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At least 1,045 records · Page 58Linked to original sources
PubMed1993

Behavioral and emotional problems among preschool children in pediatric primary care: prevalence and pediatricians' recognition. Pediatric Practice Research Group.

This study examined how well private-practice pediatricians can identify emotional/behavioral problems among preschool children. Children aged 2 through 5 (N = 3876) were screened during a visit to 1 of 68 pediatricians who rendered an opinion about the presence of emotional/behavioral problems. Subsequently, children who scored above the 90th percentile for behavioral problems on the Child Behavior Checklist, along with children matched on age, sex, and race who had screened low, were invited for an intensive second-stage evaluation. There were 495 mothers and children who participated in that evaluation, which included a behavioral questionnaire, maternal interview, play observation, and developmental testing. Two PhD-level clinical child psychologists rendered independent opinions about the presence of an emotional/behavioral disorder. The psychologists identified significantly higher rates of problems overall--13.0% when the criterion was independent agreement that the child had an emotional/behavioral problem and a regular psychiatric diagnosis was assigned, vs 8.7% based on pediatricians' ratings. Prevalence rates based on psychologists' independent ratings were significantly higher than pediatricians' for both sexes, 4- through 5-year-olds, and whites, but not for 2- through 3-year-olds, African-Americans, and all minorities. Prevalence rates based on psychologists' ratings were significantly higher than the pediatricians' for all subgroups when V-code diagnoses were included in the psychologists' ratings. Overall, pediatricians' sensitivity was 20.5%, and specificity was 92.7%. At least 51.7% of the children who had an emotional/behavioral problem based on the psychologist's independent agreement had not received counseling, medication, or a mental health referral from the pediatrician.(ABSTRACT TRUNCATED AT 250 WORDS)

Child Behavior Disorders↗
PubMed1996

Evaluation and preparation of pediatric patients undergoing anesthesia. American Academy of Pediatrics. Section on Anesthesiology.

The preparation of a child who is about to undergo surgery or anesthesia involves the child's family, primary care physician, anesthesiologist, surgeon, and, many times, other specialists. Communication among the individuals caring for the patient is paramount for the smoothest perioperative course. Established lines of communication permit the efficient and meaningful transfer of patient information and provide the most efficient means of informing the patient about necessary procedures. Familiarity with operating room and day surgery unit policies (eg, NPO guidelines, arrival times, and preoperative educational programs) helps alleviate patient and parent anxiety.

Anesthesia↗