Mental health of outpatient pediatric patients

John A Rønning1,2, Hans Petter Fundingsrud3, Arild Leknessund3

  • 1Pediatric Research Group, The Arctic University of Norway - UiT, Tromsø, Norway. john.ronning@uit.no.

Insights

This study screened pediatric patients for mental health issues using the Strengths and Difficulties Questionnaire. Results indicate approximately 17.4-17.8% of children exhibit mental health problems, regardless of somatic diagnosis.

Area of Science:

  • Pediatric Psychology
  • Child Mental Health
  • Clinical Epidemiology

Background:

  • Pediatric outpatient clinics often manage children with somatic complaints.
  • Mental health issues frequently co-occur with physical health problems in children.
  • Screening for psychological distress is crucial in pediatric care.

Purpose of the Study:

  • To estimate the prevalence of mental health problems in children attending a Norwegian pediatric outpatient clinic.
  • To assess if mental health problem prevalence differs based on somatic diagnoses.
  • To highlight the need for integrated mental health screening in pediatric settings.

Main Methods:

  • Utilized the Strengths and Difficulties Questionnaire for mental health screening.
  • Included families of children aged 4-11 years.
  • Collected data from 349 out of 982 families (35.5% participation rate).

Main Results:

  • Mothers reported mental health problems in 17.4% of boys and 17.8% of girls.
  • No significant difference in problem prevalence was found between different somatic diagnostic groups.
  • Common referral reasons included asthma, enuresis, and stomach pain.

Conclusions:

  • Despite low participation, the study underscores the importance of routine mental health screening for all pediatric patients.
  • Pediatric health issues are multifactorial, involving psychological as well as somatic components.
  • Future research should incorporate psychological factors in pediatric clinic evaluations.

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