Psychiatric disorders in adolescents in primary care

Abstract

Depressive and anxiety disorders are common among adolescent general practice attenders and linked to increased physical symptoms; general practitioner recognition is limited.

Common mental health disorders in children and adolescents in primary care: A survey of knowledge, skills and attitudes among general practitioners in a newly developed European country

“…Amongst seven-to twelveyear old children presenting to primary care, 23% may be suffering from a mental disorder, many of whom are likely to initially present with a somatic complaint 26 . Amongst adolescents attending general practice, the prevalence of mental disorders increases to 38%, with the tendency for presentation with somatic complaints becoming even more pronounced 27 . Some GPs, particularly the more experienced sub-group of GPs who would have undertaken medical within the context of decades ago, should be encouraged to acquire greater awareness of the interplay between emotional, social and physical factors in the development of psychopathology.…”

“…This is particularly important given the high prevalence rates of youngsters presenting to primary care with mental health problems 26,27 . Amongst seven-to twelveyear old children presenting to primary care, 23% may be suffering from a mental disorder, many of whom are likely to initially present with a somatic complaint 26 .…”

Quality of life, problem solving, focus of control and anger tendency in the patients with acne

“…Bu etkileşimler, (i) Duygusal stresin akneyi şiddetlendirmesi; (ii) Akneye ikincil olarak hastalarda anksiyete, depresyon, sosyal fobi, düşük benlik saygısı gibi psikiyatrik belirtilerin gelişmesi; (iii) Beden dismorfik bozukluğunda olduğu gibi birincil psikiyatrik bozukluğun akneye odaklaşması şeklinde kendini gösterir. Akne hastalarında olası psikolojik etkiler sıklıkla aknenin arkasına saklandığından psikiyatriye gitmek gecikmektedir 8,9 . Oysa akneli bireylerde psikiyatrik komorbidite geniş biçimde tanımlanmıştır 10 .…”

Evidence for the Management of Adolescent Depression

“…Adolescent depression diagnoses, however, often may be missed in primary care. [20][21][22][23] Pediatricians report high perceived responsibility for diagnosing depression, but low confidence in their ability to do so, and highlight time constraints as a key barrier to gathering adequate psychiatric history. 24 Mental health toolkits developed by the American Academy of Pediatrics (AAP) and Bright Futures are important steps to improve primary care response to mental health problems 25,26 ; although establishing clinically meaningful, evidence-based practice standards would contribute further to improving practice.…”