Journal of Pediatric Psychiatry, Vol 24, 305-328, Copyright © 1999 by Society of Pediatric Psychology
EL McQuaid and JH Nassau
OBJECTIVE: To review empirical studies of psychological treatments for (1)
reducing physical symptoms in children and adolescents with asthma, (2)
improving glycemic control in children and adolescents with diabetes, and
(3) reducing chemotherapy side effects in children and adolescents with
cancer. METHODS: We identified peer-reviewed studies of effects of
psychological treatments for asthma symptoms, diabetes symptoms, and side
effects of cancer chemotherapy through computerized databases (i.e.,
PSYCHLIT and MEDLINE). Treatment approaches are evaluated with respect to
meeting criteria for being "promising," "probably efficacious," or
"well-established" based on the Chambless criteria (Chambless et al.,
1996). RESULTS: Two well-established treatments (EMG biofeedback for
children with emotionally triggered asthma and imagery with suggestion for
children undergoing chemotherapy) and two probably efficacious treatments
(relaxation for children with emotionally triggered asthma and distraction
with relaxation for children undergoing chemotherapy) were identified.
Additional research is needed to evaluate the efficacy of treatments for
diabetes-related symptoms. CONCLUSIONS: Future research would be enhanced
by identifying characteristics of children who are likely to respond to
psychological treatment as an adjunctive strategy for symptom management
and by clearly elucidating mechanisms of effect of various interventions.
ARTICLE
Empirically supported treatments of disease-related symptoms in pediatric psychology: asthma, diabetes, and cancer
Department of Child and Family Psychiatry, Rhode Island Hospital, Providence, Rhode Island 02903, USA.
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