Ostensible versus actual reasons for seeking pediatric attention: another look at the parental ticket of admission.

Abstract:

:The presentation of parental anxiety that appears excessive in view of the nature of the child's "chief complaint" is a frequent occurrence in pediatric practice. This study reviews 370 sick-patient visits in one pediatric office during a three-month period. Additional questioning in the area of parental anxieties concerning these symptoms revealed that in 125 instances (33.8%), the parent was entertaining unverbalized fears that something much more serious was wrong with the child than could be anticipated from the ostensible reason for seeking assistance. An analysis of the "actual reason for coming" reveals that the child's presenting complaint has become associated for the parent with (1) family history of serious life-threatening illness; (2) fears of loss and separation; (3) death; (4) the fears of another family member who is pressing for "answers" about the problem; (5) fears of loss of vital functions and a variety of other thought processes that have somehow become linked to the child's symptom. Techniques for recognizing and ameliorating this parenting difficulty are discussed.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Bass LW,Cohen RL

subject

Has Abstract

pub_date

1982-12-01 00:00:00

pages

870-4

issue

6

eissn

0031-4005

issn

1098-4275

journal_volume

70

pub_type

杂志文章
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    abstract:OBJECTIVE:To examine the impact of a mentoring and skills group intervention for preadolescent children in foster care on placement stability and permanence at 1-year postintervention. METHODS:A randomized controlled trial was conducted with 9- to 11-year-old children who were maltreated and placed in foster care (n =...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2011-3447

    authors: Taussig HN,Culhane SE,Garrido E,Knudtson MD

    更新日期:2012-07-01 00:00:00

  • The association of generation status and health insurance among U.S. children.

    abstract:BACKGROUND:The Patient Protection and Affordable Care Act (ACA) has the potential to reduce the number of uninsured children in the United States by as much as 40%. The extent to which immigrant families are aware of and interested in obtaining insurance for their children is unclear. METHODS:Data from the 2011-2012 N...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3337

    authors: BeLue R,Miranda PY,Elewonibi BR,Hillemeier MM

    更新日期:2014-08-01 00:00:00

  • Phototherapy to prevent severe neonatal hyperbilirubinemia in the newborn infant 35 or more weeks of gestation.

    abstract:OBJECTIVE:To standardize the use of phototherapy consistent with the American Academy of Pediatrics clinical practice guideline for the management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. METHODS:Relevant literature was reviewed. Phototherapy devices currently marketed in the United S...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2011-1494

    authors: Bhutani VK,Committee on Fetus and Newborn.,American Academy of Pediatrics.

    更新日期:2011-10-01 00:00:00

  • Parental smoking and vascular damage in their 5-year-old children.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0249

    authors: Geerts CC,Bots ML,van der Ent CK,Grobbee DE,Uiterwaal CS

    更新日期:2012-01-01 00:00:00

  • Patent Ductus Arteriosus of the Preterm Infant.

    abstract::Postnatal ductal closure is stimulated by rising oxygen tension and withdrawal of vasodilatory mediators (prostaglandins, nitric oxide, adenosine) and by vasoconstrictors (endothelin-1, catecholamines, contractile prostanoids), ion channels, calcium flux, platelets, morphologic maturity, and a favorable genetic predis...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2020-1209

    authors: Hamrick SEG,Sallmon H,Rose AT,Porras D,Shelton EL,Reese J,Hansmann G

    更新日期:2020-11-01 00:00:00

  • A multiple-source method for studying the prevalence of developmental disabilities in children: the Metropolitan Atlanta Developmental Disabilities Study.

    abstract::The Metropolitan Atlanta Developmental Disabilities Study is the first US, population-based epidemiologic study of the prevalence of mental retardation, cerebral palsy, hearing impairment, and visual impairment among school-age children. The study population consisted of children who were 10 years of age between 1985 ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Yeargin-Allsopp M,Murphy CC,Oakley GP,Sikes RK

    更新日期:1992-04-01 00:00:00

  • Swaddling: a systematic review.

    abstract::Swaddling was an almost universal child-care practice before the 18th century. It is still tradition in certain parts of the Middle East and is gaining popularity in the United Kingdom, the United States, and The Netherlands to curb excessive crying. We have systematically reviewed all articles on swaddling to evaluat...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2006-2083

    authors: van Sleuwen BE,Engelberts AC,Boere-Boonekamp MM,Kuis W,Schulpen TW,L'Hoir MP

    更新日期:2007-10-01 00:00:00

  • The population cost-effectiveness of interventions designed to prevent childhood depression.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-1823

    authors: Mihalopoulos C,Vos T,Pirkis J,Carter R

    更新日期:2012-03-01 00:00:00

  • American Academy of Pediatrics. Committee on Infecious Diseases. Prevention of Lyme disease.

