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Acad Pediatr. 2015 Jul-Aug;15(4):412-20. doi: 10.1016/j.acap.2015.01.007. Epub 2015 Apr 25.

Parent Reports of Mental Health Concerns and Functional Impairment on Routine Screening With the Strengths and Difficulties Questionnaire.

Author information

1
Georgetown University Hospital Departments of Psychiatry and Pediatrics, Georgetown University School of Medicine, Washington, DC. Electronic address: mgb33@georgetown.edu.
2
Georgetown University Center for Child and Human Development, Washington, DC.
3
Georgetown University Hospital Departments of Psychiatry and Pediatrics, Georgetown University School of Medicine, Washington, DC.
4
MedStar Health Research Institute, Hyattsville, Md.
5
Georgetown University Hospital Departments of Psychiatry and Pediatrics, Georgetown University School of Medicine, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
6
Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.

Abstract

OBJECTIVE:

This study used the Strengths and Difficulties Questionnaire (SDQ) to describe the prevalence of parent-reported mental health (MH) concerns in youth presenting for primary care appointments and to examine relationships between children's MH issues and functional impairment. We hypothesized that increased MH symptomology would be associated with increased impairment and family burden.

METHODS:

Parents of 4- to 17-year-old children were approached at routine visits in 13 primary care sites. Chi-square tests, independent sample t tests, and a 1-way analysis of variance (ANOVA) were used to make comparisons between demographic groups. Age-, sex-, and race-adjusted ordered logistic regression models and ANOVAs examined relationships between impact and SDQ scales.

RESULTS:

Boys had higher total Hyperactivity and Peer Problems. Adolescents showed higher Emotional Symptoms, while younger children showed more Hyperactivity. Latinos reported more Conduct Problems, Hyperactivity, and Peer Problems. Latinos also indicated less distress on the child, impairment at home and school, and family burden. Regression analyses indicated increased odds of impairment with higher scale scores. MH symptoms identified with the SDQ in pediatric primary care settings were associated with parent-reported impairment affecting youth and their families.

CONCLUSIONS:

The presence of significant impairment suggests that parents' concerns identified by screening are likely to be clinically important and worthy of practice strategies designed to promote assessment, treatment, and referral for these common problems. Identifying and exploring parents' concerns with strategic use of screening tools may allow primary care providers to directly engage families around the MH issues that affect them most.

KEYWORDS:

impairment; mental health; screening; symptoms; youth

PMID:
25922333
PMCID:
PMC4492834
DOI:
10.1016/j.acap.2015.01.007
[Indexed for MEDLINE]
Free PMC Article

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