetes. J Pediatr Psychol. 1989;14:259–75.

    Article  CAS  PubMed  Google Scholar 

  12. Wysocki T, Harris MA, Buckloh LM, et al. Randomized, controlled trial of behavioral family systems therapy diabetes: maintenance and generalization of effects on parent-adolescent communication. Behav Ther. 2008;39:33–46.

    Article  PubMed  Google Scholar 

  13. Quittner A, Drotar D, Ievers-Landis C, Slocom N, Seidner D, Jacobson J. Adherence to medical treatments in adolescents with cystic fibrosis. In: Drotar D, editor. Promoting adherence to medical treatment and chronic childhood illness. Mahwah: Erlbaum; 2001. pp. 383–407.

    Google Scholar 

  14. Meyler E, Guerin S, Kiernan G, Breatnach F. Review of family-based psychosocial interventions for childhood cancer. J Pediatr Psychol. 2010;35:1116–32.

    Article  PubMed  Google Scholar 

  15. Kazak A, Simms S, Barakat L, et al. Surviving Cancer Competently Intervention Program (SCCIP): a cognitive-behavioral and family therapy intervention for adolescent survivors of childhood cancer and their families. Fam Process. 1999;38:175–92.

    Article  CAS  PubMed  Google Scholar 

  16. Peery AI, Engelke MK, Swanson MS. Parent and teacher perceptions of the impact of school nurse interventions on children’s self-management of diabetes. J Sch Nurs. 2012;28:268–74.

    Article  PubMed  Google Scholar 

  17. Reiter-Purtil J, Noll R. Peer relationships of children with chronic illness. In: Roberts M, editor. Handbook of pediatric psychology. 3rd ed. New York: Guilford Press; 2003. pp. 176–97.

    Google Scholar 

  18. Viner RM, Ozer EM, Denny S, et al. Adolescent health 2: adolescence and the social determinants of health. The Lancet. 2012;379:1641–52.

    Article  Google Scholar 

  19. Lugasi T, Achielle M, Stevenson M. Patients’ perspective on factors that facilitate transition from child-centered to adult-centered health care: a theory integrated metasummary of quantitative and qualitative studies. J Adol Health. 2011;48:429–40.

    Article  Google Scholar 

  20. American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians, Transitions Clinical Report Authoring Group. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2011;128:182–200.

    Article  Google Scholar 

  21. Pate JT, Blount RL, Cohen LL, Smith AJ. Childhood medical experience and temperament as predictors of adult functioning in medical situations. Child Health Care. 1996;25:281–96.

    Article  Google Scholar 

  22. Kazak AE, Kunin-Batson A. Psychological and integrative interventions in pediatric procedural pain. In: Finley A, McGrath P, editors. Acute and procedure pain in infants and children. Seattle: International Association for the Study of Pain; 2001.

    Google Scholar 

  23. Roberts MC, editor. Handbook of pediatric psychology. 3rd ed. New York: Guilford Press; 2003.

    Google Scholar 

  24. Frank NC, Blount RL, Smith AJ, Manimala MR, Martin JK. Parent and staff behavior, previous child medical experience, and maternal anxiety as they relate to child procedural distress and coping. J Pediatr Psychol. 1995;20(3):277–89.

    Article  CAS  PubMed  Google Scholar 

  25. Powers SW. Empirically supported treatments in pediatric psychology: procedure-related pain. J Pediatr Psychol. 1999;24(2):131–45.

    Article  CAS  PubMed  Google Scholar 

  26. Uman LS, Chambers CT, McGrath PJ, Kisely S. A systematic review of randomized controlled trials examining psychological interventions for needle-related procedural pain and distress in children and adolescents: an abbreviated Cochrane review. J Pediatr Psychol. 2008;33(8):842–54.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Cohen LL. Behavioral approaches to anxiety and pain management for pediatric venous access. Pediatrics. 2008;122:S134–9.

    Article  PubMed  Google Scholar 

  28. Schecter NL, Zempsky WT, Cohen LL, McGrath PJ, McMurtry CM, Bright NS. Pain reduction during pediatric immunizations: evidence-based review and recommendations. Pediatrics. 2007;119(5):e1184–98.

