TY  - JOUR
PY  - 1998//
TI  - Psychiatric disorders in adolescents in primary care
JO  - British journal of psychiatry
A1  - Kramer, T.
A1  - Garralda, M. Elena
SP  - 508
EP  - 513
VL  - 173
IS  - 
N2  - BACKGROUND: Little is known about psychiatric disorders in adolescents who attend primary care. METHOD: Prospective study of 13- to 16-year-olds consecutively attending general practice. Information was obtained from adolescents, parents and general practitioners, using questionnaires and research interviews. RESULTS: 136/200 (68%) of adolescent attenders took part. Two per cent presented with psychiatric complaints. From research interviews with adolescents, psychiatric disorder in the previous year was found in 38%, with moderate impairment of functioning in over half (according to Children's Global Assessment Scale scores). Most disorders (42/50, 84%) were emotional ('internalising') disorders. Psychiatric disorders were significantly associated with high levels and intensity of physical symptoms and with increased health risks. General practitioner assessment of psychiatric disorders was low on sensitivity (20.8%) but high on specificity (90.7%). Doctors identified most severely affected adolescents. CONCLUSIONS: Depressive and anxiety disorders are common among adolescent general practice attenders and linked to increased physical symptoms; general practitioner recognition is limited.<p /> <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/
ID  - ref1
ER  -