    abstract::Lyme disease is currently the most frequently reported vector-borne illness in the United States, accounting for more than 95% of such cases. The purpose of this report is to provide recommendations for preventing Lyme disease, including the use of Lyme disease vaccine. Individuals can reduce their risk of Lyme diseas...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引,评审

    doi:

    authors:

    更新日期:2000-01-01 00:00:00

  • Issues in estimating the prevalence of fetal alcohol syndrome: examination of 2 counties in New York State.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0610

    authors: Druschel CM,Fox DJ

    更新日期:2007-02-01 00:00:00

  • A comparative review of developmental screening tests.

    abstract::Public Law 99-457 amends the Education of the Handicapped Act to include services for children from birth through 3 years. Inasmuch as detection and referral of children with developmental delays continues to reside largely with pediatricians and other health care professionals, developmental screening, using standard...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Glascoe FP,Martin ED,Humphrey S

    更新日期:1990-10-01 00:00:00

  • Neuroprotection with prolonged head cooling started before postischemic seizures in fetal sheep.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.102.5.1098

    authors: Gunn AJ,Gunn TR,Gunning MI,Williams CE,Gluckman PD

    更新日期:1998-11-01 00:00:00

  • Successful resection of localized intestinal lymphangiectasia post-Fontan: role of (99m)technetium-dextran scintigraphy.

    abstract::Intestinal lymphangiectasia is a well-recognized complication of the Fontan procedure, occurring in up to 24% of patients. Because of the loss of chylous fluid into the gut lumen, protein-losing enteropathy results as well as lymphopenia and hypogammaglobulinaemia. In some cases, dilated lymphatics in the intestinal s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.3.e242

    authors: Connor FL,Angelides S,Gibson M,Larden DW,Roman MR,Jones O,Currie BG,Day AS,Bohane TD

    更新日期:2003-09-01 00:00:00

  • Cerebral arteriopathy in children with neurofibromatosis type 1.

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    pub_type: 杂志文章

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    authors: Rea D,Brandsema JF,Armstrong D,Parkin PC,deVeber G,MacGregor D,Logan WJ,Askalan R

    更新日期:2009-09-01 00:00:00

  • Environmental Enteric Dysfunction and Growth Failure/Stunting in Global Child Health.

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    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-0641

    authors: Owino V,Ahmed T,Freemark M,Kelly P,Loy A,Manary M,Loechl C

    更新日期:2016-12-01 00:00:00

  • Otitis media-related antibiotic prescribing patterns, outcomes, and expenditures in a pediatric medicaid population.

    abstract:BACKGROUND:Treatment of otitis media is the most frequent reason for administering antibiotics to children in the United States. However, only limited data are available on medical effectiveness of antibiotic prescribing patterns for otitis media and their associated expenditures or the factors that influence antibioti...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.100.4.585

    authors: Berman S,Byrns PJ,Bondy J,Smith PJ,Lezotte D

    更新日期:1997-10-01 00:00:00

  • Preparation for emergencies in the offices of pediatricians and pediatric primary care providers.

    abstract::High-quality pediatric emergency care can be provided only through the collaborative efforts of many health care professionals and child advocates working together throughout a continuum of care that extends from prevention and the medical home to prehospital care, to emergency department stabilization, to critical ca...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2007-1109

    authors: American Academy of Pediatrics Committee on Pediatric Emergency Medicine.,Frush K

    更新日期:2007-07-01 00:00:00

  • Effect of donor-specific transfusions on renal transplantation in children.

    abstract::Most family members who are evaluated as kidney donors for children have high reactivity in a mixed lymphocyte culture test and are thus excluded from donation. Fifty children, most of whom had highly reactive mixed lymphocyte cultures with their donors, were challenged with three blood transfusions from their donors ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Potter D,Garovoy M,Hopper S,Terasaki P,Salvatierra O Jr

    更新日期:1985-09-01 00:00:00

  • 24-Hour Movement Behaviors and Impulsivity.

    abstract:BACKGROUND:The objective of this study was to examine individual and concurrent associations between meeting the Canadian 24-Hour Movement Guidelines for Children and Youth (9-11 hours of sleep per night, ≤2 hours of recreational screen time (ST) per day, and at least 60 minutes of moderate to vigorous physical activit...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2019-0187

    authors: Guerrero MD,Barnes JD,Walsh JJ,Chaput JP,Tremblay MS,Goldfield GS

    更新日期:2019-09-01 00:00:00

  • Hearing assessment in infants and children: recommendations beyond neonatal screening.

    abstract::Congenital or acquired hearing loss in infants and children has been linked with lifelong deficits in speech and language acquisition, poor academic performance, personal-social maladjustments, and emotional difficulties. Identification of hearing loss through neonatal hearing screening, regular surveillance of develo...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2009-1997

    authors: Harlor AD Jr,Bower C,Committee on Practice and Ambulatory Medicine.,Section on Otolaryngology-Head and Neck Surgery.

