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December 1988

Psychiatric Disorders in Pediatric Primary CarePrevalence and Risk Factors

Author Affiliations

From the Departments of Psychiatry, University of Pittsburgh (Drs E. Costello and Brent and Ms Janiszewski), University of Massachusetts, Worcester (Drs A. Costello and Edelbrock), University of Maryland, College Park (Dr Burns), and Emory University, Atlanta (Dr Dulcan). Dr E. Costello is now with the Department of Psychiatry, Duke University, Durham, NC.

Arch Gen Psychiatry. 1988;45(12):1107-1116. doi:10.1001/archpsyc.1988.01800360055008

• Children aged 7 to 11 years visiting their primary care pediatrician for a wide range of reasons were studied to determine the one-year prevalence of DSM-III disorders and the risk factors associated with them. Parents completing the Child Behavior Checklist about their children identified problems that placed 24.7% of 789 children in the clinical range. Detailed psychiatric interviews with 300 parents and children, using the Diagnostic Interview Schedule for Children, yielded a one-year weighted prevalence of one or more DSM-III disorders of 22.0%±3.4%, combining diagnoses based on either the child or the parent interview.