RT Book, Section
A1 Trivedi, Harsh K.
A1 Gallagher, Katherine A.S.
A2 Zaoutis, Lisa B.
A2 Chiang, Vincent W.
SR Print(0)
ID 1146121581
T1 Depression and Physical Illness
T2 Comprehensive Pediatric Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071829281
LK accesspediatrics.mhmedical.com/content.aspx?aid=1146121581
RD 2024/04/19
AB Children  and  adolescents  hospitalized  for  the  treatment  of  physical  illness  often  have  feelings  of  sadness,  frustration,  or  irritability  that  represent  a  normal  response  to  their  experience.  Common  factors  impacting  a  child’s  ability  to  cope  include  disruption  of  routine,  separation  from  family  and  peers,  uncertainty  regarding  diagnosis  and  prognosis,  pain  related  to  the  illness  or  its  treatment,  and  fear  of  the  illness  or  its  sequelae.  When  the  sadness  becomes  pervasive  and  is  associated  with  cognitive  or  physiologic  symptoms,  however,  a  depressive  disorder  must  be  considered.  It  is  incumbent  on  the  hospitalist  to  distinguish  normal  feelings  of  sadness  from  a  depressive  disorder  and  to  implement  treatment  when  necessary.