Psychiatric abnormalities in pediatric practice. Early recognition and course

Abstract

Survey, results and course

Based on early pediatric medical checkups 144 children with an average age of 9.1 years were examined using the Mannheim parent questionnaire. In one third of the children eating and sleeping problems were detected as well as attention problems and a variety of anxieties. A follow-up investigation was carried out 3.2 years later regarding the psychological status of the children with the Strengths and Difficulties Questionnaire (SDQ) and a questionnaire to measure functional health and well-being from the patient′s point of view (36-Item Short Form Health Survey SF 36). The results demonstrate the stability of psychological and emotional difficulties from childhood to adolescence.

Conclusion

Pediatricians play an important role (“gate keeper”) in early prevention of psychiatric disorders. Based on these results diagnostic and therapeutic knowledge should be intensified and taken into consideration in medical specialist curricula.