Detection of child mental health disorders by general practitioners.
BACKGROUND: Few children with mental disorders access specialist services. Although previous studies suggest that general practitioner (GP) recognition is limited, parents may not be presenting these problems. AIM: To compare GP recognition of disorders with child mental health data and to examine f...
| Published in: | British Journal of General Practice Vol. 54; no. 502; pp. 348 - 353 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Royal College of General Practitioners
2004 May
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106682171&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106682171 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09601643 1E2N jtl: British Journal of General Practice issn: 09601643 maglogo: N pubinfo: dt: 2004 May vid: 54 iid: 502 pid: 11854 pub: Royal College of General Practitioners artinfo: ui: 106682171 106682171 2004138994 NLM15113517 106682171 ppf: 348 ppct: 5 formats: tig: atl: Detection of child mental health disorders by general practitioners. aug: au: Sayal K Taylor E affil: Lecturer, Department of Child Psychiatry, Box PO85, Institute of Psychiatry, Denmark Hill, London SE5 8AF; k.sayal@iop.kcl.ac.uk sug: subj: Mental Disorders Diagnosis Parental Attitudes Physicians, Family England Child Child, Preschool Data Analysis Software England Female Fisher's Exact Test Funding Source Logistic Regression Male Mental Disorders Education Odds Ratio Parents Education Primary Health Care Psychological Tests Questionnaires Sensitivity and Specificity Human Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: BACKGROUND: Few children with mental disorders access specialist services. Although previous studies suggest that general practitioner (GP) recognition is limited, parents may not be presenting these problems. AIM: To compare GP recognition of disorders with child mental health data and to examine factors affecting recognition, in particular whether recognition is enhanced if the parent expresses concern during the consultation. Design of study: A two-phase design involving an initial community survey of children between the ages of 5 and 11 years. In the second phase, primary care attenders who were regarded by their GP as having a mental health disorder were compared with those who were not. SETTING: Five general practices in Croydon, outer London. METHOD: For 186 children attending primary care, GP recognition of disorders was compared with the results of a child mental health questionnaire completed by parents. Accuracy and predictors of GP recognition were examined. RESULTS: Seventy-four per cent of children meeting criteria for caseness were not recognised by GPs as having a mental health disorder. The expression of parental concern in the consultation about a mental health problem increased the sensitivity of recognition from 26% to 88%. Expression of concern also increased GP recognition of non-cases; this reflected GP identification of other mental health and learning problems. Only a third of parents who had concerns expressed these during the consultation. CONCLUSIONS: GPs are responsive to concern and take parental views into account. As well as detecting disorders, GPs are also sensitive to other psychosocial and educational problems that may present in primary care. There is a need for parental education about child mental health disorders. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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