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Year 2014, , 159 - 165, 30.03.2015
https://doi.org/10.5472/MMJ.2014.03482.1

Abstract

While some parents arrive at the physician’s office with concerns about their child’s behavior, others are unaware of their child’s physiological and behavioral problems until they are asked specific questions about their child’s conduct. An understanding of the child’s physiological and temperamental factors, together with an assessment of the settings in which the behaviors occur are critical for the physician to provide a successful treatment plan, as are events preceding the behavior, and consequences of the behavior. Physicians must therefore ascertain potential problems and identify contributing factors in order to recommend specific interventions, or refer the child to the appropriate specialist. This article reviews common physiological and behavioral problems of children so that primary care physicians can effectively aid families in identifying problem behaviors and promoting appropriate behaviors

References

  • 1. Feigelman S. Growth, development and behavior. In: Kliegman RM, Stanton BF, Behrman RE, editors, Nelson Textbook of Pediatrics.19th ed. Philadelphia, PA: Saunders, Elsevier, 2011:26-55.
  • 2. Weitzman CC, Leventhal JM. Screening for behavioral health problems in primary care. Curr Opin Pediatr 2006; 18: 641-8. doi:10.1097/MOP.0b013e3280108292
  • 3. Boyle CA, Decoulfle P,Yeargin-Allsopp M. Prevelance and health impact of developmental disabilities in US children. Pediatrics 1994; 93: 399-403.
  • 4. Pipan ME, Blum NJ. Basics of child behavior and primary care management of common behavioral problems. In: Voigt RG, Macias MM, Myers SM, editors, Developmental and Behavioral Pediatrics. American Academy of Pediatrics: New York, 2011:37-57.
  • 5. Saudino KJ. Behavioral genetics and child temperament. J Dev Behav Pediatr 2005; 26: 214-23. doi: 10.1097/00004703- 200506000-00010.
  • 6. Sheldrick RC, Merchant S, Perrin EC. Identification of developmental-behavioral problems in primary care: a systematic review. Pediatrics 2011; 128: 353-6.
  • 7. Merritt KA, Thompson RJ Jr, Keith BR, Johndrow DA, Murphy LB. Screening for behavioral and emotional problems in primary care pediatrics. J Dev Behav Pediatr 1993; 14: 340-3.
  • 8. Barr RG, Paterson JA, Macmartin LM, Lehtonen L, Young SN. Prolonged and unsoothable crying bouts in infants with and without colic. J Dev Behav Pediatr 2005; 26: 14-23.
  • 9. Herman M, Le A. The crying infant. Emerg Med Clin North Am 2007; 25: 1137-59. doi: 10.1016/j.emc.2007.07.008
  • 10. Wade S. Infantile colic. Clin Evid 2006; 15: 439-7.
  • 11. White BP, Gunnar MR, Larson MC, Donzella B, Barr RG. Behavioral and physiologic responsivity, sleep, and patterns of daily cortisol production in infants with and without colic. Child Dev 2000; 71: 862-77. doi:10.1111/1467-8624.00196.
  • 12. Barr RG, Young SN, Wright JH, Gravel R, Alkawaf R. Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics 1999; 103: e68. doi: 10.1542/peds.103.5.e68.
  • 13. Taubman B. Parental counseling compared with elimination of cow’s milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. Pediatrics 1988; 81: 756- 61.
  • 14. Indrio F, Di Mauro A, Riezzo G. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation--reply. JAMA Pediatr 2014 ; 168: 778. doi: 10.1001/jamapediatrics.2014.368.
  • 15. Davis KF, Parker KP, Montgomery GL. Sleep in infants and young children: part one: normal sleep. J Pediatr Health Care 2004; 18: 65-71. doi: 10.1016/S0891-5245(03)00149-4
