‘Outlook’: A Psychological Service for Children with a Different Appearance

• Published in: Clinical child psychology and psychiatry Vol. 11; no. 3; pp. 431 - 443
• Main Authors: Maddern, Lynn H., Cadogan, Julia C., Emerson, Michael P.
• Format: Journal Article
• Language: English
• Published: London,Thousand Oaks and New Delhi SAGE Publications 01.07.2006; Sage; SAGE PUBLICATIONS, INC
• Subjects: Adolescent; Adult; Behavior therapy. Cognitive therapy; Biological and medical sciences; Burns; Child; Child, Preschool; Children; Children & youth; Classrooms; Cleft Lip - psychology; Cleft Palate - psychology; Cognitive behavioral therapy; Congenital anomalies; Congenital disfigurement; Disabled Children - psychology; Female; Humans; Intervention; Legislation; Male; Medical sciences; Mental Disorders - psychology; Mental Disorders - therapy; Mental health; Mental Health Services - organization & administration; Problem solving; Psychological assessment; Psychological distress; Psychological problems; Psychological trauma; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychosocial factors; Psychosocial support; Self Concept; Social Desirability; Social psychiatry. Ethnopsychiatry; Social skills; Teasing; Treatments; United Kingdom; Visual analogue scales; Youth; United Kingdom; Europe; disfigurement; psychological need; CBT; children; Human; Cognitive therapy; Mental health; Health service; Social assistance; Treatment; Defiguration; Psychological distress; Physical appearance; Adolescent; Behavior therapy; Child; Public health; User need
• ISSN: 1359-1045; 1461-7021
• DOI: 10.1177/1359104506064987

‘Outlook’ is a unit within North Bristol Trust which has been developing a psychosocial service for children, young people and adults with a different appearance resulting from congenital abnormalities such as cleft lip and palate and also burns and other forms of trauma. This study presents data collected from 29 children aged between 5 and 16 who received individual therapeutic interventions. The baseline assessment included a semistructured interview schedule, visual analogue scales and the CBCL (Achenbach, 1991) to provide the parents' view of their children's behaviour profile. Measures were repeated post intervention and at 6 months follow-up. The intervention consisted of four sessions of cognitivebehavioural therapy (CBT) including social skills and problem-solving components. Statistical analyses revealed significant outcomes on a range of measures. At 6 months follow-up children reported a reduction in the frequency of teasing and in the degree of distress it caused both in the classroom and in the playground. Parents reported reductions in their children's' somatizing behaviour and levels of anxiety. These outcomes suggest that this approach represents an effective therapy for children with appearance-related psychological problems.