Trafalis Sandra, Giannini Courtney, Joves Jeremy, Portera Saige, Toyama Hannah, Mehta Anika, Basile Krista, Friedberg Robert D
Center for the Study and Treatment of Anxious Youth Palo Alto University Palo Alto CA USA.
Pediatr Investig. 2021 Mar 22;5(1):58-64. doi: 10.1002/ped4.12246. eCollection 2021 Mar.
Behavioral health concerns are surging in pediatric practices. Fortunately, integrated behavioral/medical health clinics are growing and child psychiatrists/psychologists are increasingly embedded in these care settings to help shoulder the clinical load. Routine screening of behavioral health problems in primary care facilities enables early identification and treatment. However, deciding on sound, efficient, and scalable screening measures is sometimes arduous. Accordingly, this article presents a clinician-friendly review of three common instruments useful in screening pediatric behavioral health concerns including anxiety, depression, and conduct problems. Psychometric findings and clinical applications of the Pediatric Symptom Checklist-17 (PSC-17), the Patient Health Questionnaire-9 (PHQ-9), and the Screen for Child Anxiety Related Emotional Disorders (SCARED) are delineated. Finally, clinical implications and recommendations for practicing pediatricians and child psychiatrists are offered.
儿科诊所中对行为健康问题的关注正在激增。幸运的是，综合性行为/医疗健康诊所不断增加，儿童精神科医生/心理学家越来越多地融入这些护理环境，以帮助分担临床工作量。在初级保健机构中对行为健康问题进行常规筛查能够实现早期识别和治疗。然而，选择合理、高效且可扩展的筛查措施有时很艰巨。因此，本文对三种用于筛查儿科行为健康问题（包括焦虑、抑郁和行为问题）的常用工具进行了临床医生友好型综述。阐述了儿童症状清单-17（PSC-17）、患者健康问卷-9（PHQ-9）和儿童焦虑相关情绪障碍筛查量表（SCARED）的心理测量结果及临床应用。最后，为执业儿科医生和儿童精神科医生提供了临床意义及建议。
