Purpose: To assess primary care providers’ rates of screening for emotional distress among adolescent patients.
Methods: Secondary data analysis utilizing data from: (1) well visits in pediatric clinics within a managed care plan in California, and (2) the 2003 California Health Interview Survey (CHIS), a state population sample. The Pediatric clinic sample included 1089 adolescent patients, ages 13 to 17, who completed a survey about provider screening immediately upon exiting a well visit. The CHIS sample included 899 adolescents, ages 13 to 17, who had a routine physical exam within the past 3 months. As part of the survey, adolescents answered a question about whether they had talked with their provider about their emotions at the time of the exam. Logistic regressions, controlling for age, gender, race/ ethnicity, and adolescent depressive symptoms were performed.
Results: About one-third of adolescents reported a discussion of emotional health. Females were significantly more likely to be screened than males (36% vs. 30% in clinic; 37% vs. 26% in CHIS); as were older and Latino adolescents in the clinic sample. Although 27% of teens endorsed emotional distress, distress was not a significant predictor of talking to a provider about emotions.
Conclusions: Primary care clinicians/systems need to better utilize the primary care visit to screen adolescents for emotional health.
September 12, 2009
Elizabeth M. Ozer, Ph.D; Elaine G. Zahnd, Ph.D.; Sally H. Adams, Ph.D.; Sheila R. Husting, B.A.; Charles J. Wibbelsman, M.D.; Kim P. Norman, M.D.; and Susan M. Smiga, M.D
MORE NEWS AND ARTICLES BY SIMILAR TOPIC(S)
This brief aims to inform health professionals, policymakers, educators, administrators, and school-based health centers concerned with the health and well-being of adolescents.
The special edition of The Lancet explores the role of adolescence as a foundation for future health, the social determinants of adolescent health, the potential of the worldwide application of prevention science, and the current availability of data on 25 suggestedcore indicators in all countries.
This recent study by NAHIC staff investigated whether providers target adolescent preventive screening on the basis of BMI status, with a focus on overweight adolescents, given recent guidelines.
This 2003 article examines the utilization of psychological or emotional counseling by suicidal adolescents to answer questions about the extent to which health services can contribute to the prevention of adolescent suicide.
This document created in 2000 reviews national reports on adolescent health published over the past decade and provides a collective assessment of the state-of-the-art science, and articulates a national research agenda for adolescent health.