OBJECTIVE: The present study examined parents' reports of the frequency, nature, and outcome of pediatrician consultation and interventions about significant preschool behavior problems. METHOD: Parents were asked whether they consulted with their pediatric providers about disruptive behavioral problems during a longitudinal study of preschool children. RESULTS: Eighty 4-year-old children had parents who had consulted with their pediatricians versus 90 children whose parents did not. Children who eventually met criteria for attention-deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) 2 years later, received different pediatric interventions at age 4 years than children who did not have a diagnosis, chi (2) = 9.28, based on parent report. Eighty-nine percent of children who were referred for evaluation or treatment by pediatricians later met criteria for ADHD or ODD. However, 56% of children who later met criteria for ADHD or ODD were not referred by age 4 years. CONCLUSION: Pediatricians were able to differentiate between preschool children with transient versus persistent behavioral problems significantly better than chance, though a large number of children with behavioral problems were not provided with early assistance or referrals. Additional research is needed to obtain data directly from pediatricians about their interventions and resources for this vulnerable population.
OBJECTIVE: The present study examined parents' reports of the frequency, nature, and outcome of pediatrician consultation and interventions about significant preschool behavior problems. METHOD: Parents were asked whether they consulted with their pediatric providers about disruptive behavioral problems during a longitudinal study of preschool children. RESULTS: Eighty 4-year-old children had parents who had consulted with their pediatricians versus 90 children whose parents did not. Children who eventually met criteria for attention-deficit hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) 2 years later, received different pediatric interventions at age 4 years than children who did not have a diagnosis, chi (2) = 9.28, based on parent report. Eighty-nine percent of children who were referred for evaluation or treatment by pediatricians later met criteria for ADHD or ODD. However, 56% of children who later met criteria for ADHD or ODD were not referred by age 4 years. CONCLUSION: Pediatricians were able to differentiate between preschool children with transient versus persistent behavioral problems significantly better than chance, though a large number of children with behavioral problems were not provided with early assistance or referrals. Additional research is needed to obtain data directly from pediatricians about their interventions and resources for this vulnerable population.
Authors: Philip J Leaf; Pamela L Owens; John M Leventhal; Brian W C Forsyth; Michael Vaden-Kiernan; Leonardo D Epstein; Anne W Riley; Sarah M Horwitz Journal: Clin Pediatr (Phila) Date: 2004-05 Impact factor: 1.168
Authors: Marsha D Rappley; Ihuoma U Eneli; Patricia B Mullan; Francisco J Alvarez; Jenny Wang; Zhehui Luo; Joseph C Gardiner Journal: J Dev Behav Pediatr Date: 2002-02 Impact factor: 2.225
Authors: E J Sonuga-Barke; D Daley; M Thompson; C Laver-Bradbury; A Weeks Journal: J Am Acad Child Adolesc Psychiatry Date: 2001-04 Impact factor: 8.829
Authors: Benjamin B Lahey; William E Pelham; Jan Loney; Heidi Kipp; Ashley Ehrhardt; Steve S Lee; Erik G Willcutt; Cynthia M Hartung; Andrea Chronis; Greta Massetti Journal: Am J Psychiatry Date: 2004-11 Impact factor: 18.112