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Psychiatric Disorders in Pediatric Primary Care:  Prevalence and Risk Factors

Elizabeth J. Costello, PhD; Anthony J. Costello, MD; Craig Edelbrock, PhD; Barbara J. Burns, PhD; Mina K. Dulcan, MD; David Brent, MD; Susan Janiszewski
Arch Gen Psychiatry. 1988;45(12):1107-1116. doi:10.1001/archpsyc.1988.01800360055008.
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• Children aged 7 to 11 years visiting their primary care pediatrician for a wide range of reasons were studied to determine the one-year prevalence of DSM-III disorders and the risk factors associated with them. Parents completing the Child Behavior Checklist about their children identified problems that placed 24.7% of 789 children in the clinical range. Detailed psychiatric interviews with 300 parents and children, using the Diagnostic Interview Schedule for Children, yielded a one-year weighted prevalence of one or more DSM-III disorders of 22.0%±3.4%, combining diagnoses based on either the child or the parent interview.

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