The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.
Public Knowledge and Assessment of Child Mental Health Problems: Findings From the National Stigma Study-Children
Abstract
Objective Child and adolescent psychiatry confronts help-seeking delays and low treatment use and adherence. Although lack of knowledge has been cited as an underlying reason, we aim to provide data on public recognition of, and beliefs about, problems and sources of help.Method The National Stigma Study-Children is the first nationally representative study of public response to child mental health problems. A face-to-face survey of 1,393 adults (response rate 70.1%, margin of error +/-3.5%) used vignettes consistent with diagnoses of attention-deficit/hyperactivity disorder (ADHD) and depression. Descriptive and multivariate analyses provide estimates of the levels and correlates of recognition, labeling, and treatment recommendations.Results Respondents do differentiate "daily troubles" from mental health problems. For the cases that meet diagnostic criteria, 58.5% correctly identify depression and 41.9% correctly identify ADHD. However, respondents are less likely to see ADHD as serious, as a mental illness, or needing treatment compared with depression. Moreover, a substantial group who correctly identifies each disorder rejects its mental illness label (ADHD 19.1%, depression 12.8%). Although women are more knowledgeable, the influence of other sociodemographic characteristics, particularly race, is complex and inconsistent. More respondents see general practitioners, mental health professionals, and teachers as suitable sources of advice than psychiatrists. Behaviors and perceived severity seem to drive public responses.Conclusions Americans have clear and consistent views of children's mental health problems. Mental health specialists face challenges in gaining family participation. Unless systematically addressed, the public's lack of knowledge, skepticism, and misinformed beliefs signal continuing problems for providers, as well as for caregivers and children seeking treatment.
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“Negative attitudes towards people living with depression, and stigma and discrimination, are associated across several world regions with negative outcomes: low help-seeking, poor treatment adherence and poor treatment outcomes, low quality of life, and risk of suicidal thoughts and behaviour. 339-341”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [341]
In the citing paper
“ADHD in adults remains a disorder which is poorly understood and where an 'emotional burden' is attached to the term especially among professionals who have not traditionally been involved in the diagnosis or treatment of ADHD [42,44,45].”
From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [44]
In the citing paper
“The parents’ generally favorable ratings of the intervention are consistent with parental endorsement of both primary care physician mental health advice and value of self-help approaches.67,76,77”
From Adolescent and parent experiences with a primary care/Internet-based depression prevention intervention (CATCH-IT) (2011) · cites this paper as [77]
Citations
Cites
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831
Link, B. G., & Phelan, J. C. (2001) · Annual Review of Sociology · doi:10.1146/annurev.soc.27.1.363 · Cited by 8,848
Noble, C. (1988) · American Political Science Review · doi:10.2307/1961794 · Cited by 6,176
The Truly Disadvantaged: The Inner City, The Underclass, and Public Policy.
Watson, B. C., & Wilson, W. J. (1988) · The Journal of Negro Education · doi:10.2307/2295455 · Cited by 6,018
Mental Health: A Report of the Surgeon General
United States. Public Health Service. Office of the Surgeon General (1999) · PsycEXTRA Dataset · doi:10.1037/e636982009-001 · Cited by 3,105
Public conceptions of mental illness: labels, causes, dangerousness, and social distance.
Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.9.1328 · Cited by 1,949
Self-citationChildren's Mental Health Service Use Across Service Sectors
Burns, B. J., Costello, E. J., Angold, A. C., Tweed, D. L., Stangl, D. K., Farmer, E. M. Z., & Erkanli, A. (1995) · Health Affairs · doi:10.1377/hlthaff.14.3.147 · Cited by 1,165
Trends in the Prescribing of Psychotropic Medications to Preschoolers
Zito, J. M. (2000) · JAMA · doi:10.1001/jama.283.8.1025 · Cited by 863
General Social Surveys: 1972 - 1994; cumulative codebook
Davis, J. A., & Smith, T. (1994) · Cited by 842
Family experience of barriers to treatment and premature termination from child therapy.
Kazdin, A. E., Holland, L., & Crowley, M. J. P. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.3.453 · Cited by 749
Research works printed but not linked: 2
- Jensen, 2002, Closing the evidence-based treatment gap for children's mental health services: What we know vs. what we do, Emot Behav Disorders Youth, 2, 43
- Hoagwood K, Kelleher K, Feil M, et al. Paper presented at the NIH Consensus Development Conference on the Assessment and Treatment of Attention-Deficit/Hyperactivity Disorder (ADHD). Washington, DC; November 16-18, 1998.
