아토피피부염 통합치료 프로그램에서의 심리적 개입의 실제 (Psychological Intervention in an Integrated Health Care Service for Children with Atopic Dermatitis)

서지정보

· 발행기관 : 대한천식알레르기학회
· 수록지 정보 : 천식 및 알레르기 / 30권 / 2호 / 100 ~ 109페이지
· 저자명 : 조성은, 전지은, 조하나, 손동국, 김혜원, 이수형, 염혜영

초록

Background: Psychological interventions have potentials for improving disease management and quality of life in children with atopic dermatitis (AD) and their families. However, integration of medical and psychological health care in the treatment of children with AD is very rare in Korea.
Objective: The aim of this study was to present descriptive data from a hospital-based interdisciplinary program that provides integrated medical and psychological health-care for children with AD.
Method: Clinical records were reviewed for 127 children seen in our program as well as common problems and interventions addressed during family visits with the program psychologist. Age group differences in problems and interventions addressed during psychology sessions were evaluated. Also, the differences by symptom severity and sex in problems addressed during psychology sessions were analyzed.
Result: Significant age-group differences were found in the problems and interventions addressed during psychology sessions. Among the age groups, sleep problems were most common in the ＜5 age group (50.0%). Negative self-image, problems of being bullied and attention problems were most common in the 6∼12 age group (25.4%, 23.7% and 16.9%, respectively). Anxious/depressed mood, study burden and parent-child relational problems were most common in the 13∼18 age group (65.0%, 60.0% and 45.0% respectively).
Conclusion: The results of this study support the need for and feasibility of providing integrated care for children with AD and their families. Age-group differences found in problems and interventions addressed during psychology sessions could be useful especially in planning for group sessions.

영어초록

Background: Psychological interventions have potentials for improving disease management and quality of life in children with atopic dermatitis (AD) and their families. However, integration of medical and psychological health care in the treatment of children with AD is very rare in Korea.
Objective: The aim of this study was to present descriptive data from a hospital-based interdisciplinary program that provides integrated medical and psychological health-care for children with AD.
Method: Clinical records were reviewed for 127 children seen in our program as well as common problems and interventions addressed during family visits with the program psychologist. Age group differences in problems and interventions addressed during psychology sessions were evaluated. Also, the differences by symptom severity and sex in problems addressed during psychology sessions were analyzed.
Result: Significant age-group differences were found in the problems and interventions addressed during psychology sessions. Among the age groups, sleep problems were most common in the ＜5 age group (50.0%). Negative self-image, problems of being bullied and attention problems were most common in the 6∼12 age group (25.4%, 23.7% and 16.9%, respectively). Anxious/depressed mood, study burden and parent-child relational problems were most common in the 13∼18 age group (65.0%, 60.0% and 45.0% respectively).
Conclusion: The results of this study support the need for and feasibility of providing integrated care for children with AD and their families. Age-group differences found in problems and interventions addressed during psychology sessions could be useful especially in planning for group sessions.

참고자료

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