Brown Courtney M, Copeland Kristen A, Sucharew Heidi, Kahn Robert S
Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Arch Pediatr Adolesc Med. 2012 Oct;166(10):926-32. doi: 10.1001/archpediatrics.2012.793.
To estimate the prevalence of positive screens for social-emotional problems among preschool-aged children in a low-income clinical population and to explore the family context and receptivity to referrals to help guide development of interventions.
Observational, cross-sectional study.
Two urban primary care clinics.
A total of 254 parents of 3- and 4-year-old children at 2 urban primary care clinics.
Score on a standardized screen for social-emotional problems (Ages and Stages Questionnaire: Social-Emotional) and answers to additional survey questions about child care arrangements, parental depressive symptoms, and attitudes toward preschool and behavioral health referrals.
Twenty-four percent (95% CI, 16.5%-31.5%) of children screened positive for social-emotional problems. Among those screening positive, 45% had a parent with depressive symptoms, and 27% had no nonparental child care. Among parents of children who screened positive for social-emotional problems, 79% reported they would welcome or would not mind a referral to a counselor or psychologist; only 16% reported a prior referral.
In a clinical sample, 1 in 4 low-income preschool-aged children screened positive for social-emotional problems, and most parents were amenable to referrals to preschool or early childhood mental health. This represents an opportunity for improvement in primary prevention and early intervention for social-emotional problems.
评估低收入临床人群中学龄前儿童社会情感问题筛查呈阳性的患病率，并探讨家庭背景以及对转诊的接受度，以指导干预措施的制定。
观察性横断面研究。
两家城市初级保健诊所。
两家城市初级保健诊所中3岁和4岁儿童的254名家长。
社会情感问题标准化筛查（年龄与阶段问卷：社会情感）得分，以及关于儿童照料安排、父母抑郁症状、对学前教育和行为健康转诊态度的其他调查问题的答案。
24%（95%可信区间，16.5%-31.5%）的儿童社会情感问题筛查呈阳性。在筛查呈阳性的儿童中，45%的儿童家长有抑郁症状，27%的儿童没有非父母照料。在社会情感问题筛查呈阳性的儿童家长中，79%报告他们会欢迎或不介意转诊至咨询师或心理学家处；只有16%报告曾有过转诊。
在一个临床样本中，四分之一的低收入学龄前儿童社会情感问题筛查呈阳性，且大多数家长愿意接受转诊至学前教育或幼儿心理健康机构。这代表了改善社会情感问题初级预防和早期干预的一个机会。
