How Do Primary Care Clinicians Manage Childhood Mood and Anxiety Syndromes?

Abstract

Active management of childhood mood and anxiety syndromes in primary care was uncommon in the United States, Puerto Rico, and Canada in the mid-1990s.

Annual Research Review: Functional somatic symptoms and associated anxiety and depression – developmental psychopathology in pediatric practice

“…Unfortunately, the promise of the primary care setting in the recognition and management of pediatric psychopathology is yet to be fully realized, particularly for children and adolescents suffering from emotional disorders (Wren, Scholle, Heo, & Comer, 2003, 2005). Long‐standing cultural beliefs and expectations regarding the nature of psychopathology and its relevance to traditional medicine have likely interfered with the implementation of truly integrated care.…”

Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice

“…A study in the United States showed that even when mood or anxiety disorders were identified in primary care, young patients were not particularly likely to receive counselling in this setting, but instead tended to be referred to specialised services (Wren et al, 2005). A study in the United States showed that even when mood or anxiety disorders were identified in primary care, young patients were not particularly likely to receive counselling in this setting, but instead tended to be referred to specialised services (Wren et al, 2005).…”

What determines the management of anxiety disorders and its improvement?

“…Of the 15 included studies, seven were conducted in the United States [16,17,21,24,26,29,30], three in the Netherlands [20,27,28], two in France [18,19], and one each in the UK [25], Croatia [22] and Australia [23]. Most studies had a cross‐sectional design [16–28], only two studies had a longitudinal design [29,30]. Four studies [20,23,27,28] used a qualitative method for the measurement of determinants of anxiety care and its improvement.…”