Mental health in pediatric settings: distribution of disorders and factors related to service use.
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OBJECTIVES: To examine child psychiatric disorders in pediatric settings and identify factors associated with parents' use of pediatricians as resources concerning emotional/behavioral issues and use of mental health services. METHOD: The sample consists of 5- to 9-year-olds (mean = 7.17 years, SD = 1.41) from a representative sample (N = 1,060) of pediatric practices. Parent interviews included assessments of psychiatric disorders with the Diagnostic Interview Schedule for Children (DISC-R), parental depression/anxiety, possible child abuse, stress, support, and the use of mental health services. RESULTS: The prevalence of any DISC disorder was 16.8%. Parental depression/anxiety and possible child abuse were associated independently with 2- to 3-times higher rates of disorder. Many parents (55%) who reported any disorder did not report discussing behavioral/emotional concerns with their pediatrician. Factors associated with discussing behavioral/emotional issues were the presence of any disorder and financial stress. Factors related to seeing a mental health professional were discussing behavioral/emotional issues with the pediatrician, single parenthood, and stressful life events. CONCLUSIONS: The prevalence rates of disorders in this setting suggest that pediatricians are well-placed to identify and refer children with psychiatric disorders. However, most parents do not discuss behavioral/emotional issues with their pediatrician. Methods for improving rates of identification and referral (e.g., routine screening) are considered.
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Identification of psychological disorders and referral to adequate treatment options are important factors for therapy uptake.
“Identification of psychological disorders and referral to adequate treatment options are important factors for therapy uptake.26”
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- Authors
- BRIGGS-GOWAN, M. J., HORWITZ, S. M., SCHWAB-STONE, M. E., LEVENTHAL, J. M., & LEAF, P. J.
- Affiliations
- Johns Hopkins University (US)
- ORCID
- HORWITZ, SARAH McCUE
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2000-07
- Volume
- 39
- Issue
- 7
- Pages
- 841-849
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2065679273
- Cited by
- 320
- References
- 37
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 9 · 2019: 11 · 2018: 15 · 2017: 10 · 2016: 18 · 2015: 17 · 2014: 16 · 2013: 24 · 2012: 10
- FWCI
- 10.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- NIMH (R01 MH41638, 5T32 MH15783)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Keywords
- child psychopathology, child mental health services, mental health service utilization, child abuse, parental stress, parent-child communication, pediatrician referral, emotional and behavioral problems, single parenthood, life events, financial stress, routine screening
- MeSH terms
- Mental Disorders, Child, Child Health Services, Child, Preschool, Community Mental Health Services, Connecticut, Follow-Up Studies, Humans, Interview, Psychological, Mental Health, Parents, Pediatrics, Psychiatric Status Rating Scales, Referral and Consultation, Risk Factors, Sampling Studies, Socioeconomic Factors, Prevalence, Logistic Models
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