Child anxiety disorders in public systems of care: comorbidity and service utilization.
Child anxiety disorders in public systems of care: comorbidity and service utilization.
复制标题
公共护理系统中的儿童焦虑症：合并症和服务利用率。
DOI：
10.1007/s11414-008-9139-x
复制
发表时间：
2009-10
影响因子：
1.9
通讯作者：
Hough, Richard L.
中科院分区：
文献类型：
--
作者：
Chavira, Denise A.;Garland, Ann;Yeh, May;McCabe, Kristen;Hough, Richard L.
对于患有焦虑症的儿童使用心理健康服务的情况知之甚少，而对于公共医疗保健部门中的这些儿童的了解就更少了。在这项研究中，从五个公共服务系统中的一个随机抽取了1715名儿童。通过结构化访谈评估精神疾病诊断，并使用标准化措施评估心理健康服务的利用情况。对患有精神疾病的青少年的一个子样本（n = 779）的数据进行了分析。分析显示，患有焦虑症的儿童比患有其他精神疾病的儿童接受了更多的住院服务，然而共病诊断的比例很高。大约26%的焦虑症儿童患有共病抑郁症，62%患有破坏性行为障碍。共病、照顾者的压力以及服务部门与住院和非专科服务的使用有关。研究结果强调需要调整基于证据的干预措施，以满足公共医疗保健部门中往往患有多种疾病的儿童的复杂需求。
Little is known about mental health service use among children with anxiety disorders and even less is known about these children in public sectors of care. In this study, 1715 children were randomly sampled from one of five public service systems. Psychiatric diagnoses were assessed with a structured interview and standardized measures were used to assess mental health service utilization. Data from a subsample (n = 779) of youth with psychiatric disorders were analyzed. Analyses revealed that children with anxiety disorders received more inpatient services than children with other psychiatric disorders however rates of comorbid diagnoses were substantial. Approximately 26% of children with anxiety had a comorbid depressive disorder and 62% had a disruptive behavior disorder. Comorbidity, caregiver strain, and service sector were associated with inpatient and nonspecialty service use. Findings underscore the need for evidence based interventions to be adapted to meet the complex needs of children in public sectors of care who often have multiple disorders.
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影响因子：
7.4
作者：
Chavira, DA;Stein, MB;Stein, MT
通讯作者：
Stein, MT
影响因子：
6.9
作者：
Boden, Joseph M.;Fergusson, David M.;Horwood, L. John
通讯作者：
Horwood, L. John
DOI：
10.1016/j.ambp.2006.04.012
发表时间：
2007-01-01
期刊：
AMBULATORY PEDIATRICS
影响因子：
--
作者：
Hinshaw, Stephen P.
通讯作者：
Hinshaw, Stephen P.
影响因子：
10.3
作者：
Essau, CA;Conradt, J;Petermann, F
通讯作者：
Petermann, F
影响因子：
10.3
作者：
Essau, CA;Conradt, J;Petermann, F
通讯作者：
Petermann, F