Article2000

Primary Care Role in the Management of Childhood Depression: A Comparison of Pediatricians and Family Physicians

Jerry L. Rushton · Sarah J. Clark · Gary Lee Freed

52 citations0/0 files storedPEDIATRICS

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Mental Health Treatment and Access Child and Adolescent Psychosocial and Emotional Development Treatment of Major Depression

Abstract

OBJECTIVE: To provide a self-described assessment of pediatricians' and family physicians' management of childhood depression. DESIGN: Mail survey of 595 general pediatricians and 557 family physicians in North Carolina. RESULTS: The response rate was 66%. Most primary care physicians used referral (65%) and counseling (61%) for management of childhood depression. Family physicians used medications more commonly (18% vs 9%), and pediatricians referred patients more commonly (77% vs 48%). In logistic regression analysis, physicians comfortable with management of depression (odds ratio [OR], 4.8: 2.7-8.4), physicians who believed that antidepressants are more effective than counseling (OR, 2.6: 1.4-4.8), and family physicians (OR, 2.2: 1.9-4.1) were more likely to have used medications for childhood depression. CONCLUSIONS: Most primary care physicians refer pediatric patients with depression; however, practice patterns vary by specialty and other factors. Future studies must consider the role of primary care and evaluate how interspecialty variations affect costs and outcomes of childhood depression.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 52 citations exist upstream.

References

1988Psychopathology in Pediatric Primary Care: The New Hidden Morbidity 1993Behavioral and Emotional Problems Among Preschool Children in Pediatric Primary Care: Prevalence and Pediatricians' Recognition 1990The Pediatrician as Gatekeeper to Mental Health Care for Children: Do Parents' Concerns Open the Gate?1994A review of unrecognized mental illness in primary care. Prevalence, natural history, and efforts to change the course 1988Service Utilization and Psychiatric Diagnosis in Pediatric Primary Care: The Role of the Gatekeeper 1986Primary Care Pediatrics and Child Psychopathology: A Review of Diagnostic, Treatment, and Referral Practices 1984Mental Health Problems Among Children Seen in Pediatric Practice: Prevalence and Management 1998APPROACHES TO RECOGNITION AND MANAGEMENT OF CHILDHOOD PSYCHIATRIC DISORDERS IN PEDIATRIC PRIMARY CARE

Cited by

2004Childhood and adolescent depression: The role of primary care providers in diagnosis and treatment 2009Survey of Mental Health Consultation and Referral Among Primary Care Pediatricians 2007Pediatric Primary Care Providers and Adolescent Depression: A Qualitative Study of Barriers to Treatment and the Effect of the Black Box Warning

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.