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Perceived parental burden and service use for child and adolescent psychiatric disorders

Author

Listed:
  • Angold, A.
  • Farmer, E.M.Z.
  • Costello, E.J.
  • Burns, B.J.
  • Stangl, D.
  • Messer, S.C.

Abstract

Objectives. Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family caretakers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders. This paper describes the predictors of perceived parental burden and its impact on the use of specialty mental health and school services. Methods. A representative general population sample of 1015 9-, 11-, and 13-year-olds and their parents completed structured psychiatric diagnostic interviews and the Child and Adolescent Burden Assessment. Results. Weighted estimates indicated that 10.7% of parents in the general population perceived burden resulting from their children's symptomatology. Significant predictors of perceived burden were levels of child symptomatology and impairment and parental mental health problems. Children's depressive and anxiety disorders were associated with less burden than other diagnoses. The effects of child disorder severity on specialty mental health service use appeared to be mediated by the level of burden induced. Conclusions. Substantial levels of parental burden resulted from child psychiatric disorders and were a major reason for specialist mental health service use.

Suggested Citation

  • Angold, A. & Farmer, E.M.Z. & Costello, E.J. & Burns, B.J. & Stangl, D. & Messer, S.C., 1998. "Perceived parental burden and service use for child and adolescent psychiatric disorders," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 75-80.
    • Handle: RePEc:aph:ajpbhl:1998:88:1:75-80_4
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    Citations

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    Cited by:

    1. Petra C Gronholm & Tamsin Ford & Ruth E Roberts & Graham Thornicroft & Kristin R Laurens & Sara Evans-Lacko, 2015. "Mental Health Service Use by Young People: The Role of Caregiver Characteristics," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-16, March.
    2. Fawley-King, Kya & Trask, Emily V. & Ferrand, John & Aarons, Gregory A., 2020. "Caregiver strain among biological, foster, and adoptive caregivers caring for youth receiving outpatient care in a public mental health system," Children and Youth Services Review, Elsevier, vol. 111(C).
    3. Siobhan M. Ryan & John W. Toumbourou & Anthony F. Jorm, 2014. "Factors Associated With Service Use for Young Adolescents With Mental Health Problems," SAGE Open, , vol. 4(4), pages 21582440145, November.
    4. Villagrana, Margarita, 2010. "Mental health services for children and youth in the child welfare system: A focus on caregivers as gatekeepers," Children and Youth Services Review, Elsevier, vol. 32(5), pages 691-697, May.
    5. Pfefferle, Susan G. & Spitznagel, Edward L., 2009. "Children's mental health service use and maternal mental health: A path analytic model," Children and Youth Services Review, Elsevier, vol. 31(3), pages 378-382, March.
    6. Zarger, Melissa M. & Rich, Brendan A., 2016. "Predictors of treatment utilization among adolescents with social anxiety disorder," Children and Youth Services Review, Elsevier, vol. 71(C), pages 191-198.
    7. David Daniel Ebert & Anna-Carlotta Zarski & Helen Christensen & Yvonne Stikkelbroek & Pim Cuijpers & Matthias Berking & Heleen Riper, 2015. "Internet and Computer-Based Cognitive Behavioral Therapy for Anxiety and Depression in Youth: A Meta-Analysis of Randomized Controlled Outcome Trials," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    8. Thompson, Richard, 2005. "The course and correlates of mental health care received by young children: Descriptive data from a longitudinal urban high-risk sample," Children and Youth Services Review, Elsevier, vol. 27(1), pages 39-50, January.
    9. Thompson, Richard, 2009. "The impact of early mental health services on the trajectory of externalizing behavioral problems in a sample of high-risk pre-adolescent children," Children and Youth Services Review, Elsevier, vol. 31(1), pages 16-22, January.
    10. Regina Bussing & Johanna Meyer & Bonnie T. Zima & Dana M. Mason & Faye A. Gary & Cynthia Wilson Garvan, 2015. "Childhood ADHD Symptoms: Association with Parental Social Networks and Mental Health Service Use during Adolescence," IJERPH, MDPI, vol. 12(9), pages 1-17, September.

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