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Utility of the Pediatric Symptom Checklist for Behavioral Screening of Disadvantaged Children

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Abstract

Investigated the utility of a parent report measure designed specifically for behavior screening in the pediatric primary care setting for use with disadvantaged children and families. Results indicated that the Pediatric Symptom Checklist was significantly related to scores derived from the Child Behavior Checklist. Receiver Operator Characteristic analysis indicated the need for modification of the cutting score previously established with middle-class children. A model for screening children for psychopathology within the structural-organizational constraints of the pediatric primary care setting is presented.

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References

  1. Haggerty RJ, Roghmann KJ, Pless IB. Child health and the community. New York: Wiley, 1975.

    Google Scholar 

  2. Brazelton TB. Anticipatory guidance. Pediatr Clin North Am. 1975;22:533–544.

    Google Scholar 

  3. Hoekelman RA. What constitutes adequate well-baby care? Pediatrics 1975;55:313–326.

    Google Scholar 

  4. Magrab PR, Calcagno PL. Psychological impact of chronic conditions. In: Magrab P, editor. Psychological management of pediatric problems. Vol. 2. Baltimore: University Park Press, 1978.

    Google Scholar 

  5. Tarnowski KJ. Disadvantaged children and families in pediatric primary care settings: I. broadening the scope of integrated mental health service. J Clin Child Psychol. 1991;20:351–359.

    Google Scholar 

  6. Regier DA, Goldberg ID, Taube CA. The de facto U.S. mental health service system. Arch Gen Psychiatry 1978;35:685–692.

    Google Scholar 

  7. Costello EJ, Burns BJ, Costello AJ et al. Service utilization and psychiatric diagnosis in pediatric primary care: the role of the gatekeeper. Pediatrics 1988;82:435–441.

    Google Scholar 

  8. Velez NC, Johnson J, Cohen P. A longitudinal analysis of selected risk factors for childhood psychopathology. J AM Acad Child Adolesc Psychiatry. 1989;28:836–841.

    Google Scholar 

  9. Costello EJ. Developments in child psychiatric epidemiology. J Am Acad Child Adolesc Psychiatry. 1989;28:836–841.

    Google Scholar 

  10. Institute of Medicine. Research on Children and Adolescents with Mental Behavioral and Developmental Disorders: Mobilizing a National Initiative. Washington, DC: National Academy Press, 1989.

    Google Scholar 

  11. National Institute of Mental Health. National Plan for Research on child and Adolescent Mental Disorders. Rockville, MD: National Institute of Mental Health, 1990.

    Google Scholar 

  12. Horwitz SM, Leaf PJ, Leventhal JM, Forsyth B, Speechley KN. Identification and management of psychisocial and developmental problems in community-based primary care pediatric practices. Pediatrics. 1992;89:480–485.

    Google Scholar 

  13. Belle D. Poverty and women's mental health. Amer Psychologist. 1990;45:385–389.

    Google Scholar 

  14. Neugebauer DD, Dohrenwend BP, Dohrenwend BS. The formulation of hypotheses about the true prevalence of functional psychiatric disorders among adults in the United States. In Dohrenwend BP, Dohrenwend BS, Gould MS, Link B, Neugebauer R, Wunsch-Hitzig, editors. Mental illness in the United States (pp. 45–94). New York: Praeger, 1980.

    Google Scholar 

  15. Pearlin LI, Johnson JS. Marital status, life strains and depression. Amer Sociol Rev. 1977;42:704–715.

    Google Scholar 

  16. Simonian SJ, Tarnowski KJ, Stancin T, Friman PC, Atkins M. Disadvantaged children and families in pediatric primary care settings II: screening for behavior disturbance. J Clin Child Psychol. 1991;20:360–371.

    Google Scholar 

  17. Goldberg ID, Regier DA, McInerny TK, Pless IB, Roghmann KJ. The role of the pediatrician in the delivery of mental health services to children. Pediatrics. 1979; 63:898–909.

    Google Scholar 

  18. Hickson GB, Altemeier WA, O'Connor S. Concerns of mothers seeking care in private pediatric offices: opportunities for expanding services. Pediatrics. 1983;72: 619–624.

