Janicke David M, Harman Jeffrey S, Kelleher Kelly J, Zhang Jianyi
Department of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, USA.
J Pediatr Psychol. 2009 Jan-Feb;34(1):79-88. doi: 10.1093/jpepsy/jsn051. Epub 2008 Jun 3.
To examine the association of psychiatric diagnoses and use of health care services in children with obesity-related health conditions.
A retrospective, longitudinal design was used to examine Medicaid claims data. The data set consisted of 13,688 youth diagnosed with type 2 diabetes, metabolic syndrome, dyslipidemia, or obesity.
The presence of any type of psychiatric diagnosis was associated with higher health service use. In particular, the presence of an internalizing diagnosis was more consistently associated with higher service use than the presence of an externalizing diagnosis. Children with both an externalizing and internalizing disorder diagnosis had greater service use than children with a diagnosis in only one of these categories.
These data highlight a subgroup of children with obesity-related health conditions who are at greater risk for higher health service use, and the need for further research on the association between psychiatric diagnosis and health service use.
探讨患有肥胖相关健康问题的儿童的精神疾病诊断与医疗服务使用之间的关联。
采用回顾性纵向设计来分析医疗补助索赔数据。数据集包含13688名被诊断患有2型糖尿病、代谢综合征、血脂异常或肥胖症的青少年。
任何类型的精神疾病诊断都与更高的医疗服务使用相关。特别是，内化性诊断比外化性诊断更一致地与更高的服务使用相关。同时患有外化性和内化性障碍诊断的儿童比仅患有其中一类诊断的儿童有更多的服务使用。
这些数据凸显了患有肥胖相关健康问题的儿童中一个医疗服务使用风险更高的亚组，以及对精神疾病诊断与医疗服务使用之间关联进行进一步研究的必要性。
