Mental Health Diagnoses among Children and Adolescents with Chronic Medical Conditions in a Large Urban Cohort.

Journal of behavioral health Pub Date : 2020-01-01 Epub Date: 2020-10-30
Anne Elizabeth Glassgow, Jocelyn Wilder, Rachel Caskey, Garret Munoz, Benjamin Van Voorhees, Sage Kim
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Abstract

We analyzed data for 6,458 children with chronic conditions. The most prevalent diagnoses were mood disorders (8.6%), attention deficit hyperactivity disorder (ADHD; 7.4%), conduct disorders (6.1%), and anxiety disorders (4.8%). Adjusted odds of having a mental health diagnosis increased with age for mood disorders and anxiety disorders and decreased with age for ADHD and conduct disorders. When compared with females, males had lower odds of being diagnosed with mood and anxiety disorders and higher odds of being diagnosed with ADHD and conduct disorders. Blacks had lower odds of being diagnosed with anxiety, mood disorders, and ADHD than children in the other racial category. Hispanics had lower odds of being diagnosed with ADHD than children in the other racial category. Racial/ethnic minorities were less likely to have a mental health diagnosis than children in the other race/ethnicity category, which suggests under identification of mental health needs particularly in minority children.

Abstract Image

一个大型城市队列中患有慢性病的儿童和青少年的心理健康诊断。
我们分析了 6458 名患有慢性疾病的儿童的数据。最常见的诊断为情绪障碍(8.6%)、注意力缺陷多动障碍(ADHD;7.4%)、行为障碍(6.1%)和焦虑症(4.8%)。情绪障碍和焦虑症的调整后心理健康诊断几率随着年龄的增长而增加,而注意力缺陷多动障碍和行为障碍的调整后几率则随着年龄的增长而降低。与女性相比,男性被诊断患有情绪障碍和焦虑症的几率较低,而被诊断患有多动症和行为障碍的几率较高。与其他种族儿童相比,黑人被诊断患有焦虑症、情绪障碍和多动症的几率较低。西班牙裔儿童被诊断出患有多动症的几率低于其他种族的儿童。与其他种族/族裔儿童相比,少数种族/族裔儿童被诊断出心理健康问题的几率较低,这表明对心理健康需求的识别不足,尤其是少数族裔儿童。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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