Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study
Abstract
Background Routine use of a brief psychosocial screening instrument has been proposed as a means of improving recognition, management, and referral of children's psychosocial morbidity in primary care. Objective To assess the feasibility of routine psychosocial screening using the Pediatric Symptom Checklist (PSC) in pediatrics by using a brief version of the checklist in a large sample representative of the full range of pediatric practice settings in the United States and Canada. We evaluated large-scale screening and the performance of the PSC in detecting psychosocial problems by (1) determining whether the prevalence of psychosocial dysfunction identified by the PSC was consistent with findings in previous, smaller samples; (2) assessing whether the prevalence of positive PSC screening scores varied by population subgroups; and (3) determining whether the PSC was completed by a significant proportion of parents from all subgroups and settings. Patients and methods Twenty-one thousand sixty-five children between the ages of 4 and 15 years were seen in 2 large primary care networks: the Ambulatory Sentinel Practice Network and the Pediatric Research in Office Settings network, involving 395 pediatric and family practice clinicians in 44 states, Puerto Rico, and 4 Canadian provinces. Parents were asked to complete a brief questionnaire that included demographic information, history of mental health services, the 35-item PSC, and the number of pediatric visits within the pas…
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Caregivers were asked to provide assent from one of their children between the ages of 10 and 16 years, and children were approached to obtain assent to complete the Paediatric Symptoms Checklist (PSC-35) during the pre- and post-assessments.
“Additionally, caregivers were asked to provide assent from one of their children between the ages of 10 and 16 years. Children were then approached to obtain assent to complete the Paediatric Symptoms Checklist (PSC-35) (Jellinek et al., 1999) during the pre- and post-assessments; children’s assent was not a requirement for participation of their caregiver.”
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MethodAdams, W. G., Gasman, S., Beccia, A. L., & Fuentes, L. (2024) · Journal of Clinical and Translational Science · doi:10.1017/cts.2024.500 · Cited by 6 · see citing works
- Authors
- Jellinek, M. S., Murphy, J. M., Little, M., Pagano, M. E., Comer, D. M., & Kelleher, K. J.
- Affiliations
- Massachusetts General Hospital (US)
- Corresponding author
- Jellinek, Michael S.
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1999-03-01
- Volume
- 153
- Issue
- 3
- ISSN
- 1072-4710 (ISSN-L)
- OpenAlex
- W1563918775
- Cited by
- 12
- References
- 0
- Citations by year
- 2022: 1 · 2021: 1 · 2019: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- Funders
- U.S. Public Health Service (MCJ-177022)
- National Institute on Alcohol Abuse and Alcoholism (L30 AA014994)
- National Institute of Mental Health (MH50629)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- Pediatric Symptom Checklist, psychosocial screening, psychosocial dysfunction, children, primary care, screening feasibility, prevalence, sociodemographic disparities, low-income households, single-parent families, gender differences, referral, mental health
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