Table 2.
Prevalence of Psychosocial Dysfunction in Children Aged 4 to 16 Years in Medical Outpatient Settings*
| Jellinek et al19 (N = 206) | Jellinek et al21 (N = 300) | Murphy et al22 (N = 123) | Rauch et al24 (N = 377) | Murphy et al25 (N = 379) | Pagano et al39 (N = 1117) | Little et al20 (N = 115) | Kelleher et al, 1996 (N = 15 492) | Kelleher et al, 1996 (N = 5573) | |
|---|---|---|---|---|---|---|---|---|---|
| Setting | Suburban practice | Suburban/urban HMO | Dermatology health center | Public health practices | Public health clinic | Suburban clinic | Outpatient practice | Network practices | Network practices |
| Age range, y | 6–12 | 6–12 | 6–12 | 6–12 | 6–12 | 4–5 | 4–5 | 6–15 | 4–5 |
| PSC case rate | 12 (25/206) | 14 (43/300) | 22 (27/123) | 13 (48/377) | 11 (40/379) | 7 (8/117) | 14 (16/115) | 13 (2077/15 492) | 10 (580/5573) |
| Socioeconomic status | |||||||||
| Low | 19 (4/21) | … | 22 (11/50) | 19 (16/83) | … | … | 27 (3/11) | 20 (715/3509)† | 15 (203/1336)† |
| Lower/middle | 8 (4/48) | 24 (10/42)‡ | 25 (9/36) | 9 (14/152) | … | … | 20 (4/20) | 13 (1072/8570) | 10 (305/3107) |
| Upper/middle | 8 (7/90) | 13 (38/258) | 10 (1/10) | 5 (4/78) | … | … | 13 (8/61) | 9 (290/3413) | 6 (72/1130) |
| Parental marital status | |||||||||
| Single parent | … | 18 (14/76) | 34 (26/77) | … | 18 (14/76)§ | 10 (2/20) | … | 22 (1004/4518)† | 17 (249/1474)† |
| Parents living together | … | 13 (11/29) | 7 (3/46) | … | 8 (26/307) | 8 (6/72) | … | 10 (1073/10 974) | 8 (426/5141) |
| History of therapy | |||||||||
| History | … | 89 (17/19)† | 100 (2/2) | 26 (8/31) | 29 (6/21)‡ | 0 (0/1) | … | 37 (1223/3226)† | 36 (154/432)† |
| No history | … | 38 (11/29) | 55 (12/22) | 12 (40/346) | 9 (34/362) | 8 (8/104) | … | 7 (854/12 166) | 8 (426/5141) |
| Sex | |||||||||
| M | 15 (17/111) | 17 (25/149) | 31 (16/52) | 15 | 10 (21/203) | 12 (7/60)§ | 9 (5/53) | 17 (1347/7717)† | 12 (333/2760)† |
| F | 8 (8/95) | 13 (18/140) | 16 (11/71) | 11 | 11 (19/176) | 2 (1/57) | 18 (11/62) | 9 (730/7775) | 9 (247/2813) |
*
All studies used the Pediatric Symptom Checklist (PSC). Data are presented as percentage (number/total number). Ellipses indicate not applicable; HMO, health maintenance organization.
†
P<.001.
‡
P <.01.
§
P<.05.