  • 16. American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. Pediatrics 2005; 116: 1245-55. doi: 10.1542/peds.2005-1499
  • 17. Shay N, Yeates KO, Walz NC, et al. Sleep problems and their relationship to cognitive and behavioral outcomes in young children with traumatic brain injury. J Neurotrauma 2014; 31:1305-12. doi: 10.1089/neu.2013.3275.
  • 18. Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am 2006; 29: 1059-76. doi: 10.1016/j.psc.2006.08.004
  • 19. Kayiran SM, Soyak G, Gürakan B. Electronic media use by children in families of high socioeconomic level and familial factors. Turk J Pediatr 2010; 52 :491-9.
  • 20. Mindell JA. Empirically supported treatments in pediatric psychology: bedtime refusal and night wakings in young children. J Pediatr Psychol 1999; 24: 465-81. 10.1093/ jpepsy/24.6.465
  • 21. DiMario FJ. Prospective study of children with cyanotic and pallid breath-holding spells. Pediatrics 2001; 107: 265-9. doi: 10.1542/peds.107.2.265
  • 22. Kolkiran A, Tutar E, Atalay S, Deda G, Cin S. Autonomic nervous system functions in children with breath-holding spells and effects of iron deficiency. Acta Paediatr 2005; 94: 1227-31. doi: 10.1111/j.1651-2227.2005.tb02080.x
  • 23. Daoud AS, Betieha A, AL-Sheyyab M, Abuekteish F, Hijazi S. Effectiveness of iron therapy on breath-holding spells. J Pediatr 1997; 130: 547-50. doi: 10.1016/S0022- 3476(97)70237-3
  • 24. Garg M, Goraya JS. Treatment of cyanotic breath-holding spells with oral theophylline in a 10-year-old boy. J Child Neurol 2014 Jul 9. pii: 0883073814540519. [Epub ahead of print]
  • 25. Glazener CM, Evans JH. Desmopressin for nocturnal enuresis in children. Cochrane Database Syst Rev 2002; 3: CD002112. doi: 10.1002/14651858.CD002112 26. Glazener CM, Evans JH, Peto R. Tricyclic and related drugs for nocturnal enuresis in children. Cochrane Database Syst Rev 2003; 3: CD002117. doi: 10.1002/14651858.CD002117
  • 27. Greene AS, Cromie WJ. Treatment of imipramine overdose in children. Urology 1981;18: 314-5. doi: 10.1016/0090- 4295(81)90376-9
  • 28. Baird DC, Seehusen DA, Bode DV. Enuresis in children: a case based approach. Am Fam Physician 2014; 90: 560-8.
  • 29. Abi-Hanna A, Lake AM. Constipation and encopresis in childhood. Pediatr Rev 1998; 19: 23-31. doi: 10.1542/pir.19- 1-23 30. Brown JD, Wissow LS. Screening to identify mental health problems in pediatric primary care: considerations for practice. Int J Psychiatry Med 2010; 40: 1-19. doi: 10.2190/ PM.40.1.a
  • 31. Loenig-Baucke V. Functional fecal retention with encopresis in childhood. J Pediatr Gastroenterol Nutr 2004; 38: 79-84. doi: 10.1097/00005176-200401000-00018
  • 32. Akdemir D, Cengel Kültür SE, Saltık Temizel IN, Zeki A, Senses Dinç G. Familial psychological factors are associated with encopresis. Pediatr Int 2014 Jun 30. doi: 10.1111/ ped.12427. [Epub ahead of print]
  • 33. Leaf PJ, Owens PL, Leventhal JM, et al. Pediatricians’ training and identification and management of psychosocial problems. Clin Pediatr (Phila) 2004; 43: 355-5. doi: 10.1177/000992280404300407
  • 34. Peterson JE, Schneider PE. Oral habits: a behavioral approach. Pediatr Clin North Am 1991; 38: 1289-307.
  • 35. Friman PC, McPherson KM, Warzak WJ, Evans J. Influence of thumb sucking on peer social acceptance in first-grade children. Pediatrics 1993; 91:784-6.
  • 36. Chen N, Deater-Deckard K, Bell MA. The role of temperament by family environment interactions in child maladjustment. J Abnorm Child Psychol 2014; 42: : 1251-62. doi: 10.1007/s10802-014-9872-y.
  • 37. Isaacs D, Isaacs S. Transitional objects and thumb sucking. J Paediatr Child Health 2014; 50: 845-6. doi: 10.1111/jpc.12747

Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler

Year 2014, , 159 - 165, 30.03.2015
https://doi.org/10.5472/MMJ.2014.03482.1

Abstract

Hekim muayenehanesine getirilen bazı bebek ve çocukların ebeveynleri, bebek ve çocuklarının yaşadığı bazı fizyolojik fonksiyon sıkıntıları ve/veya davranış değişikliği konusunda endişeli iken, diğer bir kısmı, çocuklarının iletişimi konusunda spesifik sorular sorulmadıkça farkında değildirler. Bebekte ve çocukta fizyolojik sıkıntı ve davranış değişikliği yaratan faktörleri anlamak için, hangi durumlarda bu sıkıntıların ve davranış değişikliklerinin görüldüğünü, davranış öncesinde görülen olayları ve sonuçlarını doğru değerlendirmek, hekimler için kritik öneme sahiptir. Bu nedenle, birinci basamak hekimleri potansiyel problemleri kesinleştirmeli, spesifik girişim önerileri için eşlik eden faktörleri belirlemeli, ya da aileyi uygun uzmana yönlendirmelidirler. Bu makale, özellikle birinci basamak hekimlerine yol gösterici olması düşüncesi ile, bebek ve çocuklarda görülen yaygın fizyolojik fonksiyon sıkıntılarının ve davranış değişikliklerinin oluş nedenlerini ve problemlerini derleyerek, sosyal pediatri hekimlerinin etkili bir şekilde aileleri yönlendirmelerini, dolayısı ile çocuğun ve ailenin rahatlamasının sağlanması için hazırlanmıştır.

