Role of Psychologists in Pediatric Metabolic Disorders
Shibani Kanungo1, Katherine T Beenen2
1Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker MD School of Medicine, 1000 Oakland Drive, Kalamazoo MI 49008, USA; Department of Medical Ethics, Humanities and Law, Western Michigan University Homer Stryker MD School of Medicine, 1000 Oakland Drive, Kalamazoo MI 49008, USA.
Insights
Inborn errors of metabolism (IEMs) present with diverse neurodevelopmental issues. Collaborative care, including psychologists, improves long-term outcomes for patients with IEMs.
Area of Science:
- Biochemistry
- Neuroscience
- Pediatrics
Background:
- Inborn errors of metabolism (IEMs) manifest with varied neurodevelopmental and behavioral symptoms.
- Symptoms can change with age, treatment, or stressors like illness.
Purpose of the Study:
- To highlight the value of collaborative care models in managing patients with IEMs.
- To emphasize the role of psychologists in improving patient outcomes.
Main Methods:
- Review of collaborative care models (multidisciplinary clinics, colocated behavioral and metabolic clinics).
- Discussion of psychologists' contributions: behavioral interventions, screening, adaptive/cognitive measures.
Main Results:
- Collaborative care models enhance long-term outcomes for IEM patients.
- Psychologists' expertise aids in diagnosis, treatment adherence, and school performance.
Conclusions:
- Integrated care approaches are crucial for comprehensive IEM management.
- Psychological support is vital for patient well-being and successful transitions through life stages.
Abstract:
Metabolic disorders or inborn errors of metabolism (IEMs) can have a wide range of neurodevelopmental and behavioral presentations. These can vary with age and/or management or stressors from common childhood/intercurrent illnesses/procedures/interventions. Collaborative care models such as multidisciplinary metabolic clinics or colocated models with behavioral health clinics and metabolic clinics in the same location can be valuable resources in improving long-term outcomes in patients with IEM. Psychologists' expertise using behavioral interventions, screening, or adaptive/cognitive measures can help with diagnosis, treatment adherence, school performance, family support, community resources, transition to adolescence and young adulthood using health belief concepts to improve outcomes.
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