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Journal of Pediatric Psychology Advance Access originally published online on December 16, 2006
Journal of Pediatric Psychology 2007 32(5):617-625; doi:10.1093/jpepsy/jsl045
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Integrating Medical and Psychological Health Care for Children with Atopic Dermatitis

Jennifer Soriano LeBovidge, PhD1, Susan Douglas Kelley, PhD2, Allison Lauretti, PhD1, Evan P. Bailey, MA1, Karol G. Timmons, RN, MS, CPNP1, Allison K. Timmons1, Melissa Van Horn, PhD*, Lauren Raezer Blakely, PhD* and Lynda C. Schneider, MD1

1Children's Hospital Boston and 2Center for Evaluation and Program Improvement, Vanderbilt University

All correspondence concerning this article should be addressed to Jennifer Soriano LeBovidge, PhD, Children's Hospital Boston, Fegan 6, Boston, MA 02115. E-mail: jennifer.lebovidge{at}childrens.harvard.edu.


  Abstract

Objective To present descriptive data from a hospital-based interdisciplinary program that provides integrated medical and psychological health-care for children with atopic dermatitis (AD). Methods Clinical records were reviewed for 69 children seen in our program to examine parent-reported AD-related presenting concerns, as well as common problems and interventions addressed during family visits with the program psychologist. Results The most common presenting concerns included child itching and scratching and associated sleep problems. Parent initial request for a meeting with the program psychologist was not related to child disease severity, but was associated with child sleep problems and parent emotional and practical challenges in managing the child's condition. Conclusions Results support the need for, acceptance of, and feasibility of providing integrated care for children with AD and their families. Changes to our clinical model based on study findings are discussed.

Key words: atopic dermatitis; integrated health care; psychological intervention; children.

*There are no institutional affiliations for Melissa Van Horn and Lauren Raezer Blakely

Received June 21, 2005; revision received May 7, 2006; revision received October 10, 2006; accepted October 27, 2006


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