Mental health screening in pediatric practice: Factors related to positive screens and the contribution of parental/personal concern
Mental health screening in pediatric practice: Factors related to positive screens and the contribution of parental/personal concern
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DOI：
10.1542/peds.2006-0026
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发表时间：
2006-11-01
期刊：
影响因子：
8
通讯作者：
Link, David
中科院分区：
文献类型：
--
作者：
Hacker, Karen A.;Myagmarjav, Enkhbolor;Link, David
目标.研究的目的是在城市实践中检查与阳性儿童症状自评量表评分相关的因素，并检查父母/个人对情绪和行为问题的关注对心理健康问题识别的相对贡献。在剑桥儿科（剑桥，MA）使用儿科症状自评量表进行年度筛查。一名社会工作者在诊所同地办公，为病人提供治疗干预。1668例年龄在4岁11个月至19岁之间的筛查患者样本用于分析。进行双变量和多变量分析，以确定积极的儿科症状自评量表评分的预测因素，包括人口统计学，社会经济指标，咨询登记，和父母/个人的关注。检查父母/个人关注、咨询和阳性儿童症状自评量表评分，以确定其作为筛查方法的有效性。6%的人有积极的儿科症状检查表得分。有统计学显着的积极得分之间的关系，并在咨询，父母/个人的关注，有公共保险，并生活在一个地区的家庭收入中位数低于50 000美元。父母/个人的关注是40%的积极得分敏感。有或无父母/个人关注的阳性儿童症状自评量表评分确定了3.8%的人群;有或无阳性儿童症状自评量表评分的父母/个人关注确定了4.5%。心理健康筛查可以在儿科实践中有效实施。心理健康专业人员提供额外的支持。筛查工具和父母/个人关注的问题以及目前的咨询相结合，可以提供有关儿童心理健康的关键信息。
OBJECTIVES. The goals were to examine factors related to positive Pediatric Symptom Checklist scores in an urban practice and to examine the relative contribution of parental/personal concern about emotional and behavioral problems to mental health problem identification.METHODS. Annual screening using the Pediatric Symptom Checklist was implemented in Cambridge Pediatrics ( Cambridge, MA). A social worker was colocated in the clinic to provide therapeutic interventions for patients. A sample of 1668 screened patients between 4 years 11 months and 19 years of age was used for analysis. Bivariate and multivariate analyses were conducted to determine factors predictive of positive Pediatric Symptom Checklist scores, including demographics, socioeconomic indicators, enrollment in counseling, and parental/personal concern. Parental/personal concern, counseling, and positive Pediatric Symptom Checklist scores were examined to determine their efficacy as screening methods.RESULTS. Six percent of the population had positive Pediatric Symptom Checklist scores. There were statistically significant relationships between a positive score and being in counseling, parental/personal concern, having public insurance, and living in an area with median household incomes of less than $50 000. Parental/personal concern was 40% sensitive for a positive score. A positive Pediatric Symptom Checklist score with or without parental/personal concern identified 3.8% of the population; parental/personal concern with or without a positive Pediatric Symptom Checklist score identified 4.5%.CONCLUSIONS. Mental health screening can be effectively implemented in a pediatric practice. Colocated mental health professionals provide additional support. The combination of a screening tool and questions about parental/ personal concern and present counseling can provide critical information about a child's mental health.