    Article  Google Scholar 

  29. Law EF, Dahlquist LM, Sil S, et al. Videogame distraction using virtual reality technology for children experiencing cold pressor pain: the role of cognitive processing. J Pediatr Psychol. 2011;36:84–94.

    Article  PubMed  PubMed Central  Google Scholar 

  30. French GM, Painter EC, Coury DL. Blowing away shot pain: a technique for pain management during immunization. Pediatrics. 1994;93(3):384–8.

    CAS  PubMed  Google Scholar 

  31. Chen E, Joseph MH, Zeltzer LK. Behavioral and cognitive interventions in the treatment of pain in children. Pediatr Clin North Am. 2000;47(3):513–25.

    Article  CAS  PubMed  Google Scholar 

  32. Rusy LM, Weisman SJ. Complementary therapies for acute pediatric pain management. Pediatr Clin North Am. 2000;47:589–99.

    Article  CAS  PubMed  Google Scholar 

  33. Ball TM, Shapiro DE, Monheim CJ, Weydert JA. A pilot study of the use of guided imagery for the treatment of recurrent abdominal pain in children. Clin Pediatr. 2003;42:527–32.

    Article  Google Scholar 

  34. Perrin EC, Newacheck P, Pless B, et al. Issues involved in the definition and classification of chronic health conditions. Pediatrics. 1993;91(4):787–93.

    CAS  PubMed  Google Scholar 

  35. Bethell CD, Read D, Blumberg SJ, Newacheck PW. What is the prevalence of children with special health care needs? Toward an understanding of variations in findings and methods across three national surveys. Matern Child Health J. 2008;12(1):1–14.

    Article  PubMed  Google Scholar 

  36. American Academy of Pediatrics. Disclosure of illness status to children and adolescents with HIV infection. Pediatrics. 1999;103(1):164–6.

    Article  Google Scholar 

  37. Bibace R, Walsh M. Development of children’s concepts of illness. Pediatrics. 1980;66:912–7.

    CAS  PubMed  Google Scholar 

  38. Battles HB, Wiener LS. From adolescence through young adulthood: psychosocial adjustment associated with long-term survival of HIV. J Adolesc Health. 2002;30(3):161–8.

    Article  PubMed  Google Scholar 

  39. Graves MM, Roberts MC, Rapoff M, Boyer A. The efficacy of adherence interventions for chronically ill children: a meta-analytic review. J Pediatr Psychol. 2010;35(4):368–82.

    Article  PubMed  Google Scholar 

  40. Kahana S, Drotar D, Frazier T. Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. J Pediatr Psychol. 2008;33(6):590–611.

    Article  PubMed  Google Scholar 

  41. La Greca AM, Mackey ER. Adherence to pediatric treatment regimens. Roberts M, Steele RG, editors. Handbook of pediatric psychology. 4th ed. New York: Guilford Press; 2003. pp. 130–52.

    Google Scholar 

  42. Dean AJ, Walters J, Hall A. A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness. Ach Dis Child. 2010;95(9):717–23.

    Article  Google Scholar 

  43. Varni JW, Limbers CA, Burwinkle TM. Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes. 2007;5:43.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Szylnder JE, Towns SJ, van Asperen PP. Psychological and family functioning and quality of life in adolescents with cystic fibrosis. J Cyst Fibros. 2005;4(2):135–44.

    Article  Google Scholar 

  45. Pinquart M, Shen Y. Behavioral problems in children and adolescents with chronic physical illnesses: a meta-analysis. J Pediatr Psychol. 2011;36:1003–16.

    Article  PubMed  Google Scholar 

  46. Pinquart M, Shen Y. Depressive symptoms in children and adolescents with chronic physical illnesses: an updated meta-analysis. J Pediatr Psychol. 2011;36:375–84.

    Article  PubMed  Google Scholar 

  47. Pinquart M, Shen Y. Anxiety and children and adolescents with chronic physical illnesses: a meta-analysis. Acta Paediatr. 2011;100:1069–76.

    Article  PubMed  Google Scholar 

  48. Carpentier M, Mullins L, Wagner J, et al. Examination of the cognitive diathesis-stress conceptualization of the hopelessness theory of depression in children with chronic illness: the moderating influence of illness uncertainty. Child Health Care. 2007;36(2):181–96.

