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West Ashley Library
9 a.m. - 6 p.m.
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Chronicity of mental comorbidity in children with new‐onset physical illness.
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- Author(s): Reaume, Shannon V.; Ferro, Mark A.
- Source:
Child: Care, Health & Development. Jul2019, Vol. 45 Issue 4, p559-567. 9p. 3 Charts. - Source:
- Additional Information
- Subject Terms: ASTHMA diagnosis; CHRONIC disease diagnosis; DIAGNOSIS of diabetes; DIAGNOSIS of epilepsy; DIAGNOSIS of food allergies; ANXIETY; COMORBIDITY; MENTAL illness; PARENT-child relationships; PSYCHOLOGY of parents; JUVENILE idiopathic arthritis; PSYCHOLOGICAL stress; DESCRIPTIVE statistics; ODDS ratio; ATTITUDES toward illness; CHILDREN; PSYCHOLOGY
- Abstract: Background: Evidence suggests that physical and mental illnesses are strongly correlated in children. This study examined patterns of the chronicity of multimorbidity (co‐occurring physical and mental illness); estimated homotypic continuity; and modelled factors associated with chronicity in children newly diagnosed with a chronic physical illness. Methods: Children aged 6–16 years diagnosed with one of asthma, diabetes, epilepsy, food allergy, or juvenile arthritis were recruited from two children's hospitals and followed for 6 months. Child mental illness was measured using the parent‐reported Mini International Neuropsychiatric Interview and Ontario Child Health Study Emotional Behavioural Scales at baseline and 6 months later. Children were stratified into three groups: no multimorbidity, acute (multimorbidity at only one assessment), and persistent (multimorbidity at both assessments). Results: Forty‐nine children were available for analysis: no multimorbidity (n = 18), acute (n = 13), and persistent (n = 18). Homotypic continuity was highest for conduct disorder (67.5%) and lowest for major depression (16.7%). Unadjusted analyses showed positive associations between child and parent behavioural symptoms, as well as family functioning with persistent multimorbidity. These associations remained after adjustment, ranging from odds ratio (OR) = 1.29 [1.01, 1.64] for depression to OR = 1.61 [1.11, 2.33] and OR = 1.61 [1.10, 2.35] for attention‐deficit hyperactivity and oppositional defiant, respectively, in child models. In parent models, associations remained for parental anxiety (OR = 1.18 [1.04, 1.34]) and stress (OR = 1.15 [1.02, 1.31]). Conclusions: Multimorbidity is persistent in children newly diagnosed with physical illnesses, regardless of the mental comorbidity experienced. Integrating family‐centred mental health services soon after the diagnosis of a physical illness should be prioritized in pediatric settings. [ABSTRACT FROM AUTHOR]
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