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      Psychiatric disorders in pediatric primary care. Prevalence and risk factors.

      Archives of general psychiatry
      Child, Child Behavior Disorders, diagnosis, epidemiology, Cross-Sectional Studies, Female, Humans, Male, Mental Disorders, Outcome and Process Assessment (Health Care), Parent-Child Relations, Pediatrics, Pennsylvania, Personality Inventory, Predictive Value of Tests, Primary Health Care, Psychiatric Status Rating Scales, Risk Factors

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          Abstract

          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.

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