    Article  Google Scholar 

  49. Mullins LL, Wolfe-Christensen C, Pai AL, et al. The relationship of parental overprotection, perceived child vulnerability, and parenting stress to uncertainty in youth with chronic illness. J Pediatr Psychol. 2007;32(8):973–82.

    Article  PubMed  Google Scholar 

  50. Casier A, Goubert L, Huse D, et al. The role of acceptance in psychological functioning in adolescents with cystic fibrosis: a preliminary study. Psychol Health. 2008;23(5):629–38.

    Article  Google Scholar 

  51. Weitzman CC, Leventhal JM. Screening for behavioral health problems in primary care. Curr Opin Pediatr. 2006;18:641–8.

    Article  PubMed  Google Scholar 

  52. Jellinek MS, Murphy JM. Screening for psychosocial disorders in pediatric practice. Arch Pediatr Adolesc Med. 1988;142:1153–7.

    Article  CAS  Google Scholar 

  53. Reed-Knight B, Hayutin LG, Lewis JD, Blount R. Factor structure of the pediatric symptom checklist with a pediatric gastroenterology sample. J Clin Psychol Med Settings. 2011;18:299–306.

    Article  PubMed  Google Scholar 

  54. Raphael JL, Zhang Y, Liu H, Giardino AP. Parenting stress in US families: implications for paediatric healthcare utilization. Child Care Health Dev. 2010;36:216–24.

    Article  PubMed  Google Scholar 

  55. National Institutes of Health. Guidelines for the diagnosis and management of asthma. Bethesda: National Heart, Lung, and Blood Institute; 1997.

    Google Scholar 

  56. Szefler SJ. Advances in pediatric asthma in 2009: gaining control of childhood asthma. J Allergy Clin Immunol. 2010;125(1):69–78.

    Article  PubMed  Google Scholar 

  57. La Greca AM. Issues in adherence with pediatric regimens. J Pediatr Psychol. 1990;15(4):423–36.

    Article  CAS  PubMed  Google Scholar 

  58. Flores G, Bridon C, Torres S, et al. Improving asthma outcomes in minority children: a randomized, controlled trial of parent mentors. Pediatrics. 2009;124(6):1522–32.

    Article  PubMed  Google Scholar 

  59. McQuaid E, Walders N. Pediatric asthma. In: Roberts M, editor. Handbook of pediatric psychology. 3rd ed. New York: Guilford Press; 2003. pp. 269–85.

    Google Scholar 

  60. Lemanek LL, Kamps J, Chung MB. Empirically supported treatments in pediatric psychology: regimen adherence. J Pediatr Psychol. 2001;26:279–82.

    Article  Google Scholar 

  61. SEARCH for Diabetes in Youth Study Group, Liese AD, D’Agostino RB Jr, et al. .The burden of diabetes mellitus among US youth: prevalence estimates from the SEARCH for Diabetes in Youth Study. Pediatrics. 2006;118(4):1510–8.

    Article  PubMed  Google Scholar 

  62. Silverstein J, Klingensmith G, Copeland K, et al. Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association. Diabetes Care. 2005;28(1):186–212.

    Article  PubMed  Google Scholar 

  63. Monaghan M, Singh C, Streisand R, Cogen FR. Screening and identification of children and adolescents at risk for depression during a diabetes clinic visit. Diabetes Spectr. 2010;23(1):25–31.

    Article  Google Scholar 

  64. Hood KK, Rohan JM, Peterson CM, Drotar D. Interventions with adherence-promoting components in pediatric type 1 diabetes: meta-analysis of their impact on glycemic control. Diabetes Care. 2010 Jul;33(7):1658–64.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Vesco AT, Anderson BJ, Laffel LM, Dolan LM, Ingerski LM, Hood KK. Responsibility sharing between adolescents with type 1 diabetes and their caregivers: importance of adolescent perceptions on diabetes management and control. J Pediatr Psychol. 2010;35(10):1168–77.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Palmer DL, Osborn P, King PS, et al. The structure of parental involvement and relations to disease management for youth with Type 1 diabetes. J Pediatr Psychol. 2011;36:596–605.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Koocher G. The president’s message. Get ready for value based pediatric care. Soc Ped Psychol Prog Notes. April 2011;35(1).