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Items 201–268 of 268
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Bean, K. F. (2012) · ProQuest LLC eBooks · Cited by 2
Socio-cultural Predictors of Parental Help-seeking for Child Psychopathology
Young, A. S. (2012) · DukeSpace (Duke University) · Cited by 2
Li, S., Tully, L. A., & Dadds, M. R. (2020) · Behaviour Change · doi:10.1017/bec.2020.15 · Cited by 1
“In a national survey of Americans, Pescosolido et al. (2008) found that although respondents were able to accurately recognise ADHD — another childhood behavioural disorder, which unlike ODD has been extensively researched — one in five respondents did not label ADHD as a mental health disorder.”
BackgroundMethodReliability and Validity of Personal Stigma Scale Among University Students in Singapore
Tay, J. L. (2022) · East Asian Archives of Psychiatry · doi:10.12809/eaap2219 · Cited by 1
Caraveo-Anduaga, J. J., Martínez-Vélez, N. A., Arroyo, M., & Flores, F. I. G. (2025) · Salud Mental · doi:10.17711/sm.0185-3325.2025.011 · Cited by 1
“…discrimination (discriminatory intent) by posing questions regarding the level of rejection respondents feel toward children with mental illnesses and their likely responses to hypothetical social interaction scenarios ( Davis et al., 2007 ; Pescosolido, 2007 ; Pescosolido et al., 2007 ; 2008).”
Chia, J. M. X., Choo, C., Vijayakumar, S., Fu, C. S. L., Chung, Y. J., & Lee, J. (2025) · Child & Youth Care Forum · doi:10.1007/s10566-025-09897-x · Cited by 1
“…mental health concerns as valid points to the lower mental health literacy among adults (Tully et al., 2019), such as difficulty identifying mental health symptoms (Johnson et al., 2023 ; NUS Yong Loo Lin School of Medicine, 2023) or understanding depression in children (Pescosolido et al., 2008 ).”
Holly, L. E., Buchanan, M., & Bowling, A. R. (2025) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2025.2609998 · Cited by 1
Under-Diagnosis of Attention Deficit Hyperactivity Disorder in One ofNon-western Country-Taiwan
Tzang, R., Chang, Y., Hung, S. T., & Tang, C. (2015) · Tamkang University Institutional Repository (TKUIR) · doi:10.4172/1522-4821.1000142 · Cited by 1
“The under-diagnosis and under-treatment of ADHD could be a marker of under-developed public child mental health care (Pescosolido et al., 2008).”
BackgroundTranslating Lessons from Status Characteristics and Expectation States Theory to Survey Methods
Manago, B. N. (2020) · Frontiers in sociology and social research · doi:10.1007/978-3-030-47256-6_5 · Cited by 1
Entwicklungsstörungen – ein Spiegel der Variabilität
Jenni, O. G. (2024) · Springer eBooks · doi:10.1007/978-3-662-69223-3_1 · Cited by 1
Guzman, V., & Guzmán, C. E. V. (2012) · UNM’s Digital Repository (University of New Mexico) · Cited by 1
Lilly, C. (2013) · Digital Commons - East Tennessee State University (East Tennessee State University) · Cited by 1
Billet, C. R. (2012) · Cited by 1
Advances in Genetics and Neuroscience: A Challenge for Personalizing Child and Youth Health Care?
Syurina, E. V., & FERON, F. J. M. (2017) · International library of ethics, law, and the new medicine/The international library of ethics, law, and the new medicine · doi:10.1007/978-3-319-42834-5_4 · Cited by 1
Pottick, K. J., Tian, X., Kirk, S. A., & Hsieh, D. K. (2017) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-017-9599-5 · Cited by 1
“…findings of traditional survey and ethnographic methods, the use of realistic case vignettes to study mental health problems among children has grown in both national samples (Pottick et al. 2007; Pescosolido et al. 2008) and regional and local ones (Chavez et al. 2010; Mukolo and Heflinger 2011).”
