Psychosocial abnormalities (ICD-10, Axis V) in child psychiatric out-patients : Relationship with patterns of referral, diagnosis and attendance.
This study investigated the diagnostic and abnormal psychosocial situations experienced by children referred to a district child psychiatry service (N=71), in relation to the source of referral and attendance pattern.
ICD-10 diagnoses (Axis I) and abnormal psychosocial situations (Axis V) were recorded by the assessing clinician.
The majority of children had been referred by General Practitioners and Paediatricians, had a broad diagnosis of emotional and/or conduct disorder, and high rates of abormal intrafamilial relationships, family mental disorder and inadequate family communication, as detected by the Axis V form.
Paediatricians referred older children with a significantly higher number of psychosocial abnormalities.
Emotional disturbance was associated with acute life events and school-related chronic stressors, and conduct disorders with abnormal immediate environment.
Although the total number of psychosocial factors was not found to predict attendance pattem or status at six months, children from abnormal immediate environments (eg. institutional upbringing) were more likely to have lapsed from treatment, and children who had experienced acute life events were less likely to be in attendance at six months.
The inclusion of such brief indices of clinical severity in clinical settings, in addition to diagnostic categories, may be useful for audit purposes and service evaluation.
Mots-clés Pascal : Trouble comportement social, Trouble affectivité, Emotion émotivité, Orientation, Diagnostic, Trouble psychiatrique, Médecin généraliste, Pédiatrie, Médecin, Spécialité médicale, Services sociaux, International Classification of Diseases 10, Age préscolaire, Age scolaire, Enfant, Homme, Préadolescent, Adolescent, Filière soins
Mots-clés Pascal anglais : Social behavior disorder, Affective disorder, Emotion emotionality, Orientation, Diagnosis, Mental disorder, General practitioner, Pediatrics, Physician, Medical specialty, Social assistance, International Classification of Diseases 10, Preschool age, School age, Child, Human, Preadolescent, Adolescent
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0267778
Code Inist : 002B18H05B. Création : 15/07/1997.