There has been a significant increase in the prevalence of certain
chronic disorders among children and adolescents. For example,
health experts warn of an epidemic of diabetes mellitus due to an
increase in the sedentary life style and poor nutrition of
children. There are many questions still to be addressed in the
study of chronic disorders among children and adolescents.What are
the risk factors associated with chronic diseases in these
populations?What are the major complications that contribute to
disability and increased health care utilization and costs? What
impact do chronic diseases have on the psychosocial development?
What are the most effective diagnostic, treatment, and
rehabilitation strategies? How can patient education and
self-management activities be improved to help children and
adolescents improve compliance with treatment regimens? How can
parents and other family members become more involved in assessment
and management? In what ways can peers, schools, religious
institutions, and other organizations help children and adolescent
scope with their chronic disease? This book addresses these
questions by focusing on how eight chronic disorders affect health
care utilization, costs, coping, and health outcomes in children
and adolescents.Research studies are used to illustrate wide range
of topics from the epidemiology of chronic diseases in children and
adolescents, health care utilization and costs, to treatment
outcomes, disability, and family processes.Case studies from a
clinical psychologist's private practice are used to clarify major
psychosocial issues underlying chronic diseases in these
populations. Chapter One analyzes the epidemiology of eight chronic
conditions in children and adolescents. Data on the prevalence of
diseases and associated risk factors are stressed in this chapter.
Health care planners can use these analyses to improve primary,
secondary, and tertiary prevention through more effective uses of
health care resources. Chapter Two examines the latest information
on health care utilization and costs for children and adolescents
that can point to a more efficient means of reducing the rising
health care costs associated with the treatment of chronic
diseases.
In the remaining chapters, the eight chronic diseases are
evaluated in terms of five major issues. First, the latest trends
in complications associated with each chronic condition are
explored.Second, the impact of each disease on disability and
psychosocial development of children and adolescents are analyzed.
Third, recent research findings on diagnosis, treatment, and
rehabilitation strategies are discussed. Fourth, new trends in
patient education and self-management are presented. Fifth, each
chapter will assess the role of family, peers, schools, and other
organizations in helping children and adolescents cope with their
chronic disorders. Dr. Mark L. Goldstein, a clinical psychologist,
reviews the literature and uses composite case studies from his
practice to illustrate the impact of these trends on how children
and adolescents manage chronic disease.The information in this book
will be relevant to a wide range of professionals and students in
the fields of pediatrics, medicine, nursing, public health, mental
health, social work, education, health administration, health
policy, and social sciences."
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