BackgroundStörungen der Entwicklung – mit Unsicherheiten leben
Jenni, O. G. (2021) · Springer eBooks · doi:10.1007/978-3-662-62448-7_7 · Cited by 1
Mojtabai, R., Murray, S., & Eaton, W. W. (2019) · Oxford University Press eBooks · doi:10.1093/oso/9780190916602.003.0017 · Cited by 1
MOTHERS SEEKING MENTAL HEALTH CARE FOR THEIR CHILDREN: A QUALITATIVE ANALYSIS OF PATHWAYS TO CARE
Singer, J. B. (2009) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 1
The Relationship of Attributions and Parental Characteristics with Parental Problem Recognition
Steding, L. H. (2016) · Digital Commons - University of South Florida (University of South Florida) · Cited by 1
Fox, R. J. (2016) · Cited by 1
Kerney, S. (2012) · Digital Commons @ Connecticut College (Connecticut College)
McKenna, R. (2014) · eSource (Dublin Business School)
The Use of Psychiatric Medication, Human Capital, and the Amplification of Mistrust
Christie‐Mizell, C. A., Pirtle, W. N. L., Dagadu, H. E., & Blount, S. A. (2014) · Sociological Spectrum · doi:10.1080/02732173.2014.895639
“Moreover, above and beyond economic capital, education is related to greater knowledge and awareness about mental health treatment (Croghan et al. 2003; Pescosolido et al. 2008).”
BackgroundFordómar og geðræn vandamál: Samanburður á þremur löndum
Ólafsdóttir, S., & Bernburg, J. G. (2010) · DOAJ (DOAJ: Directory of Open Access Journals)
Gastaud, M. B., Basso, F., Soares, J. P. G., Soares, G., & Eizirik, C. L. (2011)
Mothers' Experience of Treatment Services for Attention Deficit Hyperactivity Disorder
Choi, M.-O. (2016) · Korean Journal of Social Welfare · doi:10.20970/kasw.2016.68.2.007
Jensen, P. S., Goldman, E. E., Offord, D., Costello, E. J., Huff, B. P., Crowe, M., Amsel, L., BENNETT, K. J., Conger, R. D., Fisher, P. W., et al. (2011)
Self-citationAttrition from Child/Youth Mental Health Treatment: The Role of Child Symptoms
Urajnik, D. J. (2012) · TSpace (University of Toronto)
Walk a Mile in my Shoes: School Psychologists' ADHD Knowledge and Stigma Perceptions
Flanigan, L. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/28668
Henley, L. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/26708
Sook, C. Y., & Park, W.-H. (2012) · The Journal of Inclusive Education · doi:10.26592/ksie.2012.7.1.73
Jones, U. (2017) · doi:10.23860/diss-jones-uchenna-2017
“Other research suggests that adults have more stigmatizing attitudes toward young children with mental health issues and would prefer to have limited interactions with them (Mukolo & Heflinger, 2011; Pescosolido et al., 2008).”
BackgroundLeon, S. L. (2018) · uO Research (University of Ottawa) · doi:10.20381/ruor-21518
“For the public, mental illness, even in youth, continues to be linked to a potential for violence, especially in regards to school shootings (Pescosolido et al., 2008).”
BackgroundThomson, K. (2018) · cIRcle (University of British Columbia) · doi:10.14288/1.0365815
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BackgroundInfluentialCubeiro, M. T. (2018) · Sociología y Tecnociencia · doi:10.24197/st.2.2018.92-111
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Pirlot, T., & McCaffrey, E. (2018) · Springer eBooks · doi:10.1007/978-3-319-89488-1_17
Children, mental health, and stigma: Promising initiatives
Walters, A. S. (2018) · The Brown University Child and Adolescent Behavior Letter · doi:10.1002/cbl.30330
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Panlilio, C. C. (2019) · Child maltreatment solutions network · doi:10.1007/978-3-030-12811-1_7
Nordberg, O. E. (2019) · NORA - Norwegian Open Research Archives
Mental Health Service Utilization Among African-American Adolescents
Franklin, M. (2014) · Human Biology
Hurley, D. (2019) · Research Online (University of Wollongong)
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Barraclough, C. (2014) · The Mathematics Enthusiast
Bartolo, C. A. D., & Braun, M. K. (2017) · Springer eBooks · doi:10.1007/978-3-319-49547-7_10
Crane, M. E., Atkins, M. S., Becker, S. J., Purtle, J., Olino, T. M., & Kendall, P. C. (2021) · Research Square · doi:10.21203/rs.3.rs-801004/v1
Crane, M. E., Atkins, M. S., Becker, S. J., Purtle, J., Olino, T. M., & Kendall, P. C. (2021) · Research Square · doi:10.21203/rs.3.rs-801004/v2