    Google Scholar 

  19. Task Force on Pediatric Education. The future of pediatric education. Evanston, IL: American Academy of Pediatrics, 1979.

    Google Scholar 

  20. Chang G, Warner V, Weissman MM. Physicians' recognition of psychiatric disorders in children and adolescents. Amer J Dis Child. 1988;142:736–739.

    Google Scholar 

  21. Costello EJ, Costello AJ, Edelbrock et al. Psychiatric disorders in pediatric primary care: prevalence and risk factors. Arch Gen Psychiatry. 1988;45:1107–1116.

    Google Scholar 

  22. Jellinek M, Little M, Murphy JM, Pagano M. The Pediatric Symptom Checklist; support for a role in a managed care environment. Arch Pediatr Adolesc Med. 1995; 149:740–746.

    Google Scholar 

  23. Jellinek MS, Murphy JM. Screening for psychosocial disorders in pediatric practice. Amer J Dis Child. 1988;109:371–378.

    Google Scholar 

  24. Walker WO, LaGrone RG, Atkinson AW. Psychosocial screening in pediatric practice: identifying high-risk children. J Dev Behav Pediatr. 1989;10:134–138.

    Google Scholar 

  25. Murphy JM, Reede J, Jellinek MS, Bishop SJ. Screening for psychosocial dysfunction in inner-city children: further validation of the Pediatric Symptom Checklist. J Am Acad Child Adolesc Psychiatry. 1992;31:1105–1111.

    Google Scholar 

  26. Murphy JM, Ichinose C, Hicks et al. Utility of the Pediatric Symptom Checklist as a psychosocial screen to meet the federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) standards: a pilot study. J Pediatr. 1996;129:864–869.

    Google Scholar 

  27. Achenbach TM, Edelbrock CS. Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University Associates in Psychiatry, 1983.

    Google Scholar 

  28. Hollingshead A. Four factor index of social status, Yale University, Department of Sociology, New Haven, CT. Unpublished manuscript; 1975.

    Google Scholar 

  29. Wasser T. Statistical correction of the Hollingshead four factor index of social status. Unpublished manuscript, Case Western Reserve University School of Medicine; 1992.

  30. Costello EJ. Primary care pediatrics and child psychopathology: a review of diagnostic, treatment, and referral practices. Pediatrics. 1986;78:1044–1051.

    Google Scholar 

  31. Costello EJ, Edelbrock CS, Costello AJ. Validity of the NIMH Diagnostic Interview Schedule for Children: a comparison between psychiatric and pediatric referrals. J Abnor Child Psychol. 1985;13:579–595.

    Google Scholar 

  32. Achenbach TM. Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry, 1991.

    Google Scholar 

  33. Cleary PD, Bush BT, Kessler LG. Evaluating the use of mental health screening scales in primary care settings using receiver operating characteristic curves. Med Care. 1987; 25:590–598.

    Google Scholar 

  34. Weisz JR, Somsong S, Chaiyasit W, Weiss B, Walter BR, Wanni WA. Thai and American perspectives on over-and undercontrolled child behavior problems: exploring the threshold model among parents, teachers, and psychologists. J Consult Clin Psychol. 1988;56:601–609.

    Google Scholar 

  35. Dohrenwend BD, Shrout PB. Toward the development of a two-stage procedure for case identification and classification in psychiatric epidemiology. Res Com Ment Health. 1981;2:295–323.

    Google Scholar 

  36. McLoyd VC. The impact of economic hardship on black families and children: Psychological distress, parenting, and socioemotional development. Child Devel. 1990; 61:311–346.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, College of Charleston, 66 George Street, Charleston, SC, 29424

    Susan J. Simonian

  2. Florida Gulf Coast University, USA

    Kenneth J. Tarnowski

Authors
  1. Susan J. Simonian
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  2. Kenneth J. Tarnowski
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Simonian, S.J., Tarnowski, K.J. Utility of the Pediatric Symptom Checklist for Behavioral Screening of Disadvantaged Children. Child Psychiatry Hum Dev 31, 269–278 (2001). https://doi.org/10.1023/A:1010213221811

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