title: The role of psychology in a pediatric outpatient cardiology setting: preliminary results from a new clinical program.
abstract: The aim of this study was to provide a descriptive analysis of a new clinical program integrating psychology services within a pediatric outpatient cardiology clinic. Patients with congenital heart disease (CHD) (n = 79) were referred for psychological services by their pediatric cardiologist. Parents completed the child behavior checklist, and the pediatric quality of life inventory generic core scales (PedsQL parent report). Teachers completed the teacher report form. Reasons for referral included: emotional problems (29%); attention problems (25%); learning problems (22%); behavior problems (16%); and developmental delay (8%). Parents and teachers reported higher rates of behavior problems and lower quality of life scores than the general population. Psychological evaluation suggested that incorporating a psychologist within a pediatric cardiology clinic may be beneficial for children with CHD in order to optimize their psychosocial functioning. Practice implications for implementing psychology services within a pediatric outpatient cardiology program are discussed.
authors.affiliation: Department of Pediatrics, Medical College of Wisconsin, 9000 W Wisconsin Avenue, P.O. Box 1997, MS 713, Milwaukee, WI, 53201-1997, USA, cbrosig@chw.org.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Brosig
authors.forename: Kai
authors.initials: K
authors.lastname: Yang
authors.forename: Raymond G
authors.initials: RG
authors.lastname: Hoffmann
authors.forename: Mahua
authors.initials: M
authors.lastname: Dasgupta
authors.forename: Kathleen
authors.initials: K
authors.lastname: Mussatto
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications* / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D010045:Outpatients / Q000523:psychology*; D010372:Pediatrics / Q000379:methods; D015397:Program Evaluation / Q000379:methods*; D011788:Quality of Life / Q000523:psychology; D012017:Referral and Consultation; D011795:Surveys and Questionnaires