Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions

Background and Aims. Assessing young children’s mental health is a crucial and challenging task. The aim of the study was to evaluate the clinical relevance of asking parents, nurses, and young children themselves to identify children’s mental health problems by only one or two questions. Methods. I...

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Main Authors: Anne-Mari Borg, Raili Salmelin, Matti Joukamaa, Tuula Tamminen
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/286939
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author Anne-Mari Borg
Raili Salmelin
Matti Joukamaa
Tuula Tamminen
author_facet Anne-Mari Borg
Raili Salmelin
Matti Joukamaa
Tuula Tamminen
author_sort Anne-Mari Borg
collection DOAJ
description Background and Aims. Assessing young children’s mental health is a crucial and challenging task. The aim of the study was to evaluate the clinical relevance of asking parents, nurses, and young children themselves to identify children’s mental health problems by only one or two questions. Methods. In regular health check-ups of 4- to 9-year-old children (n=2682), parents and public health nurses assessed by one question whether the child had any emotional or behavioral difficulties. The child completed a self-evaluation enquiry on his/her emotional well-being. A stratified proportion of the participating parents were invited to a diagnostic interview. Results. Sensitivities were fairly good for the parents’ (68%), nurses’ (65%), and their combined (79%) one-question screens. Difficulties identified by parents and nurses were major risks (OR 10–14) for any child psychiatric disorders (P<0.001). The child’s self-evaluation was related to 2-fold to 3-fold risks (P<0.05) for any psychiatric diagnosis, for any emotional diagnosis, and for negative situational factors. Conclusion. The one-question screen for parents and public health nurses together quite adequately identified the young children with mental health problems. The child’s self-evaluation provided relevant and complementary information on his/her mental health and especially emotional problems.
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spelling doaj-art-a8d0aaed13884efcbfb0c003c2a90b232025-08-20T02:20:38ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/286939286939Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two QuestionsAnne-Mari Borg0Raili Salmelin1Matti Joukamaa2Tuula Tamminen3Department of Child Psychiatry, School of Medicine, University of Tampere, 33014 Tampere, FinlandSchool of Health Sciences, University of Tampere, 33014 Tampere, FinlandSchool of Health Sciences, University of Tampere, 33014 Tampere, FinlandDepartment of Child Psychiatry, School of Medicine, University of Tampere, 33014 Tampere, FinlandBackground and Aims. Assessing young children’s mental health is a crucial and challenging task. The aim of the study was to evaluate the clinical relevance of asking parents, nurses, and young children themselves to identify children’s mental health problems by only one or two questions. Methods. In regular health check-ups of 4- to 9-year-old children (n=2682), parents and public health nurses assessed by one question whether the child had any emotional or behavioral difficulties. The child completed a self-evaluation enquiry on his/her emotional well-being. A stratified proportion of the participating parents were invited to a diagnostic interview. Results. Sensitivities were fairly good for the parents’ (68%), nurses’ (65%), and their combined (79%) one-question screens. Difficulties identified by parents and nurses were major risks (OR 10–14) for any child psychiatric disorders (P<0.001). The child’s self-evaluation was related to 2-fold to 3-fold risks (P<0.05) for any psychiatric diagnosis, for any emotional diagnosis, and for negative situational factors. Conclusion. The one-question screen for parents and public health nurses together quite adequately identified the young children with mental health problems. The child’s self-evaluation provided relevant and complementary information on his/her mental health and especially emotional problems.http://dx.doi.org/10.1155/2014/286939
spellingShingle Anne-Mari Borg
Raili Salmelin
Matti Joukamaa
Tuula Tamminen
Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
The Scientific World Journal
title Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
title_full Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
title_fullStr Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
title_full_unstemmed Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
title_short Cutting a Long Story Short? The Clinical Relevance of Asking Parents, Nurses, and Young Children Themselves to Identify Children’s Mental Health Problems by One or Two Questions
title_sort cutting a long story short the clinical relevance of asking parents nurses and young children themselves to identify children s mental health problems by one or two questions
url http://dx.doi.org/10.1155/2014/286939
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