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患有慢性疾病青少年的评估与治疗

Assessment and Treatment of Adolescents With Chronic Medical Conditions.

作者信息

Russo Kirsten

机构信息

Baltimore, MD USA.

出版信息

J Health Serv Psychol. 2022;48(2):69-78. doi: 10.1007/s42843-022-00059-4. Epub 2022 Apr 23.

Abstract

Chronic medical conditions persist for one year or more, require ongoing medical intervention, and impair functioning. Approximately 10-30% of youth are diagnosed with a chronic medical condition. Youth with chronic medical conditions are at heightened risk for psychiatric comorbidity and negative health outcomes across the lifespan. Managing a chronic medical condition becomes particularly difficult during the adolescent developmental period, which is marked by changes in biological, psychological, social, and cognitive development. Assessment and intervention with adolescents is often challenging, as this is a period of transition and risk. Given increasing rates of chronic medical conditions, health service psychologists are likely to encounter youth with medical conditions in their clinical practice. In this paper, an overview of chronic medical conditions and adolescent development is provided and fundamental assessment and treatment components, including multicultural considerations, are explored.

摘要

慢性疾病持续一年或更长时间,需要持续的医疗干预,并会影响功能。大约10%-30%的青少年被诊断患有慢性疾病。患有慢性疾病的青少年在整个生命周期中患精神疾病共病和出现负面健康结果的风险更高。在以生物、心理、社会和认知发展变化为特征的青少年发育阶段,管理慢性疾病变得尤为困难。对青少年进行评估和干预往往具有挑战性,因为这是一个过渡和充满风险的时期。鉴于慢性疾病的发病率不断上升,健康服务心理学家在临床实践中可能会遇到患有疾病的青少年。本文概述了慢性疾病和青少年发育情况,并探讨了基本的评估和治疗要素,包括多元文化方面的考虑因素。

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