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Prevalence and Correlates of Physical-mental Multimorbidity in Outpatient Children From a Pediatric Hospital in Canada
OBJECTIVE: The aim of this study was to estimate the six-month prevalence of mental illness in children with chronic physical illness (multimorbidity), examine agreement between parent and child reports of multimorbidity, and identify factors associated with child multimorbidity. METHOD: The sample...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301150/ https://www.ncbi.nlm.nih.gov/pubmed/35060408 http://dx.doi.org/10.1177/07067437221074430 |
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author | Ferro, Mark A. Qureshi, Saad Van Lieshout, Ryan J. Lipman, Ellen L. Georgiades, Kathy Gorter, Jan Willem Timmons, Brian W. Shanahan, Lilly |
author_facet | Ferro, Mark A. Qureshi, Saad Van Lieshout, Ryan J. Lipman, Ellen L. Georgiades, Kathy Gorter, Jan Willem Timmons, Brian W. Shanahan, Lilly |
author_sort | Ferro, Mark A. |
collection | PubMed |
description | OBJECTIVE: The aim of this study was to estimate the six-month prevalence of mental illness in children with chronic physical illness (multimorbidity), examine agreement between parent and child reports of multimorbidity, and identify factors associated with child multimorbidity. METHOD: The sample included 263 children aged 2–16 years with a physician-diagnosed chronic physical illness recruited from the outpatient clinics at a pediatric hospital. Children were categorized by physical illness according to the International Statistical Classification of Diseases and Related Health Problems (ICD)-10. Parent and child-reported six-month mental illness was based on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). RESULTS: Overall, 101 (38%) of children had a parent-reported mental illness; 29 (25%) children self-reported mental illness. There were no differences in prevalence across ICD-10 classifications. Parent-child agreement on the MINI-KID was low (κ = 0.18), ranging from κ = 0.24 for specific phobia to κ = 0.03 for attention-deficit hyperactivity. From logistic regression modeling (odds ratio [OR] and 95% confidence interval), factors associated with multimorbidity were: child age (OR = 1.16 [1.04, 1.31]), male (OR = 3.76 [1.54, 9.22]), ≥$90,000 household income (OR = 2.57 [1.08, 6.22]), parental symptoms of depression (OR = 1.09 [1.03, 1.14]), and child disability (OR = 1.21 [1.13, 1.30]). Similar results were obtained when modeling number of mental illnesses. CONCLUSIONS: Findings suggest that six-month multimorbidity is common and similar across different physical illnesses. Level of disability is a robust, potentially modifiable correlate of multimorbidity that can be assessed routinely by health professionals in the pediatric setting to initiate early mental health intervention to reduce the incidence of multimorbidity in children. |
format | Online Article Text |
id | pubmed-9301150 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-93011502022-07-22 Prevalence and Correlates of Physical-mental Multimorbidity in Outpatient Children From a Pediatric Hospital in Canada Ferro, Mark A. Qureshi, Saad Van Lieshout, Ryan J. Lipman, Ellen L. Georgiades, Kathy Gorter, Jan Willem Timmons, Brian W. Shanahan, Lilly Can J Psychiatry Original Research OBJECTIVE: The aim of this study was to estimate the six-month prevalence of mental illness in children with chronic physical illness (multimorbidity), examine agreement between parent and child reports of multimorbidity, and identify factors associated with child multimorbidity. METHOD: The sample included 263 children aged 2–16 years with a physician-diagnosed chronic physical illness recruited from the outpatient clinics at a pediatric hospital. Children were categorized by physical illness according to the International Statistical Classification of Diseases and Related Health Problems (ICD)-10. Parent and child-reported six-month mental illness was based on the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). RESULTS: Overall, 101 (38%) of children had a parent-reported mental illness; 29 (25%) children self-reported mental illness. There were no differences in prevalence across ICD-10 classifications. Parent-child agreement on the MINI-KID was low (κ = 0.18), ranging from κ = 0.24 for specific phobia to κ = 0.03 for attention-deficit hyperactivity. From logistic regression modeling (odds ratio [OR] and 95% confidence interval), factors associated with multimorbidity were: child age (OR = 1.16 [1.04, 1.31]), male (OR = 3.76 [1.54, 9.22]), ≥$90,000 household income (OR = 2.57 [1.08, 6.22]), parental symptoms of depression (OR = 1.09 [1.03, 1.14]), and child disability (OR = 1.21 [1.13, 1.30]). Similar results were obtained when modeling number of mental illnesses. CONCLUSIONS: Findings suggest that six-month multimorbidity is common and similar across different physical illnesses. Level of disability is a robust, potentially modifiable correlate of multimorbidity that can be assessed routinely by health professionals in the pediatric setting to initiate early mental health intervention to reduce the incidence of multimorbidity in children. SAGE Publications 2022-01-21 2022-08 /pmc/articles/PMC9301150/ /pubmed/35060408 http://dx.doi.org/10.1177/07067437221074430 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Ferro, Mark A. Qureshi, Saad Van Lieshout, Ryan J. Lipman, Ellen L. Georgiades, Kathy Gorter, Jan Willem Timmons, Brian W. Shanahan, Lilly Prevalence and Correlates of Physical-mental Multimorbidity in Outpatient Children From a Pediatric Hospital in Canada |
title | Prevalence and Correlates of Physical-mental Multimorbidity in
Outpatient Children From a Pediatric Hospital in Canada |
title_full | Prevalence and Correlates of Physical-mental Multimorbidity in
Outpatient Children From a Pediatric Hospital in Canada |
title_fullStr | Prevalence and Correlates of Physical-mental Multimorbidity in
Outpatient Children From a Pediatric Hospital in Canada |
title_full_unstemmed | Prevalence and Correlates of Physical-mental Multimorbidity in
Outpatient Children From a Pediatric Hospital in Canada |
title_short | Prevalence and Correlates of Physical-mental Multimorbidity in
Outpatient Children From a Pediatric Hospital in Canada |
title_sort | prevalence and correlates of physical-mental multimorbidity in
outpatient children from a pediatric hospital in canada |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301150/ https://www.ncbi.nlm.nih.gov/pubmed/35060408 http://dx.doi.org/10.1177/07067437221074430 |
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