References

  • 1. Feigelman S. Growth, development and behavior. In: Kliegman RM, Stanton BF, Behrman RE, editors, Nelson Textbook of Pediatrics.19th ed. Philadelphia, PA: Saunders, Elsevier, 2011:26-55.
  • 2. Weitzman CC, Leventhal JM. Screening for behavioral health problems in primary care. Curr Opin Pediatr 2006; 18: 641-8. doi:10.1097/MOP.0b013e3280108292
  • 3. Boyle CA, Decoulfle P,Yeargin-Allsopp M. Prevelance and health impact of developmental disabilities in US children. Pediatrics 1994; 93: 399-403.
  • 4. Pipan ME, Blum NJ. Basics of child behavior and primary care management of common behavioral problems. In: Voigt RG, Macias MM, Myers SM, editors, Developmental and Behavioral Pediatrics. American Academy of Pediatrics: New York, 2011:37-57.
  • 5. Saudino KJ. Behavioral genetics and child temperament. J Dev Behav Pediatr 2005; 26: 214-23. doi: 10.1097/00004703- 200506000-00010.
  • 6. Sheldrick RC, Merchant S, Perrin EC. Identification of developmental-behavioral problems in primary care: a systematic review. Pediatrics 2011; 128: 353-6.
  • 7. Merritt KA, Thompson RJ Jr, Keith BR, Johndrow DA, Murphy LB. Screening for behavioral and emotional problems in primary care pediatrics. J Dev Behav Pediatr 1993; 14: 340-3.
  • 8. Barr RG, Paterson JA, Macmartin LM, Lehtonen L, Young SN. Prolonged and unsoothable crying bouts in infants with and without colic. J Dev Behav Pediatr 2005; 26: 14-23.
  • 9. Herman M, Le A. The crying infant. Emerg Med Clin North Am 2007; 25: 1137-59. doi: 10.1016/j.emc.2007.07.008
  • 10. Wade S. Infantile colic. Clin Evid 2006; 15: 439-7.
  • 11. White BP, Gunnar MR, Larson MC, Donzella B, Barr RG. Behavioral and physiologic responsivity, sleep, and patterns of daily cortisol production in infants with and without colic. Child Dev 2000; 71: 862-77. doi:10.1111/1467-8624.00196.
  • 12. Barr RG, Young SN, Wright JH, Gravel R, Alkawaf R. Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics 1999; 103: e68. doi: 10.1542/peds.103.5.e68.
  • 13. Taubman B. Parental counseling compared with elimination of cow’s milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. Pediatrics 1988; 81: 756- 61.
  • 14. Indrio F, Di Mauro A, Riezzo G. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation--reply. JAMA Pediatr 2014 ; 168: 778. doi: 10.1001/jamapediatrics.2014.368.
  • 15. Davis KF, Parker KP, Montgomery GL. Sleep in infants and young children: part one: normal sleep. J Pediatr Health Care 2004; 18: 65-71. doi: 10.1016/S0891-5245(03)00149-4
  • 16. American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. The changing concept of sudden infant death syndrome: diagnostic coding shifts, controversies regarding the sleeping environment, and new variables to consider in reducing risk. Pediatrics 2005; 116: 1245-55. doi: 10.1542/peds.2005-1499
  • 17. Shay N, Yeates KO, Walz NC, et al. Sleep problems and their relationship to cognitive and behavioral outcomes in young children with traumatic brain injury. J Neurotrauma 2014; 31:1305-12. doi: 10.1089/neu.2013.3275.
  • 18. Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am 2006; 29: 1059-76. doi: 10.1016/j.psc.2006.08.004
  • 19. Kayiran SM, Soyak G, Gürakan B. Electronic media use by children in families of high socioeconomic level and familial factors. Turk J Pediatr 2010; 52 :491-9.
  • 20. Mindell JA. Empirically supported treatments in pediatric psychology: bedtime refusal and night wakings in young children. J Pediatr Psychol 1999; 24: 465-81. 10.1093/ jpepsy/24.6.465
  • 21. DiMario FJ. Prospective study of children with cyanotic and pallid breath-holding spells. Pediatrics 2001; 107: 265-9. doi: 10.1542/peds.107.2.265
  • 22. Kolkiran A, Tutar E, Atalay S, Deda G, Cin S. Autonomic nervous system functions in children with breath-holding spells and effects of iron deficiency. Acta Paediatr 2005; 94: 1227-31. doi: 10.1111/j.1651-2227.2005.tb02080.x
  • 23. Daoud AS, Betieha A, AL-Sheyyab M, Abuekteish F, Hijazi S. Effectiveness of iron therapy on breath-holding spells. J Pediatr 1997; 130: 547-50. doi: 10.1016/S0022- 3476(97)70237-3
  • 24. Garg M, Goraya JS. Treatment of cyanotic breath-holding spells with oral theophylline in a 10-year-old boy. J Child Neurol 2014 Jul 9. pii: 0883073814540519. [Epub ahead of print]
  • 25. Glazener CM, Evans JH. Desmopressin for nocturnal enuresis in children. Cochrane Database Syst Rev 2002; 3: CD002112. doi: 10.1002/14651858.CD002112 26. Glazener CM, Evans JH, Peto R. Tricyclic and related drugs for nocturnal enuresis in children. Cochrane Database Syst Rev 2003; 3: CD002117. doi: 10.1002/14651858.CD002117
  • 27. Greene AS, Cromie WJ. Treatment of imipramine overdose in children. Urology 1981;18: 314-5. doi: 10.1016/0090- 4295(81)90376-9
  • 28. Baird DC, Seehusen DA, Bode DV. Enuresis in children: a case based approach. Am Fam Physician 2014; 90: 560-8.
  • 29. Abi-Hanna A, Lake AM. Constipation and encopresis in childhood. Pediatr Rev 1998; 19: 23-31. doi: 10.1542/pir.19- 1-23 30. Brown JD, Wissow LS. Screening to identify mental health problems in pediatric primary care: considerations for practice. Int J Psychiatry Med 2010; 40: 1-19. doi: 10.2190/ PM.40.1.a
  • 31. Loenig-Baucke V. Functional fecal retention with encopresis in childhood. J Pediatr Gastroenterol Nutr 2004; 38: 79-84. doi: 10.1097/00005176-200401000-00018
  • 32. Akdemir D, Cengel Kültür SE, Saltık Temizel IN, Zeki A, Senses Dinç G. Familial psychological factors are associated with encopresis. Pediatr Int 2014 Jun 30. doi: 10.1111/ ped.12427. [Epub ahead of print]
  • 33. Leaf PJ, Owens PL, Leventhal JM, et al. Pediatricians’ training and identification and management of psychosocial problems. Clin Pediatr (Phila) 2004; 43: 355-5. doi: 10.1177/000992280404300407
  • 34. Peterson JE, Schneider PE. Oral habits: a behavioral approach. Pediatr Clin North Am 1991; 38: 1289-307.
  • 35. Friman PC, McPherson KM, Warzak WJ, Evans J. Influence of thumb sucking on peer social acceptance in first-grade children. Pediatrics 1993; 91:784-6.
  • 36. Chen N, Deater-Deckard K, Bell MA. The role of temperament by family environment interactions in child maladjustment. J Abnorm Child Psychol 2014; 42: : 1251-62. doi: 10.1007/s10802-014-9872-y.
  • 37. Isaacs D, Isaacs S. Transitional objects and thumb sucking. J Paediatr Child Health 2014; 50: 845-6. doi: 10.1111/jpc.12747
There are 35 citations in total.

