Journal of Child Health Care

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

The Diabetes Educator

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gelfand, K.
Right arrow Articles by Silverstein, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gelfand, K.
Right arrow Articles by Silverstein, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Journal of Child Health Care, Vol. 8, No. 2, 113-123 (2004)
DOI: 10.1177/1367493504041870
© 2004 Association fo British Pediatric Nurses, SAGE Publications

An Initial Evaluation of the Design of Pediatric Psychology Consultation Service with Children with Diabetes

Kenneth Gelfand, PhD

Department of Psychology and Neuropsychology, Mount Washington Pediatric Hospital, Baltimore, MD, USA kgelfand{at}mwph.org

Gary Geffken, PhD

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Adam Lewin, MS

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Amanda Heidgerken, PhD

Division of Child and Adolescent Psychiatry, and Department of Clinical and Health Psychology, University of Florida Health Sciences Center, Gainesville, FL, USA

Mary Jean Grove, RN

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

Toree Malasanos, MD

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

Janet Silverstein, MD

Division of Pediatric Endocrinology, University of Florida Health Sciences Center, Gainesville, FL, USA

The objective of this study was to review the process of psychology consultation with an outpatient pediatric diabetes service, and provide data regarding assessment and outcome. The purpose was to demonstrate that the inclusion of psychology in the care of the child would enhance the effectiveness of treatment delivery. Over a one-year period, 91 psychological consultations were reviewed for information related to reasons for referral, diagnosis, and treatment. Processes of assessment and collaboration are described. Nearly half of all the participants that were referred for a consultation met the criteria for a psychiatric disorder, including Attention-Deficit Hyperactivity Disorder, mood disorder or anxiety. Paired t-tests revealed significant improvement in metabolic control from referral to the next clinic appointment. Psychological consultation appears to have a positive impact on selected health outcomes. Given the large number of children with psychiatric disorder, psychological intervention may facilitate adherence and reduce complications associated with poor metabolic control.

Key Words: consultation • diabetes • pediatrics • psychology • treatment


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?