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Psychological deviance in children attending general practice.

M E Garralda, D Bailey

    Psychological Medicine
    |May 1, 1986
    PubMed
    Summary
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    Psychological deviance was identified in 22% of children aged 7-12. These children, often presenting with physical complaints, were more frequently seen in general practices, especially in socially advantaged areas.

    Area of Science:

    • Child and Adolescent Psychology
    • General Practice Medicine
    • Behavioral Pediatrics

    Background:

    • A significant proportion of children attending general practices exhibit psychological deviance.
    • Children with psychological issues often present with physical symptoms, masking underlying behavioral concerns.
    • Over-representation of deviant children in surgical settings, particularly in affluent areas, warrants further investigation.

    Purpose of the Study:

    • To determine the prevalence of psychological deviance in children aged 7-12 years attending general practices.
    • To explore the association between psychological deviance and presentation with physical complaints.
    • To investigate the over-representation of psychologically deviant children among surgical attendees in different socioeconomic areas.

    Main Methods:

    Related Experiment Videos

    • Utilized parental questionnaires to assess psychological deviance in children aged 7-12 years.
    • Analyzed data from 8 general practices, comparing patient groups with general population rates.
    • Examined referral patterns to surgical services, considering socioeconomic factors.

    Main Results:

    • 22% of children aged 7-12 years were identified as psychologically deviant via parental questionnaires.
    • The majority of these children presented with physical complaints rather than behavioral issues.
    • Psychologically deviant children were disproportionately represented among surgical attendees, particularly in socially advantaged regions.

    Conclusions:

    • Children attending general practices show a notable prevalence of psychological deviance, often masked by somatic symptoms.
    • The increased presence of deviant children in surgical settings may be linked to somatic symptoms, heightened parental concern, or family stress.
    • Further research is needed to understand the complex interplay between psychological deviance, physical health, and healthcare utilization in children.