The Burden of Psychosocial Stressors and Urgent Mental Health Problems in a Pediatric Weight Management Program

Ian S. Zenlea, Elvin Burton, Nissa Askins, Emily Israel Pluhar, Erinn T. Rhodes

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective. To systematically screen for behavioral and mental health problems and psychosocial stressors (PS) in newly referred patients and adult caregivers (PACs) in a pediatric weight management program. Methods. We used the Strengths and Difficulties Questionnaire (SDQ), the Center for Epidemiologic Studies Depression Scale (CES-D) for caregivers and patients ≥18 years, and assessed urgent mental health concerns and psychosocial stressors. Results. A total of 243 PACs were screened; data were unavailable for 6. Compared with US normative data for the SDQ-Parent Proxy Version, the proportion of patients in our sample with borderline/abnormal total difficulties and conduct problems scores was greater for all age groups. Among adult caregivers with complete CES-D, 18.4% were at risk for depression. Eleven percent of patients screened positive for urgent mental health problems. Overall, 43% of patients and 57.4% of caregivers had PS. Conclusions. Systematic screening identified untreated symptoms and significant PS. Addressing these complex problems likely requires collaborative approaches with community providers. The Author(s) 2015.

Original languageEnglish (US)
Pages (from-to)1247-1256
Number of pages10
JournalClinical Pediatrics
Volume54
Issue number13
DOIs
StatePublished - Nov 1 2015
Externally publishedYes

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Mental Health
Caregivers
Pediatrics
Weights and Measures
Depression
Epidemiologic Studies
Proxy
Age Groups
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

The Burden of Psychosocial Stressors and Urgent Mental Health Problems in a Pediatric Weight Management Program. / Zenlea, Ian S.; Burton, Elvin; Askins, Nissa; Pluhar, Emily Israel; Rhodes, Erinn T.

In: Clinical Pediatrics, Vol. 54, No. 13, 01.11.2015, p. 1247-1256.

Research output: Contribution to journalArticle

Zenlea, Ian S. ; Burton, Elvin ; Askins, Nissa ; Pluhar, Emily Israel ; Rhodes, Erinn T. / The Burden of Psychosocial Stressors and Urgent Mental Health Problems in a Pediatric Weight Management Program. In: Clinical Pediatrics. 2015 ; Vol. 54, No. 13. pp. 1247-1256.
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