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pediatric psychology : ウィキペディア英語版
pediatric psychology
Pediatric psychology is a multidisciplinary field of both scientific research and clinical practice which attempts to address the psychological aspects of illness, injury, and the promotion of health behaviors in children, adolescents, and families in a pediatric health setting. Psychological issues are addressed in a developmental framework and emphasize the dynamic relationships which exist between children, their families, and the health delivery system as a whole.〔Aylward, B.S., Bender, J.A., Graves, M.M., & Roberts, M.C. (2011). Historical developments and trends in pediatric psychology. In Roberts, M.C. & Steele, R.G. (Eds.) Handbook of Pediatric Psychology (3–18). New York, NY: Guilford Press.〕
Common areas of study include psychosocial development, environmental factors which contribute to the development of a disorder, outcomes of children with medical conditions, treating the comorbid behavioral and emotional components of illness and injury, and promoting proper health behaviors, developmental disabilities, educating psychologists and other health professionals on the psychological aspects of pediatric conditions, and advocating for public policy that promotes children's health.〔Who We Are. (2012). Retrieved from American Psychological Association Online http://www.apadivisions.org/division-54/about/index.aspx〕
== Role of the pediatric psychologist ==

The field of pediatric psychology developed to address unmet needs for psychological services in the pediatric setting and the field blends together several distinct areas in psychology (such as behavioral medicine, health psychology, developmental psychology, etc.) (Roberts, Maddux, Wurtele, & Wright, 1982 〔Roberts, M.C., Maddux, J., Wurtele, S.K., & Wright, L. (1982). Pediatric psychology: Health care psychology for children In T. Millon, C.J. Green, & R.B. Meagher (Eds.), Handbook of clinical health care psychology (pp. 191–226). New York: Plenum Press.〕). Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the environment of pediatric health. The Society of Pediatric Psychology (SPP, Division 54) resides under the American Psychological Association (APA), see http://www.apadivisions.org/division-54/index.aspx. SPP aims to promote health and psychological well-being of children, adolescents, and their families through the promotion of evidence-based science and practice, education, training, and advocacy. The field was founded in 1969 and includes a broad interdisciplinary foundation, drawing on clinical, developmental, social, cognitive, behavioral, counseling, community and school psychology.
Pediatric psychologists work in a variety of settings and fulfill various roles such as (Spirito, 2003 ):

(1) Providing psychosocial services for problems related to pediatric health conditions
(2) Psychological services for mental health problems appearing in medical settings—which involves mental issues related to medical conditions or the treatment of them, coping related to chronic and acute illnesses, adherence, quality of life, pain, traumatic medical stress, adjustment related issues on the psycho-social continuum, school reintegration, and behavioral problems
(3) Psychological services for mental health problems without concomitant health condition
(4) Programs for promotion of health/prevention and early intervention
(5) Provide assistance for those with Mental retardation and/or developmental disabilities
(6) Psychological training and consultation for physicians
(7) Public health and public policy.

Interventions are not just illness-related, but address behavioral problems as well. The settings that pediatric psychologists work in allows for brief interventions that are economical and time efficient. Collaboration with the health care providers allows for more targeted assessment and interventions.
Pediatric healthcare providers seem to value the work of pediatric psychologists (Stancin, Perrin, and Ramirez, 2009):〔Stancin, T., Perrin, E. C., & Ramirez, L. (2009). Pediatric Psychology and Primary Care In M. C. Roberts, & Steele, R. C (Ed.), Handbook of pediatric psychology (Vol. 4th pp. 630–646). New York: Guilford.〕
"Recently, a surge of interest by pediatricians on the identification and care of children with mental health problems has resulted from the recognition that:
• Precursors of mental health disorders in adulthood can often be identified in early childhood (e.g. Anda et al., 2007)
• At least 10% of children and adolescents have functional impairment due to a diagnosed mental health and/or substance abuse disorder (U.S. Department of Health and Human Services, 1999〔U.S. Department of Health and Human Services. (1999). Mental health: A Report of the Surgeon General. Washington, D.C: U.S. Government Printing Office.〕), and up to 25% have clinically significant problems that may not (yet) rise to the level of a diagnosable psychiatric disorder (Briggs-Gowan et al., 2003).
• There is a shortage of qualified mental health clinicians, especially for children younger than 5, and for families in middle-and-low income groups and/or of minority background.
• Primary care settings provide the most accessible and least stigmatizing resources for many families who have concerns about their children's developmental and/or behavior."

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
ウィキペディアで「pediatric psychology」の詳細全文を読む



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