Rational service planning in pediatric primary care: continuity and change in psychopathology among children enrolled

J V Lavigne1, R D Gibbons, R Arend

  • 1Children's Memorial Hospital, Chicago, IL, USA. j-lavigne@nwu.edu

Insights

Psychiatric disorders in young children showed shifting prevalence over time, with disruptive disorders decreasing and emotional disorders increasing. These changes were linked to family environment and maternal factors, impacting pediatric primary care services.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Pediatric Mental Health

Background:

  • Understanding the stability and trajectory of psychiatric disorders in early childhood is crucial for timely intervention.
  • Pediatric primary care settings are increasingly recognized as vital points for identifying and managing childhood mental health issues.

Purpose of the Study:

  • To investigate the longitudinal stability and changes in psychiatric disorder prevalence among young children in a nonpsychiatric sample.
  • To identify demographic and environmental correlates associated with specific disorder trajectories.

Main Methods:

  • Longitudinal study following 510 children aged 2-5 years across three waves of data collection over 42-48 months.
  • Utilized a comprehensive assessment battery for best-estimate consensus DSM-III-R diagnoses and dimensional psychopathology assessments.

Main Results:

  • Prevalence of disruptive disorders (DDs) decreased, while emotional disorders (EDs) and comorbid DDs increased over time.
  • DDs were associated with lower family cohesion, maternal negative affect, and stressful life events.
  • EDs were linked to older age, lower family cohesion, and maternal negative affect.

Conclusions:

  • Findings highlight dynamic shifts in childhood psychiatric disorders, necessitating adaptive service planning in pediatric primary care.
  • The study underscores the influence of family environment and maternal factors on disorder development and persistence.
Abstract

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