Have There Been Changes in Children's Psychiatric Symptoms and Mental Health Service Use? A 10-Year Comparison From Finland

Sourander, André; Santalahti, Päivi; Haavisto, Antti; Piha, Jorma; Ikäheimo, K.; Helenius, Hans

doi:10.1097/01.chi.0000133261.75795.1a

Cited by 65 publications

(53 citation statements)

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“…In the 1999 sample, more children had mothers who had completed upper secondary school (50% vs 32%) than in the 1989 sample, and they also belonged to a higher socioeconomic class (52% vs 42%). 38 In the 1989 sample, 89% of children lived in 2-parent families; in 1999, the proportion was 87%. In our earlier study with the same sample, children's psychiatric symptoms were found to be associated positively with family structure (living in a family other than with 2 biological parents) and mother's lower education and socioeconomic class.…”

Section: Methodsmentioning

confidence: 97%

“…The study was approved by the school authorities and by the ethics committee of Turku University Hospital. The study design and procedure were described in more detail in the study by Sourander et al 38 Each child was asked about headache, abdominal pain, other pain, and nausea or vomiting on the basis of 3 alternatives. Table 1 presents the exact wording of the questions and the alternatives.…”

Section: Methodsmentioning

confidence: 99%

“…In our earlier study with the same sample, children's psychiatric symptoms were found to be associated positively with family structure (living in a family other than with 2 biological parents) and mother's lower education and socioeconomic class. 38 The somatic symptoms were the outcome variables in the analyses. All Differences between the 2 samples and the interaction between samples and genders were tested with cumulative logistic models.…”

Section: Methodsmentioning

confidence: 99%

“…31,33,34 Despite the observed increase in somatic symptoms, no such increase in children's and adolescents' psychiatric symptoms was found in the few studies on the subject. [36][37][38] Studies of adults suggested a temporal increase in the rates of major depression, a decrease in the age of onset, and a narrowing of the differential risks of men and women. 39 We were interested in the changing picture of children's symptoms.…”

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confidence: 99%

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Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

et al. 2005

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ABSTRACT. Objectives. The aims of the study were to determine whether the prevalence of children's somatic symptoms, such as headache, abdominal pain, other pain, and nausea and vomiting, changed from 1989 to 1999 and to study the similarity of parents' and children's reports of the child's symptoms. Furthermore, the aims were to explore possible comorbidity in somatic symptoms and to investigate the associations between somatic and psychiatric symptoms.Methods. Two cross-sectional, representative samples were compared. All children born in 1981 (1989 sample, n ‫؍‬ 985) and 1991 (1999 sample, n ‫؍‬ 962) and living in selected school districts in southwest Finland served as study samples. The response rate for the 1989 sample was 95% and that for the 1999 sample was 86%. Both children and parents were asked about the children's somatic symptoms, whereas parents, children, and teachers were asked about psychiatric symptoms. To study psychiatric symptoms, the Children's Depression Inventory and Rutter's parent and teacher scales were used.Results. The prevalence of frequent headaches and abdominal pain increased somewhat from 1989 to 1999. Parents often failed to recognize their children's psychosomatic problems. Child-reported somatic symptoms were associated with conduct and hyperactivity symptoms, in addition to a previously well-documented association with depression. In associations between somatic symptoms and psychiatric symptoms, there were some differences between the 1989 and 1999 samples.Conclusions. In clinical work, questions about somatic and psychiatric symptoms should also be addressed to children themselves, because parents and teachers do not always recognize children's symptoms. When somatic problems are being evaluated, psychiatric symptoms should be asked about, and vice versa. More research is needed to explore the reasons for the increased prevalence of somatic symptoms and their associations with psychiatric symptoms. Pediatrics 2005; 115:e434-e442. URL: www.pediatrics.org/cgi

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Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

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“…Family structure (1 or two parent) (e.g. Zwaanswijk et al, 2003a) and living situation (homeless, in home or out home placement) (Buckner & Bassuk, 1997;McMillen et al, 2005;Sourander et al, 2004) have also been found to be important factors in MHC use. Since URM often live in residential settings in host countries where they do not receive 24 h supervision or only very limited supervision, the discrepancy between the need for MHC as felt by URM themselves and the need as perceived by significant adults could be even greater.…”

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confidence: 99%

Factors Associated with Mental Health Service Need and Utilization among Unaccompanied Refugee Adolescents

Bean

Eurelings-Bontekoe

Mooijaart

et al. 2006

Adm Policy Ment Health

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This study is the first to address the need for mental health care (MHC) and the patterns of utilization of MHC services among Unaccompanied Refugee Minors (URM). Information concerning the well being, mental health need, and utilization of services of URM was collected from three informants, the minors themselves (n = 920), their legal guardians (n = 557), and their teachers (n = 496). The well-being, need and utilization of MHC services of URM was compared with those of a representative Dutch adolescent sample (n = 1059). The findings of this study indicated that URM that report a mental health care need (57.8%) also report higher levels of emotional distress than Dutch adolescents who report a similar need for MHC (8.2%). In addition, guardians and teachers detect emotional distress and mental health care needs in only a small percentage (30%) of URM. The referral of URM to mental health care services does not appear to be driven by the reported needs of the URM, but by the need and emotional distress as observed and perceived by guardians. This resulted in the fact that 48.7% of the URM total sample reported that their need for mental health care was unmet.

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Risk of Psychiatric and Neurodevelopmental Disorders Among Siblings of Probands With Autism Spectrum Disorders

et al. 2016

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Have There Been Changes in Children's Psychiatric Symptoms and Mental Health Service Use? A 10-Year Comparison From Finland

Cited by 65 publications

References 28 publications

Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

Have There Been Changes in Children's Psychosomatic Symptoms? A 10-Year Comparison From Finland

Factors Associated with Mental Health Service Need and Utilization among Unaccompanied Refugee Adolescents

Risk of Psychiatric and Neurodevelopmental Disorders Among Siblings of Probands With Autism Spectrum Disorders

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