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Related Experiment Videos

Inpatient pediatric consultation-liaison: a case-controlled study.

Bryan D Carter1, William G Kronenberger, Janet Baker

  • 1University of Louisville School of Medicine, Kentucky 40202, USA. bdcart01@louisville.edu

Journal of Pediatric Psychology
|August 9, 2003
PubMed
Summary

Pediatric inpatients referred for consultation showed more behavioral difficulties than their peers. These consultations were highly rated by physicians and parents for improving patient coping and adjustment.

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Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Behavioral Health

Background:

  • Pediatric inpatients often present with behavioral and adjustment challenges.
  • The role of specialized consultations in managing these difficulties requires further investigation.

Purpose of the Study:

  • To compare behavioral and adjustment functioning between referred and non-referred pediatric inpatients.
  • To evaluate the effectiveness of consultations in addressing these issues.

Main Methods:

  • A prospective case-controlled study matched 104 referred inpatients with 104 non-referred inpatients.
  • Behavioral rating scales were completed by parents, patients (self-report), and nurses.
  • Goal attainment and satisfaction were assessed by referring physicians, parents, and consultants.

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Main Results:

  • Referred pediatric inpatients demonstrated significantly more internalizing and externalizing disturbances compared to non-referred peers.
  • Common interventions included coping strategies, cognitive behavioral therapies, and case management.
  • High ratings for goal attainment and satisfaction were reported by physicians, parents, and consultants.

Conclusions:

  • Behavioral and adjustment problems leading to consultation referrals often predate hospitalization.
  • In-hospital consultations are perceived as beneficial for managing pediatric patients' health concerns, coping, and adjustment.
  • Consultations positively impact overall patient management and well-being.