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Published on: June 12, 2020
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.
Abstract:
The purpose of this study is to estimate the percentage of mental health problems in a pediatric outpatient Norwegian clinic. We used the Strengths and Difficulties Questionnaire to screen for mental health problems. Families of children aged 4-11 took part in the study, and 380 out of 982 possible families consented to take part, and 349 families contributed with questionnaire data. The main referral reasons for the patients were asthma, eneuresis and stomach pain. Mothers reported that 17.4% of boys and 17.8% of girls displayed mental clinical problems. The prevalence of problems did not differ significantly between somatic diagnostic groups. Although the study has low participation, it underlines the necessity of screening all pediatric patients for mental health problems. Future research in pediatric clinics should include factors of psychology because pediatric problems are not caused by somatics alone.
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