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Increasing identification of psychosocial problems: 1979-1996.

K J Kelleher1, T K McInerny, W P Gardner

  • 1University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA. kelleherkj@msx.upmc.edu

Pediatrics
|June 2, 2000
PubMed
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Pediatric psychosocial problems identified by clinicians significantly increased from 1979 to 1996, paralleling demographic shifts. This rise in identifying issues like attention and emotional problems reflects broader societal changes.

Area of Science:

  • Pediatric primary care
  • Child and adolescent psychology
  • Public health trends

Background:

  • Clinician identification of psychosocial problems in children has evolved over time.
  • Understanding trends in pediatric mental health is crucial for public health.
  • Previous studies established baseline rates in the late 1970s.

Purpose of the Study:

  • To compare the identification rates of pediatric psychosocial problems between 1979 and 1996.
  • To analyze changes in specific categories of psychosocial issues and associated risk factors.
  • To investigate the impact of demographic shifts on clinical identification of child mental health concerns.

Main Methods:

  • A comparative analysis of two large pediatric cohorts: the 1979 Monroe County Study and the 1996 Child Behavior Study.

Related Experiment Videos

  • Data collected via clinician visit questionnaires from private practice offices of pediatricians and family practitioners.
  • Inclusion of children aged 4–15 years presenting for nonemergent primary care services.

    • Main Results:

    • Clinician-identified psychosocial problems rose from 6.8% in 1979 to 18.7% in 1996 among pediatric visits.
    • Attentional and emotional problems showed the most significant increases in identification.
    • Increased identification correlated with rising rates of single-parent families and Medicaid enrollment.

    Conclusions:

    • There was a substantial increase in the identification of pediatric psychosocial problems in primary care settings between 1979 and 1996.
    • These trends align with observed demographic changes in the pediatric population and the general population.
    • The findings highlight the dynamic nature of child mental health identification in primary care.