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The Relevance of Childhood Psychiatric Disorder for Pediatric Primary Care Consultations

M. Elena Garralda, MD, MPhil, FRCPsych, DPM
Arch Gen Psychiatry. 1990;47(1):89. doi:10.1001/archpsyc.1990.01810130091012.
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To the Editor.—  I read with interest the article by Costello et al,1 in the December 1988 issue of the Archives, on psychiatric disorders in pediatric primary care. It is encouraging to see American colleagues joining the very small number of researchers interested in what is likely to become an important area for child psychiatry and pediatric service development and research. In fact, the design and method in the study by Costello et al are comparable with those carried out by Giel et al2 in several developing countries and by our group in the United Kingdom.3,4 It is therefore of interest to point out a discrepancy in the results and additional findings.Using a two-stage procedure similar to that used by Costello et al, our rates of psychiatric disturbance in children aged 7 to 12 years consecutively seen by primary care physicians in the Manchester, England,


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