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.
Open accessAbstract
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.26”
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(2009) · Cited by 2,013
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“…flexibility of appointment system) have been shown to influence the likelihood of a family having contact with services [25, 26]; and a parent sharing concerns about a child’s mental health with a primary care practitioner has also been shown to improve access to mental health services [27, 28].”
Test-retest reliability of the Preschool Age Psychiatric Assessment (PAPA)
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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)
- 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
- 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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