psy341 - chapter 12 health-related.doc

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19 Apr 2012
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Chapter 12: Health-Related and Substance Use Disorders
Chronic Illness
- persists longer than 3 months in a given year, or requires a period of continuous
hospitalization of more than 1 month
-somatoform disordersgroup of related problems involving physical symptoms
that resemble or suggest a medical condition, but lack organic or physiological
evidence
osomatization, hypochondriasis, pain disorders
onot feigned; real enough to cause significant distress or impairment
-psychological factors affecting physical condition – disorders in which
psychological factors are presumed to cause or exacerbate a physical condition
owith children, it’s usually the other way around: medical condition causing
psychological distress
-morbidity – various forms of physical and functional consequences and limitations
that result from an illness
- children do not have a higher pain threshold—they just lack the means of
expressing it
- somatic complaints normal: 1/3 of typical school-aged children report using pain
for secondary gains
ogirls report more pain and anxiety than boys
ogirls more likely to cry, cling, and seek emotional support
oboys more likely to be uncooperative, avoidant, and stoic
ogender differences more likely from socialization than physiology
- asthma is the most common chronic illness in children
Diabetes Mellitus
-insulin-dependent diabetes mellitus – a lifelong metabolic disorder in which the
body is unable to metabolize carbohydrates as a result of inadequate pancreatic
release of insulin
- hyperglycemia
- excessive eating, no weight gain
- require blood glucose monitoring, dietary restraints, insulin injections, etc
- too much insulin hypoglycemia
- good regimen adherence needed
Childhood Cancer
- most common: acute lymphoblastic leukemia (ALL)
- malignancy of bone marrow reduce RBC and WBC
- anemia, excessive bleeding, easy bruising, infection
- complicated medical treatment regimens
- recurrent malignancy, growth retardation, neuropsychological deficits, cataracts,
and infertility
- chemotherapy: nausea, vomiting, increased fatigue, endocrine and growth
retardation, depressed immune system
- painful medical procedures
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