Research :: Are Adolescents Being Screened for Emotional Distress in Primary Care?

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.

Are Adolescents Being Screened for Emotional Distress in Primary Care? Ozer et al., Journal of Adolescent Health, Volume 44, Issue 6, Pages 520-527, June 2009,

TOPIC(S)

Clinical Preventive Services, Mental/Behavioral Health, Mental/Behavioral Health Care

DATE POSTED

September 12, 2009

AUTHOR(S)

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)

Stress and Stress Management Among Youth and Young Men

This 2008 article examines research related to stress and stress management, with a focus on young males.

Journal Articles | Males | Mental/Behavioral Health | Young Adults

Improving the Lives of Adolescents and Young Adults: Out-of-School Time Programs That Have Significant Positive Impacts

This brief by Child Trends (created through a partnership with NAHIC) identifies 46 out-of-school time programs that have shown positive impacts on adolescent or young adult outcomes. Outcome categories include behavior problems, substance use, reproductive health, social-emotional health, life skills, education, and physical health.

Evidence-based programs | Mental/Behavioral Health | Reports | Sexual and Reproductive Health | State & Community Programs | Substance Use | Young Adults

Receipt of Psychological or Emotional Counseling by Suicidal Adolescents

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.

Depression | Mental/Behavioral Health | Mental/Behavioral Health Care | Suicide

Improvement in Preventive Care of Young Adults After ACA

This original research article, Improvement in Preventive Care of Young Adults After the Affordable Care Act: The Affordable Care Act Is Helping, by researchers in the Division of Adolescent and Young Adult Medicine investigated how the implementation of the 2010 Affordable Care Act affected young adults’ rates of insurance and receipt of preventive services. Using data […]

Access & Utilization | Affordable Care Act | Clinical Preventive Services | Journal Articles | Young Adults

CDC Grand Rounds- Adolescence: Preparing for Lifelong Health and Wellness

Adolescence is a critical stage of development during which physical, intellectual, emotional, and psychological changes occur. While adolescence is a relatively healthy period of life, adolescents begin to make lifestyle choices and establish behaviors that affect both their current and future health. During this transition from childhood to adulthood, serious health and safety issues such […]

Access & Utilization | Affordable Care Act | Clinical Preventive Services | Confidential Care | Families | Mortality | Quality Improvement | Risky Behavior | Socio-demographic disparities | Special Populations | Webinars/Presentations | Youth-Centered Care