The role of mental health symptomology and quality of life in predicting referrals to special child and adolescent mental health services.
CAMHS referral
Data linkage
Mental health symptoms
Quality of life
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
23 07 2021
23 07 2021
Historique:
received:
29
11
2020
accepted:
07
07
2021
entrez:
24
7
2021
pubmed:
25
7
2021
medline:
7
8
2021
Statut:
epublish
Résumé
Children and adolescents' mental health problems have been largely assessed with conventional symptom scales, for example, Strengths and Difficulties Questionnaire (SDQ) given that it is one of the mostly widely used measures in specialist Child and Adolescent Mental Health Services (CAMHS). However, this emphasis on symptom scales might have missed some important features of the mental health challenges that children and young people experience including day to day functioning and life satisfaction aspect (i.e. qualify of life). The study examined longitudinal association between a young person's self-perceptions of quality of life and mental health difficulties and referral to specialist CAMHS service using a population cohort study (Targeted Mental Health in Schools service data) nested within a large-scale linkage between school (National Pupil Data base) and child mental health service administrative data (South London and Maudsley NHS Foundation Trust children and adolescent mental health services health records). Cox proportional hazard regression to estimate crude and adjusted hazard ratios (HRs) for the association between participant psychopathology, and incidence of CAMHS referral. Pupils experiencing more behavioural difficulties, had an increased incidence of CAMHS referral (adjusted hazard ratio 1.1, 95% confidence interval 1.0-1.2). However, pupils who reported higher health related quality of life had a lower incidence of CAMHS referral over the follow-up period (adjusted hazard hario 0.94, 95% confidence interval 0.9-0.98). Children and young people's perception of their quality of life should be considered at the stages of a clinical needs assessment.
Sections du résumé
BACKGROUND
Children and adolescents' mental health problems have been largely assessed with conventional symptom scales, for example, Strengths and Difficulties Questionnaire (SDQ) given that it is one of the mostly widely used measures in specialist Child and Adolescent Mental Health Services (CAMHS). However, this emphasis on symptom scales might have missed some important features of the mental health challenges that children and young people experience including day to day functioning and life satisfaction aspect (i.e. qualify of life).
METHOD
The study examined longitudinal association between a young person's self-perceptions of quality of life and mental health difficulties and referral to specialist CAMHS service using a population cohort study (Targeted Mental Health in Schools service data) nested within a large-scale linkage between school (National Pupil Data base) and child mental health service administrative data (South London and Maudsley NHS Foundation Trust children and adolescent mental health services health records). Cox proportional hazard regression to estimate crude and adjusted hazard ratios (HRs) for the association between participant psychopathology, and incidence of CAMHS referral.
RESULTS
Pupils experiencing more behavioural difficulties, had an increased incidence of CAMHS referral (adjusted hazard ratio 1.1, 95% confidence interval 1.0-1.2). However, pupils who reported higher health related quality of life had a lower incidence of CAMHS referral over the follow-up period (adjusted hazard hario 0.94, 95% confidence interval 0.9-0.98).
CONCLUSION
Children and young people's perception of their quality of life should be considered at the stages of a clinical needs assessment.
Identifiants
pubmed: 34301207
doi: 10.1186/s12888-021-03364-2
pii: 10.1186/s12888-021-03364-2
pmc: PMC8299665
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
366Subventions
Organisme : Medical Research Council
ID : MC_PC_17216
Pays : United Kingdom
Informations de copyright
© 2021. The Author(s).
Références
Arch Dis Child. 2017 Jul;102(7):599-602
pubmed: 28130218
J Child Psychol Psychiatry. 2017 Apr;58(4):474-503
pubmed: 27943285
Br J Psychiatry. 2000 Dec;177:534-9
pubmed: 11102329
Clin Child Psychol Psychiatry. 2016 Apr;21(2):287-96
pubmed: 26071258
J Am Acad Child Adolesc Psychiatry. 2019 Jan;58(1):61-71
pubmed: 30577940
Qual Life Res. 2010 Dec;19(10):1487-500
pubmed: 20668950
BMJ Open. 2019 Jan 29;9(1):e024355
pubmed: 30700480
J Psychoeduc Assess. 2013 Jun;31(3):247-257
pubmed: 25076806
Soc Psychiatry Psychiatr Epidemiol. 1997 Jan;32(1):38-47
pubmed: 9029986
Child Adolesc Ment Health. 2007 Feb;12(1):13-20
pubmed: 32811033
Int J Public Health. 2009 Sep;54 Suppl 2:160-6
pubmed: 19652910
BMC Psychiatry. 2020 Jun 11;20(1):293
pubmed: 32527236
BMC Psychiatry. 2015 Dec 16;15:314
pubmed: 26672596
Int Rev Psychiatry. 2003 Feb-May;15(1-2):185-7
pubmed: 12745331
Ment Health Serv Res. 2004 Dec;6(4):189-98
pubmed: 15588030
Int J Popul Data Sci. 2019 Mar 20;4(1):1101
pubmed: 32935030
Qual Life Res. 2014 Apr;23(3):791-803
pubmed: 23686556
PLoS One. 2017 Dec 28;12(12):e0190363
pubmed: 29284054
Child Adolesc Psychiatr Clin N Am. 2009 Jul;18(3):593-610
pubmed: 19486840
Qual Life Res. 2019 Sep;28(9):2443-2452
pubmed: 31077032
Child Adolesc Psychiatry Ment Health. 2014 Jun 11;8:17
pubmed: 24963344
Proc Natl Acad Sci U S A. 2020 Sep 22;117(38):23323-23328
pubmed: 31907315
Child Adolesc Ment Health. 2003 Feb;8(1):29-33
pubmed: 32797549
BJPsych Open. 2020 Oct 12;6(6):e118
pubmed: 33040766