Beyond ADHD: How Well Are We Doing?
Beyond ADHD: How Well Are We Doing?
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DOI：
10.1016/j.acap.2015.08.012
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发表时间：
2016-03-01
影响因子：
3.1
通讯作者：
Horwitz, Sarah McCue
中科院分区：
文献类型：
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作者：
Stein, Ruth E. K.;Storfer-Isser, Amy;Horwitz, Sarah McCue
背景和目的：人们越来越重视儿科医生在行为、学习和心理健康（MH）问题方面的作用，现在儿科住院医师项目需要发展行为轮换。我们试图检验这种对 MH 的新重视是否反映在儿科医生当前实践的报告中。 方法：对美国儿科学会 2004 年和 2013 年进行的两次定期调查的数据进行了检验，以了解自我报告的通常询问/筛查、治疗/管理/共管理或转诊注意力缺陷/多动障碍患者的行为是否存在差异。 （多动症）、焦虑、抑郁、行为问题或学习问题。我们检查了所有执业会员和专门从事普通儿科执业的会员的模式。结果：十年来，所有临床医生中询问或筛查的百分比几乎没有变化；在专门从事普通儿科工作的人中，询问或筛查 ADHD 和抑郁症的比例增加了约 10%。 ADHD 仍然是大多数受访者治疗/管理/共同管理的唯一疾病（57%）。虽然治疗其他疾病的比例有所增加，但其他疾病通常是通过
BACKGROUND AND OBJECTIVE: There has been increasing emphasis on the role of the pediatrician with respect to behavioral, learning, and mental health (MH) issues, and developmental behavioral rotations are now required in pediatric residency programs. We sought to examine whether this newer emphasis on MH is reflected in pediatricians' reports of their current practices.METHODS: Data from 2 periodic surveys conducted in 2004 and 2013 by the American Academy of Pediatrics were examined to see whether there were differences in self reported behaviors of usually inquiring/screening, treating/managing/comanaging, or referring patients for attention-deficit/hyperactivity disorder (ADHD), anxiety, depression, behavioral problems, or learning problems. We examined patterns for all practicing members and for those who practiced general pediatrics exclusively.RESULTS: There were few changes over the decade in the percentage who inquired or screened among all clinicians; among those exclusively practicing general pediatrics, the percentage who inquired or screened increased about 10% for ADHD and depression. ADHD remained the only condition for which the majority of respondents treated/managed/comanaged (57%). While there was some increase in the percentages who treated other conditions, the other conditions were usually treated by