Title
Psychosociale problemen bij peuters: Onderkenning en ingesteld beleid door artsen en verpleegkundigen in de jeugdgezondheidszorg [Psychosocial problems in pre-school children: Recognition and strategy applied by doctors and nurses in child health care]
Author
Reijneveld, S.A.
Brugman, E.
Verhulst, F.C.
Verloove-Vanhorick, S.P.
Publication year
2005
Abstract
Objective. To assess the degree to which preventive child health professionals (CHPs) identify and manage psychosocial problems among pre-school children in the general population, and to determine its association with parent-reported behavioral and emotional problems, sociodemographic factors and (mental) health history of children. Design. Descriptive. Method. In sixteen Child Healthcare Services across the Netherlands, providing well-baby clinics to nearly all pre-school children on a regular basis, CHPs examined the child and interviewed parents and child during their routine health assessments. The 'Child Behavior Checklist' (CBCL) was completed by the parents. Out of 2,354 children aged 1.75 to 4 years, eligible for a routine health assessment, 2,229 (95%) participated. Results. CHPs identified psychosocial problems in 9% of all children. Forty-one per cent of these children were referred for further diagnosis and treatment. Identification of psychosocial problems and subsequent referral were much more likely in children with an increased CBCL total problems score than in others: identification: 29% versus 7%; odds ratio: 5.40 (95% CI: 3.45-8.47); referral: 15% versus 3%; odds ratio: 6.50 (95% CI: 3.69-11.46). Conclusion. CHPs frequently identified psychosocial problems in pre-school children, but they missed many cases of parent-reported problems as measured by a clinical CBCL score. Improvement of the early identification of psychosocial problems appears to be feasible by strengthening the role of well-baby clinics in the care of children with psychosocial problems.
Subject
Health
Behavior
Child care
Demography
Diagnostic value
Early diagnosis
Emotional stress
Health service
Human
Interview
Major clinical study
Netherlands
Preschool child
Problem solving
Psychosocial disorder
Risk factor
Scoring system
Self report
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TNO identifier
238306
ISSN
0028-2162
Source
Nederlands Tijdschrift voor Geneeskunde, 149 (3), 133-138
Document type
article