Perceptions of Teenage Psychological Disorder
Ji, J., & Wong, V. (2022) · Journal of Student Research · doi:10.47611/jsrhs.v11i3.2823
Garisch, J. A. (2010) · doi:10.26686/wgtn.16984585.v1
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BackgroundA saúde mental infantil na escola sob a perspectiva do professor
de Biagi, N. B. (2021) · doi:10.47749/t/unicamp.2021.1165393
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Abu-Samaha, A., McLean, E., Weller, D., Kelley, J., Schmidt, A., & Singer, J. (2024) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228241266278
“There is evidence of low public mental health literacy surrounding children in the U.S. (Pescosolido et al., 2008), which has also highlighted misconceptions regarding both prolonged and resilient grief among laypeople and clinicians (e.g., Jankauskaite et al., 2021; McCoyd et al., 2023; Prigerson…”
InfluentialBelarmino, M. V. B. (2025) · Brazilian Medical Students · doi:10.53843/bms.v9i13.651
Johnson, C. L., Kelly, C. M., Jorm, A. F., GARVEY, W., & Hart, L. (2025) · Health Expectations · doi:10.1111/hex.70126
Pescosolido, B. A. (2025) · Knowledge studies in higher education · doi:10.1007/978-3-031-86496-4_7
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Bernstein, E. R. (2022) · doi:10.64628/aai.sscyg77vx
Jackson, S. T., & Vecchio, T. D. (2025) · Journal of Child and Family Studies · doi:10.1007/s10826-025-03190-0
“In examining differences between disorders, one study found that, when presented with vignettes describing both grade-school and adolescent children, parents rated depression as more severe than ADHD (Pescosolido et al., 2008).”
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Çiçek, A. U., Bozok, B. K., Bozok, S. E., Abanoz, E., Arslan, S. C., Ucuz, İ., & Şireli, Ö. (2025) · International Journal of Developmental Neuroscience · doi:10.1002/jdn.70068
Mental Health Awareness Among Parents in an Urban High School
Taylor, N. M. (2013) · SUNY Digital Repository Support (State University of New York System)
Rural Parents' Mental Health Service Delivery Preferences: Overcoming Barriers to Care
Ellison, J. H. (2011) · Digital Commons - East Tennessee State University (East Tennessee State University)
Edmundson, M. (2014) · UKnowledge (University of Kentucky)
Crane, M. E., Atkins, M. S., Becker, S. J., Purtle, J., Olino, T. M., & Kendall, P. C. (2021) · Figshare · doi:10.6084/m9.figshare.16674632
Yu, Y., Hu, M., Liu, Z.-W., Liu, H.-M., Yang, J. P., Zhou, L., & Xiao, S.-Y. (2020) · Figshare · doi:10.6084/m9.figshare.11982138
Additional file 1 of Assessing and improving public mental health literacy concerning rTMS
Morrison, A. S., Uusberg, A., Ryan, J. A., Goldenberg, A., Etkin, A., & Gross, J. J. (2022) · Figshare · doi:10.6084/m9.figshare.19568615
Diener, T.-S. L., Jackson, M., Lee, M. A., Grové, C., & Nguyen, V. (2026) · Journal of Attention Disorders · doi:10.1177/10870547261468111 · Cited by 1
Metadata
- Authors
- PESCOSOLIDO, B. A., JENSEN, P. S., MARTIN, J. K., PERRY, B. L., OLAFSDOTTIR, S., & FETTES, D.
- Affiliations
- Boston University (US)
- Corresponding author
- PESCOSOLIDO, BERNICE A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 47
- Issue
- 3
- Pages
- 339-349
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2064323433
- Cited by
- 268
- References
- 54
- Citations by year
- 2026: 1 · 2025: 11 · 2024: 6 · 2023: 9 · 2022: 15 · 2021: 22 · 2020: 18 · 2019: 16 · 2018: 17 · 2017: 19 · 2016: 18 · 2015: 8 · 2014: 17 · 2013: 17 · 2012: 24
- FWCI
- 22.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01MH074985, K02-MH-012989)
- Fogarty International Center (R01TW006374)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- child mental health, public knowledge, mental health stigma, help-seeking, attention deficit hyperactivity disorder, childhood depression, mental health service utilization, sources of help, sociodemographic differences
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Child, Depressive Disorder, Female, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Parents, Prejudice, United States, Logistic Models
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