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Biopsychosocial issues and risk factors in the family when the child has a chronic illness

Melvin Lewis1, Lawrence A Vitulano

  • 1Yale Child Study Center, Yale University School of Medicine, 230 South Frontage Road, New Haven, CT 06510, USA.

Child and Adolescent Psychiatric Clinics of North America
|August 13, 2003
PubMed

Insights

Millions of children face chronic health conditions, increasing their risk for emotional and behavioral issues. A new approach focuses on adjustment and support, not just medical diagnosis, for better outcomes.

Area of Science:

  • Behavioral medicine and child psychology research.
  • Focus on psychological aspects of pediatric chronic illness.

Background:

  • 10-20 million US children have chronic health conditions.
  • Growing interest in emotional and behavioral impacts of pediatric chronic illness.

Observation:

  • Children with chronic health conditions have a 3-4 times higher risk of psychiatric problems.
  • Traditional medical diagnosis alone is insufficient.

Findings:

  • Psychological adjustment is a critical dimension.
  • Factors like socioeconomic status, condition visibility, social support, and family functioning significantly influence outcomes.

Implications:

  • Shift towards a holistic assessment of pediatric chronic illness.
  • Integrating psychosocial factors into clinical practice and research is essential for improving child well-being.

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