Details

Primary Language Turkish
Journal Section Review Makaleler
Authors

Petek Genç Kayıran This is me

Sinan Kayıran

Berkan Gürakan This is me

Publication Date March 30, 2015
Published in Issue Year 2014

Cite

APA Genç Kayıran, P., Kayıran, S., & Gürakan, B. (2015). Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler. Marmara Medical Journal, 27(3), 159-165. https://doi.org/10.5472/MMJ.2014.03482.1
AMA Genç Kayıran P, Kayıran S, Gürakan B. Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler. Marmara Med J. March 2015;27(3):159-165. doi:10.5472/MMJ.2014.03482.1
Chicago Genç Kayıran, Petek, Sinan Kayıran, and Berkan Gürakan. “Bebeklerde Ve çocuklarda yaygın Fizyolojik sıkıntılar Ve davranış sorunları: Birinci Basamak Hekimlerinin Bilmesi Gerekenler”. Marmara Medical Journal 27, no. 3 (March 2015): 159-65. https://doi.org/10.5472/MMJ.2014.03482.1.
EndNote Genç Kayıran P, Kayıran S, Gürakan B (March 1, 2015) Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler. Marmara Medical Journal 27 3 159–165.
IEEE P. Genç Kayıran, S. Kayıran, and B. Gürakan, “Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler”, Marmara Med J, vol. 27, no. 3, pp. 159–165, 2015, doi: 10.5472/MMJ.2014.03482.1.
ISNAD Genç Kayıran, Petek et al. “Bebeklerde Ve çocuklarda yaygın Fizyolojik sıkıntılar Ve davranış sorunları: Birinci Basamak Hekimlerinin Bilmesi Gerekenler”. Marmara Medical Journal 27/3 (March 2015), 159-165. https://doi.org/10.5472/MMJ.2014.03482.1.
JAMA Genç Kayıran P, Kayıran S, Gürakan B. Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler. Marmara Med J. 2015;27:159–165.
MLA Genç Kayıran, Petek et al. “Bebeklerde Ve çocuklarda yaygın Fizyolojik sıkıntılar Ve davranış sorunları: Birinci Basamak Hekimlerinin Bilmesi Gerekenler”. Marmara Medical Journal, vol. 27, no. 3, 2015, pp. 159-65, doi:10.5472/MMJ.2014.03482.1.
Vancouver Genç Kayıran P, Kayıran S, Gürakan B. Bebeklerde ve çocuklarda yaygın fizyolojik sıkıntılar ve davranış sorunları: Birinci basamak hekimlerinin bilmesi gerekenler. Marmara Med J. 2015;27(3):159-65.