Physician-reported practice of managing childhood posttraumatic stress in pediatric primary care
| Autor: | Glenn N. Saxe, My K. Banh, Thomas W. Mangione, Nicholas J. Horton |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Inservice Training Attitude of Health Personnel Culture Pediatrics Stress Disorders Post-Traumatic Surveys and Questionnaires medicine Humans Mass Screening Cooperative Behavior Psychiatry Child Referral and Consultation Descriptive statistics Primary Health Care business.industry Public health Social environment Middle Aged medicine.disease Focus group Mental health Health Surveys Psychiatry and Mental health Posttraumatic stress Massachusetts Female business Anxiety disorder |
| Zdroj: | General hospital psychiatry. 30(6) |
| ISSN: | 0163-8343 |
| Popis: | Objective: This study investigated pediatrician-reported practices in identifying, assessing, and treating traumatic exposure and posttraumatic stress disorder (PTSD) in children. Method: Focus groups guided the development of a survey that was mailed to primary care pediatricians in Massachusetts in 2005. Descriptive statistics and multivariate analyses were used to describe clinical practices and perceived barriers to care. Results: A 60% (N=597) survey response-rate was obtained. On average, pediatricians reported that less than 8% of patients had psychological problems that may be related to traumatic exposure. Only 18% of pediatricians agreed that they had adequate knowledge of childhood PTSD. About 15% of pediatricians reported frequently learning about traumatic event(s) from direct inquiry in the past year. Only 10% of pediatricians reported frequent assessment and treatment of posttraumatic stress symptoms. Most pediatricians (72%) agreed that greater collaborations with mental health providers would improve pediatric assessment of PTSD. Finally, having received PTSD-specific training and believing that pediatricians should identify and manage PTSD were each significantly associated with learning about a traumatic event from direct inquiry. Conclusion(s): Providing PTSD-specific training and changing pediatricians' attitudes about childhood PTSD may be useful first steps in improving care for children. |
| Databáze: | OpenAIRE |
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