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Biomedical subjects

M A Landolt

Publications and source records attributed to M A Landolt.

9 recordsLinked to original sources
PubMed2002

Predictors of coping strategy selection in paediatric patients.

AIM: To assess the prevalence of specific coping strategies and predictors of coping strategy selection in 179 patients (mean age = 10.2 y). The children were investigated one month after the occurrence of an accident (n = 105), diagnosis of cancer (n = 26) or diagnosis of diabetes mellitus type I (n = 48). RESULTS: Patients used a great variety of coping strategies. The most frequent strategies were cognitive avoidance, positive cognitive restructuring and avoidant actions. The strategies of seeking problem-focused support and emotion-focused support were rarely used. Diagnostic category, length of hospital stay, and gender were not associated with coping strategy use. Age, socioeconomic status and functional status of the patient were found to predict coping strategy selection. Younger children made less use of active coping, distraction and seeking support. Patients of lower socioeconomic status used religious coping strategies significantly more often, whereas patients with lower functional status used avoidance and support-seeking strategies more often. CONCLUSION: In this study it was found that paediatric patients used a wide variety of coping strategies, irrespective of diagnosis and gender. Age of the child and functional status were the most important predictors of coping strategy selection.

Accidents↗
PubMed2001

Living anonymous kidney donation: what does the public think?

BACKGROUND: Health professionals are increasingly turning to living organ donation to augment cadaveric donation. Although living donation is currently performed with donors who are either genetically or emotionally related to the recipient, a 1997 British Columbia Transplant Society survey indicated that 32% of BC residents would be willing to donate a kidney, while alive, to a stranger (unpublished data). The goal of this study is to tap the public pulse about the living anonymous donor (LAD) by replicating and expanding the 1997 findings. METHODS: Five hundred BC residents completed a telephone survey including demographic information, questions about their organ donation behaviors and attitudes, and their willingness to donate a kidney, while alive, to particular individuals (child, spouse, parent, relative, friend, and stranger). To improve the methodological rigor of the 1997 study, an informed condition was added in the current study where participants learned about living donation before being asked about their willingness to donate. RESULTS: There were no differences among the 1997 results and the two conditions in the 2000 survey. Twenty-eight percent of participants in the uninformed condition and 29% of participants in the informed condition indicated that they would be willing to be LADs. LADs were more likely than self-reported non-donors to have registered as cadaveric donors and to endorse attitudes that were congruent with wanting to donate to a stranger. CONCLUSIONS: This study replicates the 1997 findings and increases confidence that a significant minority of British Columbians support living anonymous donation and that some would consider becoming LADs themselves.

Adolescent↗
PubMed2001

Psychological evaluation of young women after medical treatment for central precocious puberty.

OBJECTIVE: This study aimed at the evaluation of the subjective experience and long-term behavioral and psychological effects of precocious puberty (PP). METHODS: 19 female patients who had been treated with GnRH agonists participated in a semistructured interview and completed two standardized checklists. Their parents completed the Child Behavior Checklist (CBCL). RESULTS: The CBCL yielded significantly elevated Internalizing and Total Behavior Problem scores. An elevated risk was found for patients with short adult stature and a relatively late onset of PP. The latter tended to neuroticism, to accentuation of their physical appearance, and felt significantly more insecure than age-related non-PP girls. CONCLUSION: Our findings suggest that PP can lead to specific behavioral problems, and that patients with a risk factor may need psychosocial support.

Adaptation, Psychological↗
PubMed2000

[The psychology of childhood trauma].

A significant number of child victims of accidents develops psychological symptoms which can be described as post-traumatic stress reactions. This article reviews the literature on psychological consequences of accidents. Classification, diagnosis, prevalence, pathogenesis, biology, prevention, and therapy of post-traumatic stress reactions in children and adolescents are discussed. Consideration of psychotraumatological aspects in the treatment of children and adolescents after accidents in recommended.

Accidents↗
PubMed2000

Psychological long-term adjustment in children with head burns.

OBJECTIVE: To determine psychological adjustment of children after head burns. METHODS: One hundred four children and adolescents between the ages of 5 and 17 years were assessed with the Child Behavior Checklist 1 to 13 years after burn. Mean total body surface area burned was 18%. According to burn localization, patients were classified into two groups: patients with head burns versus patients with burns of other areas. RESULTS: Psychological adjustment as measured by the broad- and narrow-band scales of the Child Behavior Checklist was normal in both samples of burned patients. CONCLUSION: This study failed to find any specific psychological problems in survivors of pediatric head burns.

Adaptation, Psychological↗
PubMed1999

[Parental assessment of a psycho-oncologic treatment concept in pediatrics].

Treatment-accompanied psychosocial care of pediatric cancer patients and their families is quite established nowadays. In this study a family-oriented psychosocial intervention program was evaluated. 76 parents filled out an questionnaire about the utilization and efficiency of different parts of the program. The results show that the efficiency of the intervention program is very high. Nationality of the families, socioeconomic status und the presence of a relapse of the cancer were the most important predictors of taking part in the different parts of the program. Parents reported that the most positive effects of the psychosocial intervention program consisted in a gain of information and a better intrafamiliar communication. In conclusion the evaluation showed a high acceptance of the family-oriented psychosocial intervention program and positive effects on the whole family.

Adolescent↗
PubMed1998

Post-traumatic stress disorder in paediatric patients and their parents: an exploratory study.

OBJECTIVE: To determine the prevalence of post-traumatic stress disorders (PTSD) in a selected population of paediatric patients and their parents. METHODOLOGY: Twenty-three high-risk patients (serious accidents, newly diagnosed cancer) and 11 low-risk patients (simple planned surgery) and their parents were consecutively selected and assessed 6-8 weeks after the event with a DSM-IV based diagnostic interview and the PTSD Symptom Scale. RESULTS: There is a high prevalence of PTSD in children and parents of the high-risk group. In the low-risk group such disorders are almost nonexistent. Parents in both groups report more PTSD symptoms than their children. Sex and age of the child and duration of hospitalisation have no significant influence on the development of PTSD. CONCLUSIONS: The high prevalence of PTSD in high-risk paediatric patients and their parents offers support for the applicability of a post-traumatic stress model for understanding the psychological impact of accidents, severe illnesses and their medical treatment.

Adolescent↗
PubMedDate not supplied

Does cartoon movie distraction decrease burned children's pain behavior?

The purpose of this study was to evaluate cartoon movie viewing as a practical and low-cost intervention to decrease burned children's pain behavior during dressing changes. Thirteen children, 4 to 12 years of age, with a mean TBSA burn of 7.9% were assessed using a reversal, single-subject experimental design. The experimental condition consisted of the presentation of a cartoon movie as a nonpharmacologic intervention in conjunction with a standardized analgesic medication. In the control condition children's pain was treated with the standardized analgesic medication only. Behavioral distress was measured during the first six dressing changes postburn with the Observational Scale of Behavioral Distress. No significant effect of cartoon movie distraction on observed behavioral distress in patients was found. Interrater reliability of the Observational Scale of Behavioral Distress was good (kappa =.87-.98). Wound debridement was found to be the most painful part of the dressing change. A simple, easily applicable, and low-cost distraction intervention such as presenting cartoon movies does not seem to be sufficiently powerful to measurably reduce burned children's distress during dressing changes. Findings are based on purely observational data. Inclusion of self-report measures in future studies might reveal intervention effects on anxiety and subjective pain perception.

Attention↗