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Titolo:
Identification and management of psychosocial problems by preventive childhealth care
Autore:
Brugman, E; Reijneveld, SA; Verhulst, FC; Verloove-Vanhorick, SP;
Indirizzi:
TNO, NL-2301 CE Leiden, Netherlands TNO Leiden Netherlands NL-2301 CETNO, NL-2301 CE Leiden, Netherlands Erasmus Univ, Acad Hosp Rotterdam Sophia, Dept Child & Adolescent Psychiat, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands ent Psychiat, Rotterdam, Netherlands
Titolo Testata:
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
fascicolo: 4, volume: 155, anno: 2001,
pagine: 462 - 469
SICI:
1072-4710(200104)155:4<462:IAMOPP>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PEDIATRIC PRIMARY-CARE; MENTAL-HEALTH; BEHAVIOR PROBLEMS; FOLLOW-UP; SCHOOL-CHILDREN; YOUNG ADULTHOOD; PSYCHOPATHOLOGY; NETHERLANDS; COMMUNITY; ADOLESCENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Reijneveld, SA TNO, POB 2215, NL-2301 CE Leiden, Netherlands TNO POB 2215 Leiden Netherlands NL-2301 CE en, Netherlands
Citazione:
E. Brugman et al., "Identification and management of psychosocial problems by preventive childhealth care", ARCH PED AD, 155(4), 2001, pp. 462-469

Abstract

Objectives: To assess the degree to which physicians and nurses working inpreventive child health care (child health professionals [CHPs]) identify and manage psychosocial problems in children, and to determine its association with parent-reported behavioral and emotional problems, sociodemographic factors, and general and mental health history of children. Design: The CHPs examined the child and interview ed parents and child during their routine health assessments. The parents completed the Child Behavior Checklist. Setting: Nineteen child health care services across the Netherlands, serving nearly all school-aged children routinely. Subjects: Of 4970 children aged 5 through 15 years, eligible for a routinehealth assessment, 4480 (90.1%) participated. Main Outcome Measures: Identification and management of psychosocial problems by CHPs. Results: In 25% of all children, CHPs identified 1 or more psychosocial problems. One in 5 identified children were referred for further diagnosis and treatment. Identification of psychosocial problems and subsequent referral were 6 times more likely in children with serious parent-reported problembehavior according to the Child Behavior Checklist total problem score (89;1 of total sample). However, CHPs identified no psychosocial problems in 43% of these children and therefore undertook no action. Other child factorsassociated with CHPs' identification and referral were past treatment for psychosocial problems, life events, and academic problems. After adjustmentfor these, sociodemographic characteristics did not predict referral. Conclusions: The CHPs identify psychosocial problems in school-aged children frequently and undertake actions for most of them. Screening for psychosocial problems may be a promising option to reduce these problems, but accurate identification should be enhanced.

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Documento generato il 12/07/20 alle ore 01:25:36