Point Prevalence of Co-Occurring Behavioral Health Conditions and Associated Chronic Disease Burden Among Adolescents

Kline-Simon, Andrea H.; Weisner, Constance; Sterling, Stacy

doi:10.1016/j.jaac.2016.02.008

Cited by 30 publications

(22 citation statements)

References 46 publications

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“…Approximately 25% of American youth experience a chronic health issue, most commonly respiratory allergies and asthma, before reaching early adulthood. 1–4 Experiencing chronic physical health conditions increases risk for mental health problems, 5 with depression and anxiety disorders being two-three times more prevalent compared to healthy youth 6,7 due to multiple factors. 8 Mental health symptoms may be further exacerbated in those who experience multiple health conditions – an estimated 1 in 15 youth.…”

Section: Introductionmentioning

confidence: 99%

Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence

Jones

Mrug

Elliott

et al. 2017

Academic Pediatrics

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Background/Objectives Chronic physical health conditions are highly prevalent in youth, frequently persisting into adulthood and contributing to the current and future healthcare burden in the United States. Our study evaluates associations of chronic physical health conditions with depressive and physiological anxiety symptoms in a community sample of youth, and examines how those associations change from early to mid-adolescence. Methods In this longitudinal study of 5,147 youth, students and their caregivers were interviewed when youth were in grades 5 (M age = 11), 7 (M age = 13), and 10 (M age = 16). Caregivers reported family sociodemographics, youth race/ethnicity, and youth chronic physical health history at baseline. Youth reported their depressive symptoms at each time point and their physiological anxiety symptoms at grades 7 and 10. Results At age 11, 28.5% had experienced a chronic physical health condition. Having any chronic physical health condition was related to elevated depressive symptoms at age 11 (2.05 ± 0.05 vs. 1.89 ± 0.03; mean ± standard error; p<.01) and anxiety symptoms at age 16 (2.72 ± 0.06 vs. 2.55 ± 0.04; p<.05). Experiencing multiple conditions was also related to experiencing more depressive symptoms (b=0.13; p<.01) and physiological anxiety symptoms (b=0.13; p<.05). After adjusting for previous mental health symptoms, having any condition still predicted anxiety at age 16. Conclusions Children with chronic physical health conditions have an increased risk of depressive symptoms and physiological anxiety symptoms, especially in early and mid-adolescence. Repeated screening for these symptoms may help identify children in need of interventions.

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Section: Introductionmentioning

confidence: 99%

Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence

Jones

Mrug

Elliott

et al. 2017

Academic Pediatrics

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“…Briefly, from a total of 37 full version HRB tools, 7 tools namely: Health Behavior in School-aged Children (HBSC), Youth Risk Behavior Surveillance System (YRBSS), Korea Youth Risk Behavior Web-based Survey (KYRBS), Swiss Multi-centric Adolescent Survey on Health (SMASH), car, relax, alone, forget, friends, trouble (CRAFT) substance Abuse Screening Test, Alcohol Use Disorder Identification Test (AUDIT) and Life and Health in Youth questionnaire were the most commonly utilized. The items on HRB in 12 of the studies from this review were either newly developed or their sources were not specified [23, 36–46]. …”

Section: Resultsmentioning

confidence: 99%

Health risk behavior among chronically ill adolescents: a systematic review of assessment tools

Ssewanyana

Nyongesa

Baar

et al. 2017

Child Adolesc Psychiatry Ment Health

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BackgroundAdolescents living with chronic illnesses engage in health risk behaviors (HRB) which pose challenges for optimizing care and management of their ill health. Frequent monitoring of HRB is recommended, however little is known about which are the most useful tools to detect HRB among chronically ill adolescents.AimsThis systematic review was conducted to address important knowledge gaps on the assessment of HRB among chronically ill adolescents. Its specific aims were to: identify HRB assessment tools, the geographical location of the studies, their means of administration, the psychometric properties of the tools and the commonest forms of HRB assessed among adolescents living with chronic illnesses globally.MethodsWe searched in four bibliographic databases of PubMed, Embase, PsycINFO and Applied Social Sciences Index and Abstracts for empirical studies published until April 2017 on HRB among chronically ill adolescents aged 10–17 years.ResultsThis review indicates a major dearth of research on HRB among chronically ill adolescents especially in low income settings. The Youth Risk Behavior Surveillance System and Health Behavior in School-aged Children were the commonest HRB assessment tools. Only 21% of the eligible studies reported psychometric properties of the HRB tools or items. Internal consistency was good and varied from 0.73 to 0.98 whereas test–retest reliability varied from unacceptable (0.58) to good (0.85). Numerous methods of tool administration were also identified. Alcohol, tobacco and other drug use and physical inactivity are the commonest forms of HRB assessed.ConclusionEvidence on the suitability of the majority of the HRB assessment tools has so far been documented in high income settings where most of them have been developed. The utility of such tools in low resource settings is often hampered by the cultural and contextual variations across regions. The psychometric qualities were good but only reported in a minority of studies from high income settings. This result points to the need for more resources and capacity building for tool adaptation and validation, so as to enhance research on HRB among chronically ill adolescents in low resource settings.

