Capturing adolescents in need of psychiatric care with psychopathological symptoms: A population-based cohort study
| Autor: | Suzan Fund, Abraham Reichenberg, Stephen Z. Levine, Judy Goldenberg, Anat Rotstein |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Psychopathology clinical prediction business.industry Mental Disorders the Brief Symptom Inventory Classification Cohort Studies Psychotherapy Psychiatry and Mental health Population based cohort medicine Humans detection and prevention Self Report mental disorders in adolescence referral to a mental health professional Psychiatry business Research Article |
| Zdroj: | European Psychiatry |
| ISSN: | 1778-3585 0924-9338 |
| DOI: | 10.1192/j.eurpsy.2021.2251 |
| Popis: | Background The current study aims to overcome past methodological limitations and capture adolescents in need of psychiatric care with psychopathological symptoms in a cohort with unrestricted access to mental health professionals. Methods The study source population consisted of a random sample of adolescents aged 16-17 years (N=1,369) assessed by the Israeli Draft Board. An adapted version of the Brief Symptom Inventory was used to identify clinically relevant psychopathological symptoms with scores categorized as severe if they were in the top 10th percentile of symptoms, otherwise not severe. An independent interview with a subsequent referral to a mental health professional was used to categorize adolescents in need of psychiatric care. To examine the association between severe psychopathological symptoms and the need for psychiatric care, logistic regression models were fitted unadjusted and adjusted for age, sex, and intellectual assessment scores. Adjusted classification measures were estimated to examine the utility of severe psychopathological symptoms for clinical prediction of need for psychiatric care. Results Information on 1,283 adolescents was available in the final analytic sample. Logistic regression modeling showed a statistically significant (p Conclusions Severe psychopathological symptoms, although accounting for a fair proportion of treatment seeking, would perhaps be better useful for classification purposes alongside other variables rather than in isolation. |
| Databáze: | OpenAIRE |
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