    更新日期:2009-10-01 00:00:00

  • Quality-of-life concerns differ among patients, parents, and medical providers in children and adolescents with congenital and acquired heart disease.

    abstract:OBJECTIVES:Mortality rates in pediatric patients with heart disease have decreased dramatically in recent decades, resulting in an increasing number of survivors with morbidities that impact quality of life. The purpose of this study was to assess and compare how heart disease affects the quality of life of the pediatr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2572

    authors: Marino BS,Tomlinson RS,Drotar D,Claybon ES,Aguirre A,Ittenbach R,Welkom JS,Helfaer MA,Wernovsky G,Shea JA

    更新日期:2009-04-01 00:00:00

  • Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy.

    abstract:OBJECTIVE:Knowing risk factors at birth for the development of childhood obesity could help to identify children who are in need of early obesity prevention efforts. The objective of this study was to determine whether children whose mothers were obese in early pregnancy were more likely to be obese at 2 to 4 years of ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.114.1.e29

    authors: Whitaker RC

    更新日期:2004-07-01 00:00:00

  • Effect of dose formulation on isoniazid absorption in two young children.

    abstract::In an 8-month-old infant with tuberculous meningitis treatment with isoniazid was unsuccessful and was associated with lower than expected plasma concentrations of isoniazid (measured concentration 0.1 microgram/mL). The infant had received isoniazid as a crushed tablet admixed with apple sauce. Oral administration of...

    journal_title:Pediatrics

    pub_type: 杂志文章

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    authors: Notterman DA,Nardi M,Saslow JG

    更新日期:1986-06-01 00:00:00

  • A Seat at the Table: Centering the Voices of Gun Violence Survivors.

    abstract::The following is the winning submission from the Fourth Annual Section on Pediatric Trainees Essay Competition. This year's competition was informed by the 2019-2020 Section on Pediatric Trainees Advocacy Campaign: Protect Kids - Trainees for Firearm Safety. We asked writers to share their experiences as pediatric tra...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-015974

    authors: Jones KA

    更新日期:2020-10-01 00:00:00

  • The National Children's Study: Recruitment Outcomes Using the Provider-Based Recruitment Approach.

    abstract:OBJECTIVE:In 2009, the National Children's Study (NCS) Vanguard Study tested the feasibility of household-based recruitment and participant enrollment using a birth-rate probability sample. In 2010, the NCS Program Office launched 3 additional recruitment approaches. We tested whether provider-based recruitment could i...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-4410E

    authors: Hale DE,Wyatt SB,Buka S,Cherry D,Cislo KK,Dudley DJ,McElfish PA,Norman GS,Reynolds SA,Siega-Riz AM,Wadlinger S,Walker CK,Robbins JM

    更新日期:2016-06-01 00:00:00

  • Evaluation of psychopathological conditions in children with heavy prenatal alcohol exposure.

    abstract:OBJECTIVE:This study compared the prevalence of psychopathological conditions in children with heavy prenatal alcohol exposure (N = 39) and nonexposed, typically developing peers (N = 30), matched with respect to age, gender, and socioeconomic status. METHODS:Caregivers were interviewed with either the Kiddie Schedule...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1606

    authors: Fryer SL,McGee CL,Matt GE,Riley EP,Mattson SN

    更新日期:2007-03-01 00:00:00

  • Epidemiology of a tuberculosis outbreak in a rural Missouri high school.

    abstract:OBJECTIVES:1) Demonstrate the importance of maintaining a tuberculosis (TB) control program even in low-incidence areas by studying a TB-contact investigation of a highly infectious high school student in rural Missouri, and 2) discuss factors that perpetuated or contained this school-based outbreak. METHODS:A case re...

    journal_title:Pediatrics

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    doi:10.1542/peds.113.6.e514

    authors: Phillips L,Carlile J,Smith D

    更新日期:2004-06-01 00:00:00

  • Pediatric Readiness in Emergency Medical Services Systems.

    abstract::This is a joint policy statement from the American Academy of Pediatrics, American College of Emergency Physicians, Emergency Nurses Association, National Association of Emergency Medical Services Physicians, and National Association of Emergency Medical Technicians on pediatric readiness in emergency medical services...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章

    doi:10.1542/peds.2019-3307

    authors: Moore B,Shah MI,Owusu-Ansah S,Gross T,Brown K,Gausche-Hill M,Remick K,Adelgais K,Lyng J,Rappaport L,Snow S,Wright-Johnson C,Leonard JC,AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMER

    更新日期:2020-01-01 00:00:00

  • Adolescent Alcohol Use Trajectories: Risk Factors and Adult Outcomes.

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    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-0440

    authors: Yuen WS,Chan G,Bruno R,Clare P,Mattick R,Aiken A,Boland V,McBride N,McCambridge J,Slade T,Kypri K,Horwood J,Hutchinson D,Najman J,De Torres C,Peacock A

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  • Intestinal parasite screening in internationally adopted children: importance of multiple stool specimens.

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