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“…These tasks are challenged by the non-specific nature of the patient’s complaints and the compartmentalization of modern day health services, and are thus in special need of attention and improvement. In this regard, the co-occurrence of mental and physical diseases in childhood has been highlighted as a major public health challenge in need of well-coordinated and integrated interdisciplinary approaches [ 2 ]. Sasseville, Chouinard and Fortin [ 27 ] point to holism as a philosophical underpinning for such multimorbidity interventions, while others propose adhering to a more biopsychosocial model of understanding versus a biomedical one [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Today’s health services predominantly treat body and mind as two separate entities, separating physical from mental health. Emerging evidence from both medical and psychological research, however, suggests that mind and body are inextricably bound [ 2 , 3 ]. Several studies indicate high rates of co-occurrence of physical and mental health complaints in childhood [ 2 ] with similar etiology [ 3 ], and often resulting in non-specific conditions.…”

Section: Introductionmentioning

confidence: 99%

“…Emerging evidence from both medical and psychological research, however, suggests that mind and body are inextricably bound [ 2 , 3 ]. Several studies indicate high rates of co-occurrence of physical and mental health complaints in childhood [ 2 ] with similar etiology [ 3 ], and often resulting in non-specific conditions. Combined mental and physical conditions can emerge as comorbidity, multimorbidity or several coexisting diffuse, but debilitating, health complaints.…”

Section: Introductionmentioning

confidence: 99%

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How can we improve specialist health services for children with multi-referrals? Parent reported experience

Lygre

Thuen

Gjestad

et al. 2020

BMC Health Serv Res

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Background Children with combined mental and somatic conditions pose a challenge to specialized health services. These cases are often characterized by multi-referrals, frequent use of health services, poor clinical and cost effectiveness, and a lack of coordination and consistency in the care. Reorganizing the health services offered to these children seems warranted. Patient reported experiences give important evidence for evaluating and developing health services. The aim of the present descriptive study was to explore how to improve specialist health services for children with multiple referrals for somatic and mental health conditions. Based on parent reported experiences of health services, we attempted to identify key areas of improvement. Methods As part of a larger, ongoing project; “Transitioning patients’ Trajectories”, we asked parents of children with multiple referrals to both somatic and mental health departments to provide their experiences with the services their children received. Parents/guardians of 250 children aged 6–12 years with multi-referrals to the Departments of Pediatrics and Child and Adolescent Mental Health at Haukeland University Hospital between 2013 and 2015 were invited. Their experience was collected through a 14 items questionnaire based on a generic questionnaire supplied with questions from parents and health personnel. Possible associations between overall experience and possible predictors were analyzed using bivariate regression. Results Of the 250 parents invited, 148 (59%) responded. Mean scores on single items ranged from 3.18 to 4.42 on a 1–5 scale, where five is the best possible experience. In the multiple regression model, perception of wait time ( r = .56, CI = .44–.69 / β = 0.16, CI = .05–.28), accommodation of consultations ( r = .71, CI = .62–.80 / β = 0.25, CI = .06–.45 / β = 0.27, CI = .09–.44), providing adequate information about the following treatment ( r = .66, CI = .55–.77 / β = 0.26, CI = .09–.43), and collaboration between different departments at the hospital ( r = .68, CI = .57–.78 / β = 0.20, CI = -.01–.40) were all statistically significantly associated with parents overall experience of care. Conclusions The study support tailored interdisciplinary innovations targeting wait time, accommodation of consultations, communication regarding the following treatment and collaboration within specialist health services for children with multi-referrals to somatic and mental specialist health care services.

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Point Prevalence of Co-Occurring Behavioral Health Conditions and Associated Chronic Disease Burden Among Adolescents

Cited by 30 publications

References 46 publications

Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence

Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence

Health risk behavior among chronically ill adolescents: a systematic review of assessment tools

How can we improve specialist health services for children with multi-referrals? Parent reported experience

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