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Journal of Pediatric Psychology Advance Access published online on December 14, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj092
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org
Received April 14, 2005
Revised October 20, 2005
Accepted November 21, 2005

Article

Brief Report: The Relationship Between Chronic Illness and Identification and Management of Psychosocial Problems in Pediatric Primary Care

Shana Bilfield MA 1, Beth G. Wildman PhD 1 *, and Bryan T. Karazsia BS 1

1 Kent State University

* To whom correspondence should be addressed.
Beth G. Wildman, E-mail: bwildman{at}kent.edu


  Abstract

Objective To compare identification, management, and barriers to treatment for psychosocial concerns in children with and without a chronic illness. Methods Using data from the Child Behavior Study (CBS), provider rates of identification, treatment, and reports of barriers to treatment were compared in children with and without a chronic illness. Of the 21,065 children ranging in age from 4 to 15 years, 808 children were identified with a chronic illness and were matched on eight demographic variables with 763 healthy children. Results Providers identified psychosocial concerns in significantly more children with a chronic illness (36.8%) than healthy children (20.2%). Among children with psychosocial concerns, rates of identification, treatment, and barriers to treatment did not differ across the two groups. Conclusions Chronic illness did not present more barriers to the management of psychosocial concerns. Increased rates of identification and treatment of psychosocial concerns require attention to general barriers to treatment and screening.

Keywords: barriers; chronic illness; mental health treatment; primary care; psychosocial problems.
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