PMID: 9439938Jan 24, 1998Paper

Joint consultation for high-risk asthmatic children and their families, with pediatrician and child psychiatrist as co-therapists: model and evaluation

Family Process
V GoddingJ Jamart

Abstract

Although a very common disease, childhood asthma can be a life-threatening condition. Psychosocial determinants have been acknowledged to trigger severe asthma. The authors review current knowledge about how psychosocial factors influence childhood asthma, with a special focus on compliance with treatment and family interaction. The authors describe their experience of joint treatment of high-risk asthmatic children and their families. The pediatrician and child psychiatrist work as co-therapists, and the results of this intervention are investigated. Forty-one high-risk asthmatics and their families were followed in the joint-consultation program. Two years after the onset of joint consultation, a significant improvement was found in symptom score, treatment score, and compliance score. The number of hospital admissions and of days spent in hospital decreased significantly. The cost of care was subsequently cut by two-thirds, despite the added cost of psychiatric care. The authors conclude that it is possible for doctors of the body and of the mind to share consultation work, with a positive impact on both the patient's health and the cost of treatment.

References

Oct 1, 1977·British Journal of Diseases of the Chest·D F Kerridge
Feb 1, 1979·Archives of Disease in Childhood·B Lask, D Matthew
Jan 1, 1978·Journal of Psychosomatic Research·B A Wingate, M J Christie
Jun 1, 1975·The Journal of Asthma Research·W TietzM Cardiff
Mar 28, 1992·BMJ : British Medical Journal·D P Strachan, H R Anderson
Jan 1, 1992·American Journal of Public Health·W CarrK Weiss
Jul 1, 1992·The Journal of Allergy and Clinical Immunology·A G WeinsteinR Padman
Aug 1, 1991·Archives of Disease in Childhood·V Godding, M Kruth
Feb 1, 1989·The Journal of Allergy and Clinical Immunology·R C Strunk
Jul 1, 1989·Archives of Disease in Childhood·J O WarnerM Silverman
Oct 1, 1989·Archives of Disease in Childhood·M L BurrE Vaughan-Williams
Feb 13, 1986·The New England Journal of Medicine·S R Benatar
Mar 1, 1987·Archives of Disease in Childhood·P A GustafssonM Cederblad
Apr 1, 1987·The American Journal of Orthopsychiatry·Gregory K FritzNorman J Lewiston
Sep 1, 1987·The Journal of Allergy and Clinical Immunology·B D Miller
Mar 1, 1986·Family Process·L OnnisL Cancrini
Sep 6, 1985·JAMA : the Journal of the American Medical Association·R C StrunkJ F LaBrecque
Nov 1, 1973·Journal of Psychosomatic Research·S Godfrey, M Silverman
Mar 1, 1969·Psychosomatic Medicine·K PurcellJ Means
Apr 1, 1982·Pediatric Clinics of North America·M A Rapoff, E R Christophersen
Apr 18, 1980·JAMA : the Journal of the American Medical Association·S H EricksonD C Cherkin
Sep 1, 1994·The Journal of Pediatrics·P A GustafssonN I Kjellman
Feb 26, 1994·BMJ : British Medical Journal·M R Partridge
Jan 1, 1993·Allergy Proceedings : the Official Journal of Regional and State Allergy Societies·W W Busse
Feb 1, 1996·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·E F JuniperM Townsend
Apr 1, 1989·Journal of Marital and Family Therapy·J C Coyne, B J Anderson

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Citations

Jun 28, 2001·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·L FishUNKNOWN Antileukotriene Working Group
Sep 4, 2009·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Nastassia LasterMarianne Celano
Jan 20, 2007·Explore : the Journal of Science and Healing·Lewis Mehl-MadronaWoodson Merrell
Jun 8, 2002·Paediatric Respiratory Reviews·A J Duff
Dec 2, 2006·Respiration; International Review of Thoracic Diseases·G G Alvarez, J M Fitzgerald
May 10, 2002·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Per A GustafssonBengt Björkstén
Sep 14, 2006·Current Opinion in Pediatrics·Marianne P Celano
Feb 2, 1999·Pediatric Annals·A M Brooks, J T McBride
Feb 17, 2001·Pediatric Pulmonology·S C RanganathanS A McKenzie
Nov 1, 2008·Expert Review of Clinical Immunology·Mike Thomas, David Price

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