Open AccessJournal Article
Psychosocial and psychosomatic diagnoses in primary care of children.
Barbara Starfield,Gross E,Wood M,Robert H. Pantell,Allen C,Gordon Ib,Moffatt P,Drachman R,Harvey P. Katz +8 more
TLDR
In this paper, the authors found that at least 5% and as many as 15% of children seen in one year were diagnosed as having behavioral, educational, or social problems in all but the hospital teaching facilities.Abstract:
In this study in seven primary care facilities the proportion of children recognized as having behavioral, educational, or social problems was much higher than generally assumed. Although there was great variability among the facilities, at least 5% and as many as 15% of children seen in one year were diagnosed as having these problems in all but the hospital teaching facilities. The prevalence was even higher among children from poor families. The variability among facilities was much less for psychosomatic problems, which were diagnosed in 8% to 10 % of the children. For both psychosocial and psychosomatic types of problems, but especially for psychosocial ones, the proportion of visits with the diagnoses was much lower than the proportion of children with them, so that these problems engendered fewer visits for their management than might have been expected from their frequency in the population. However, available evidence suggests that individuals with unresolved psychosocial problems make more than their share of visits for other diagnoses. The findings of this study have implications for the content of educational programs for primary care practitioners, for the organization of primary care practice, and for the current debate over policy concerning reimbursement and benefit packages.read more
Citations
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Journal ArticleDOI
Recurrent Abdominal Pain, Anxiety, and Depression in Primary Care
John V. Campo,Jeff Bridge,Mary Ehmann,Sarah Altman,Amanda Lucas,Boris Birmaher,Carlo Di Lorenzo,Satish Iyengar,David A. Brent +8 more
TL;DR: Whether RAP is associated with psychiatric symptoms and disorders, anxious temperament, and functional impairment in pediatric primary care is determined and treatments that are proved to be efficacious for pediatric anxiety and/or depressive disorders as potential interventions are examined.
Journal ArticleDOI
Somatization symptoms in a community sample of children and adolescents: Further validation of the Children's Somatization Inventory.
TL;DR: In this article, the validity of the Children's Somatization Inventory (CSI) and normative information about the intensity, frequency, and types of complaints reported by 540 children and adolescents in a community sample was examined.
Journal ArticleDOI
Somatic Complaints and Psychopathology in Children and Adolescents: Stomach Aches, Musculoskeletal Pains, and Headaches
TL;DR: There were gender-, illness- and complaint-specific associations between somatic complaints and psychopathology, and it appears likely that there are differences in the psychobiological processes underlying these associations in boys and girls.
Journal ArticleDOI
Brief psychosocial screening in outpatient pediatric practice.
TL;DR: Two preliminary validation studies are reported that indicate that PSC correlates well with the Childhood Behavior Checklist, a longer, well-validated questionnaire, and most children referred for psychiatric evaluation score above the PSC cutoff score.
Journal ArticleDOI
Somatization in children and adolescents.
John V. Campo,Sandra L. Fritsch +1 more
TL;DR: Recurrent, medically unexplained physical symptoms are common in the pediatric age group, are often associated with other psychiatric symptoms, and may represent a common presentation of psychiatric disorder in the primary care setting.
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