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Cited by 320Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessChild and Adolescent Health

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Mental health in pediatric settings: distribution of disorders and factors related to service use.

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BRIGGS-GOWAN, MARGARET J., HORWITZ, SARAH McCUE, SCHWAB-STONE, MARY E., LEVENTHAL, JOHN M., LEAF, PHILIP J.·2000·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-200007000-00012
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Abstract

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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Crossref · 10.1097/00004583-200007000-00012

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37 of 37 references verified0 citation errors · 0 not checkable

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Research works printed but not linked: 2

  1. Hoagwood K, Horwitz SM, Stiffman AR et al. (in press), Concordance between parent reports of children's mental health services and services records. J Child Fam Serv
  2. Leaf PJ, Horwitz SM, Vaden-Kieran M et al. (1998), Pediatricians' detection of mental health problems in children: is additional training the answer? Paper presented at the 12th International Conference on Mental Health Problems in the General Health Care Sector, Baltimore, July

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Metadata

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)
DOI
10.1097/00004583-200007000-00012
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
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
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › 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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