PURPOSE: To assess primary care providers' rates of screening for emotional distress among adolescent patients. METHODS: Secondary data analysis utilizing data from: (1) well visits in pediatric clinics within a managed care plan in California, and (2) the 2003 California Health Interview Survey (CHIS), a state population sample. The Pediatric clinic sample included 1089 adolescent patients, ages 13 to 17, who completed a survey about provider screening immediately upon exiting a well visit. The CHIS sample included 899 adolescents, ages 13 to 17, who had a routine physical exam within the past 3 months. As part of the survey, adolescents answered a question about whether they had talked with their provider about their emotions at the time of the exam. Logistic regressions, controlling for age, gender, race/ethnicity, and adolescent depressive symptoms were performed. RESULTS: About one-third of adolescents reported a discussion of emotional health. Females were significantly more likely to be screened than males (36% vs. 30% in clinic; 37% vs. 26% in CHIS); as were older and Latino adolescents in the clinic sample. Although 27% of teens endorsed emotional distress, distress was not a significant predictor of talking to a provider about emotions. CONCLUSIONS: Primary care clinicians/systems need to better utilize the primary care visit to screen adolescents for emotional health.
PURPOSE: To assess primary care providers' rates of screening for emotional distress among adolescent patients. METHODS: Secondary data analysis utilizing data from: (1) well visits in pediatric clinics within a managed care plan in California, and (2) the 2003 California Health Interview Survey (CHIS), a state population sample. The Pediatric clinic sample included 1089 adolescent patients, ages 13 to 17, who completed a survey about provider screening immediately upon exiting a well visit. The CHIS sample included 899 adolescents, ages 13 to 17, who had a routine physical exam within the past 3 months. As part of the survey, adolescents answered a question about whether they had talked with their provider about their emotions at the time of the exam. Logistic regressions, controlling for age, gender, race/ethnicity, and adolescent depressive symptoms were performed. RESULTS: About one-third of adolescents reported a discussion of emotional health. Females were significantly more likely to be screened than males (36% vs. 30% in clinic; 37% vs. 26% in CHIS); as were older and Latino adolescents in the clinic sample. Although 27% of teens endorsed emotional distress, distress was not a significant predictor of talking to a provider about emotions. CONCLUSIONS: Primary care clinicians/systems need to better utilize the primary care visit to screen adolescents for emotional health.
Authors: Diego Garcia-Huidobro; Nathan Shippee; Julia Joseph-DiCaprio; Jennifer M O'Brien; Maria Veronica Svetaz Journal: Pediatrics Date: 2016-05-16 Impact factor: 7.124
Authors: Matthew C Aalsma; Ashley M Zerr; Dillon J Etter; Fangqian Ouyang; Amy Lewis Gilbert; Rebekah L Williams; James A Hall; Stephen M Downs Journal: J Adolesc Health Date: 2017-11-23 Impact factor: 5.012
Authors: David A Gilder; Juan A Luna; Jennifer Roberts; Daniel Calac; Joel W Grube; Roland S Moore; Cindy L Ehlers Journal: Am Indian Alsk Native Ment Health Res Date: 2013
Authors: Sara L Toomey; Marc N Elliott; David C Schwebel; Susan R Tortolero; Paula M Cuccaro; Susan L Davies; Vinay Kampalath; Mark A Schuster Journal: Acad Pediatr Date: 2016-01-20 Impact factor: 3.107
Authors: Lena Sanci; Patty Chondros; Susan Sawyer; Jane Pirkis; Elizabeth Ozer; Kelsey Hegarty; Fan Yang; Brenda Grabsch; Alan Shiell; Helen Cahill; Anne-Emmanuelle Ambresin; Elizabeth Patterson; George Patton Journal: PLoS One Date: 2015-09-30 Impact factor: 3.240