Psychosocial Morbidity

Bernal, Pilar; Estroff, Debra Bendell; Aboudarham, Jean; Murphy, Michael; Keller, A. J.; Jellinek, Michael S.

doi:10.1001/archpedi.154.3.261

Cited by 67 publications

(14 citation statements)

References 36 publications

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“…The health economic implications due to the demands on the paediatric primary care for both physical complaints and simultaneous psychosocial strain are extremely high: (Bernal et al, 2000;Briggs-Gowan, Horwitz, Schwab-Stone, Leventhal, & Leaf, 2000;Noeker, 2008). The public health sector is put under strain on the one hand by frequent doctors' visits and subsequent diagnostic investigations (Reid, Wessely, Crayford, & Hotopf, 2002), on the other hand by the impending chronification of the clinical picture as a result of deficient child and youth psychiatric diagnostics and treatment (Benjamin & Eminson, 1992).…”

Section: Discussionmentioning

confidence: 99%

Screening for Somatoform Disorders in Children and Adolescents

Winter¹,

Quinn²,

Lenz³

et al. 2014

PSYCH

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Until now, no German diagnostic instrument existed for somatoform disorders in children and adolescents. Therefore the Screening for Somatoform Disorders in Children and Adolescents (SOMS-CA) was developed based on the SOMS-2 (Screening for Somatoform Disorders 2) (Rief & Hiller, 2008). This study investigates to what extent the SOMS-CA can differentiate significantly between children and adolescents with clinically diagnosed somatoform disorders and a control group and whether the SOMS-CA is superior to the GSCL-C (Giessen Subjective Complaint List for Children) (Braehler, 1992). 30 patients (11 -17 years) with somatoform disorders and a control group (n = 31) were examined with the SOMS-CA (N = 61). The results from the SOMS-CA in both groups were compared with one another by means of a contingency analysis (chi-square test). The sensitivity and specificity were calculated and an optimal cut-off value was determined (Receiver Operating Characteristic curve (ROC-curve) analysis). A comparison analysis of the ROC-curves of the SOMS-CA and the GSCL-C followed. The sum score of complaints in the patients was significantly higher than that in the control group. The ROC-curve for the SOMS-CA demonstrates its excellent ability to differentiate between the two groups with an AUC (area under the curve) = 0.983 (SE = 0.14; N = 61). The sensitivity was 97.6%, the specificity 96.8%. In comparison to the AUC of the GSCL-C the SOMS-CA shows a much higher result. The SOMS-CA successfully identifies patients with somatoform disorders from a paediatric population and differentiates from healthy test subjects. A comparison to the GSCL-C shows a considerable superiority of the SOMS-CA. Further studies on the validity of the SOMS-CA are necessary.

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Section: Discussionmentioning

confidence: 99%

Screening for Somatoform Disorders in Children and Adolescents

Winter¹,

Quinn²,

Lenz³

et al. 2014

PSYCH

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“…Furthermore, adolescent peer status is associated with the use of health-care [12, 18, 19]. Adolescents with no close friends had more hospitalizations in adulthood than adolescents who had at least one friend [12].…”

Section: Introductionmentioning

confidence: 99%

That’s What Friends Are For: Adolescent Peer Social Status, Health-Related Quality of Life and Healthcare Costs

Mundt

Zakletskaia

2014

Appl Health Econ Health Policy

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Background Social connections at all stages of life are essential for physical and mental well-being. Of particular importance are social relationships during adolescence that shape adult health behaviors and health outcomes. Objective The aim of the study was to estimate the association between adolescent peer status in school and later life quality-adjusted life years (QALYs) and health-care costs. Methods This study used social network and health outcomes data from Wave I (ages 12-18 years) and Wave III (ages 18-24 years) of the US National Longitudinal Study of Adolescent Health (n = 10 578) to compare QALYs and health-care costs (in 2012 US$) by adolescent peer status in US schools. Generalized linear models controlled for school fixed effects, individual and family characteristics, and US census block neighborhood effects. Non-parametric bootstrapping accounted for residual skewness in QALYs and health-care costs. Net monetary benefit was calculated by converting adjusted 5-year QALYs into US$ values and subtracting 5-year health-care costs. Net monetary benefit was then compared across quintiles of adolescent peer status in school at Wave I. Results Results obtained from non-parametric bootstrapping indicate that adolescents with higher peer status in school experience significantly better health and lower health-care costs over the next 5 years. At US$50 000 per QALY, adolescents with 8 or more friends achieved net monetary benefit of US$214 300 (95% CI 212 800, 215 800) over a 5-year span, in comparison to adolescents with 0-1 friends, who attained US$209 900 (95% CI 207 900, 211 700) net monetary benefit. This difference translates into roughly US$4440 (95% CI 2036, 6825) per socially disengaged adolescent in additional health costs and/or reduced QALYs over 5 years. Conclusion The study calls for randomized controlled trials targeting adolescent peer group structures in schools as a means to promote better health and lower health-care costs in adulthood.

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“…[4] Increasing concerns regarding the rising costs of health care have prompted researchers to identify modifiable psychosocial factors associated with health care utilization. [5–8] The premise behind such efforts is that certain patterns of health care utilization are influenced by psychosocial factors in addition to aspects of the medical condition. While health status functions as an important determinant of child health care use, it only accounts for a portion of the variance in use of medical services.…”

Section: Introductionmentioning

confidence: 99%

Parental information, motivation, and adherence behaviors among children with sickle cell disease

Raphael

Butler

Rattler

et al. 2013

Pediatric Blood & Cancer

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Background Identification of psychosocial correlates of health care utilization has become an important strategy in improving clinical care. The objective of the study was to examine the fit of the Information-Motivation-Behavioral Skills (IMB) model, applied to health care utilization among children with sickle cell disease (SCD). Procedure Participants were parents of 150 children, ages 1 to 17 years, receiving care in a sickle cell center. Parents completed questionnaires assessing information, motivation, adherence behaviors, and other factors with respect to SCD management. Data regarding health care utilization in the previous 12 months were obtained from parent report and electronic medical records. Stepwise multiple regression analysis was conducted to determine associations between IMB factors and health care use. Results Parents rated highly in the domains of information, motivation, and adherence behaviors for managing their child’s SCD. Children of parents reporting higher satisfaction with social supports had higher odds (OR 1.49, 95% CI 1.03–2.15) of 2 or more routine hematology visits in the previous 12 months. Neither information nor adherence behavior was associated with urgent or routine care use. Among other variables measured, high parental illness-related stress and child health status reported as fair/poor were the strongest predictors of urgent care use while private insurance type was the strongest predictor of routine care use. Conclusions Among IMB factors, social support was associated with routine health care utilization. Social support and parental illness-related stress may serve as important, modifiable targets in interventions to allocate needed resources to families and reduce unnecessary medical care.

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Psychosocial Morbidity

Cited by 67 publications

References 36 publications

Screening for Somatoform Disorders in Children and Adolescents

Screening for Somatoform Disorders in Children and Adolescents

That’s What Friends Are For: Adolescent Peer Social Status, Health-Related Quality of Life and Healthcare Costs

Parental information, motivation, and adherence behaviors among children with sickle cell disease

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