    Google Scholar 

  68. Cystic Fibrosis Foundation. Patient Registry 2007 Annual Data Report. 2007.

    Google Scholar 

  69. Sermet-Gaudelus I, De Villartay P, de Dreuzy P, et al. Pain in children and adults with cystic fibrosis: a comparative study. J Pain Symptom Manage. 2009;38(2):281–90.

    Article  PubMed  Google Scholar 

  70. Adler FR, Aurora P, Barker DH, et al. Lung transplantation for cystic fibrosis. Proc Am Thorac Soc. 2009;6(8):619–33.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Wong MG, Heriot SA. Parents of children with cystic fibrosis: how they hope, cope and despair. Child Care Health Dev. 2008;34(3):344–54.

    Article  CAS  PubMed  Google Scholar 

  72. Griffiths AL, Armstrong D, Carzino R, et al. Cystic fibrosis patients and families support cross-infection measures. Eur Respir J. 2004;24(3):449–52.

    Article  CAS  PubMed  Google Scholar 

  73. Russo K, Donnelly M, Reid AJM Segregation-the perspectives of young patients and their parents. J Cyst Fibros. 2006;5(2):93–9.

    Article  PubMed  Google Scholar 

  74. Modi AC, Lim CS, Yu N, et al. A multi-method assessment of treatment adherence for children with cystic fibrosis. J Cyst Fibros. 2006;5(3):177–85.

    Article  PubMed  Google Scholar 

  75. DiGirolamo AM, Quittner AL, Ackerman V, et al. Identification and assessment of ongoing stressors in adolescents with a chronic illness: an application of the behavior-analytic model. J Clin Child Psychol. 1997;26(1):53–66.

    Article  CAS  PubMed  Google Scholar 

  76. Stark LJ, Jelalian E, Mulvihill MM, et al. Eating in preschool children with cystic fibrosis and healthy peers: behavioral analysis. Pediatrics. 1995;95(2):210–5.

    CAS  PubMed  Google Scholar 

  77. Mitchell MJ, Powers SW, Byars KC, et al. Family functioning in young children with cystic fibrosis: observations of interactions at mealtime. J Dev Behav Pediatr. 2004;25(5):335–46.

    Article  PubMed  Google Scholar 

  78. Spieth LE, Stark LJ, Mitchell MJ, et al. Observational assessment of family functioning at mealtime in preschool children with cystic fibrosis. J Pediatr Psychol. 2001;26(4):215–24.

    Article  CAS  PubMed  Google Scholar 

  79. Powers S, Jones J, Ferguson K, et al. Randomized clinical trial of behavioral and nutrition treatment to improve energy intake and growth in toddlers and preschoolers with cystic fibrosis. Pediatrics. 2005;116(6):1442.

    Article  PubMed  Google Scholar 

  80. Marciel KK, Saiman L, Quittell LM, et al. Cell phone intervention to improve adherence: cystic fibrosis care team, patient, and parent perspectives. Pediatr Pulmonol. 2010;45(2):157–64.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Kang T, Hoehn KS, Licht DJ, et al. Pediatric palliative, end-of-life, and bereavement care. Pediatr Clin North Am. 2005;52(4):1029–46.

    Article  PubMed  Google Scholar 

  82. Lesch A, Swartz L, Kagee A, Moodley K, Kafaar Z, Myer L, Cotton M. Paediatric HIV/AIDS disclosure: towards a developmental and process-oriented approach. AIDS Care. 2007;19:811–6.

    Article  CAS  PubMed  Google Scholar 

  83. New York State Department of Health AIDS Institute. Disclosure of HIV to perinatally infected children and adolescents. New York: New York State Department of Health; 2009.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robyn S. Mehlenbeck PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Mehlenbeck, R., Ernst, M., Adams, L. (2014). Working in Pediatrics. In: Hunter, C., Hunter, C., Kessler, R. (eds) Handbook of Clinical Psychology in Medical Settings. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09817-3_11

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-09817-3_11

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-09815-9

  • Online ISBN: 978-0-387-09817-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics