Factors associated with detection and receipt of treatment for youth with depression and anxiety disorders.

Academic Pediatrics
Laura RichardsonWayne Katon

Abstract

Anxiety and depression are common among youth and are associated with significant morbidity. Few youth with depression are diagnosed and receive treatment for these disorders. The purpose of this study was to examine the rate of recognition and management among an insured population and the factors associated with evidence of detection among youth. Structured mental health interviews assessing depression and anxiety diagnoses were completed with a random sample of 581 youth (age range 11-17 years) from an integrated health care system. Administrative data on medical and pharmacy services were used to examine any evidence of detection by the medical system in the prior 12 months. Fifty-one youth met criteria for an anxiety or depressive disorder. Twenty-two percent of these youth with an anxiety or depressive disorder as defined in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition had evidence of detection or treatment. Factors associated with detection and treatment included having diagnosis of a depressive disorder (with or without an anxiety disorder), more depressive symptoms, greater functional impairment, a higher number of primary care visits in the prior year, and higher parent-reported externalizing ...Continue Reading

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Citations

Nov 21, 2012·Pediatrics·Laura P RichardsonWayne Katon
Apr 28, 2012·Child and Adolescent Psychiatric Clinics of North America·Frances J WrenPatricia I Ibeziako
Jun 26, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Elise M FalluccoAnne L Glowinski
May 26, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Laura P RichardsonMark Sullivan
Mar 15, 2011·Academic Pediatrics·Carolyn A McCartyLaura Richardson
May 29, 2012·Pharmacoepidemiology and Drug Safety·Falk HoffmannChristian J Bachmann
Oct 31, 2012·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Falk HoffmannChristian J Bachmann
Jan 15, 2014·General Hospital Psychiatry·David J BrelandLaura P Richardson
Feb 4, 2014·Journal of Primary Care & Community Health·Anne M GadomskiPaul L Jenkins
Sep 14, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Doireann O'BrienCathy Creswell
Jun 28, 2019·The European Journal of General Practice·Nynke R KoningMathilde R Crone
Aug 20, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Nerissa S BauerStephen M Downs
Sep 6, 2013·International Journal of Adolescent Medicine and Health·Timothy R Rice, Leo Sher
Jul 31, 2013·International Journal of Adolescent Medicine and Health·Leo Sher, Joav Merrick

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