ABSTRACT
We describe Pervasive Refusal Syndrome, an important but rare, debilitating condition that may present to paediatric services. Although previous reports have described improvement seen with care delivered in the mental health setting, we have demonstrated treatment predominately delivered in a paediatric ward environment associated with successful recovery.
Subject(s)
Bereavement , Child Development Disorders, Pervasive , Depressive Disorder , Enuresis , Feeding and Eating Disorders of Childhood , Behavior Therapy , Child , Child Development Disorders, Pervasive/complications , Child Development Disorders, Pervasive/psychology , Child Development Disorders, Pervasive/therapy , Depressive Disorder/complications , Depressive Disorder/psychology , Depressive Disorder/therapy , Enuresis/etiology , Enuresis/psychology , Enuresis/therapy , Family Health , Feeding and Eating Disorders of Childhood/etiology , Feeding and Eating Disorders of Childhood/psychology , Feeding and Eating Disorders of Childhood/therapy , Female , Humans , Play Therapy , Psychology, ChildABSTRACT
With significant improvements in longevity, women with cystic fibrosis are increasingly likely to consider pregnancy and parenthood. This article reviews the literature relating to medical and psychosocial research that informs the decision-making process these women undertake.
Subject(s)
Cystic Fibrosis/psychology , Decision Making , Health Knowledge, Attitudes, Practice , Pregnancy Complications/psychology , Pregnancy/psychology , Cystic Fibrosis/genetics , Female , Humans , Postpartum Period/psychology , Pregnancy Complications/genetics , Pregnancy Outcome , Risk FactorsSubject(s)
Amiloride/administration & dosage , Burkholderia Infections/complications , Burkholderia Infections/drug therapy , Burkholderia cepacia complex/drug effects , Cystic Fibrosis/microbiology , Tobramycin/administration & dosage , Adolescent , Anti-Bacterial Agents/administration & dosage , Child , Drug Therapy, Combination , Humans , Nebulizers and Vaporizers , Sodium Channel Blockers/administration & dosageABSTRACT
Studies of paediatric procedural distress have flourished over the past two decades, with psychological intervention strategies showing consistently high efficacy in reducing pain and fear. This review concentrates briefly on the acquisition and treatment of fear, arguing that what is witnessed clinically is not needle fear or phobia, but anticipatory or procedural distress. The main focus is on how such procedures could be amended to incorporate psychological techniques routinely, outlining specific guidelines for clinical practice.