Psychopathology and health care use among preschool children: a retrospective analysis.

Abstract:

OBJECTIVE:To examine the relationship between psychopathology and health care utilization beginning in the preschool (ages 2 to 5) years. METHOD:Five hundred ten preschool children were enrolled through 68 primary care physicians. The test battery used for diagnoses included the Child Behavior Checklist, a developmental evaluation, the Rochester Adaptive Behavior Inventory, and a videotaped play session. Consensus DSM-III-R diagnoses were assigned using best-estimate procedures. Frequency of primary care visits was established through 1-year retrospective record review; mothers estimated total visits and emergency department (ED) use. RESULTS:Logistic regression models showed that a DSM-III-R diagnosis was related to increased ED use but not primary care or total visits. Greater functional impairment was associated with fewer primary care visits and more ED visits. Total, internalizing, and externalizing behavior problem scores were associated with increased primary care and total visits; ED visits were associated with increased total and internalizing problems. Child's health status consistently correlated with utilization. CONCLUSION:There is a consistent relationship between health care use and child psychopathology beginning in the preschool years.

authors

Lavigne JV,Binns HJ,Arend R,Rosenbaum D,Christoffel KK,Hayford JR,Gibbons RD

doi

10.1097/00004583-199803000-00010

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

262-70

issue

3

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)63014-8

journal_volume

37

pub_type

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