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OBJECTIVE To determine whether paediatric intensive care unit (PICU) admission is associated with greater psychiatric morbidity in children and parents as compared with general paediatric ward admissions. DESIGN Retrospective cohort study. SETTING Paediatric intensive care unit and two general paediatric wards of a London teaching hospital. (More)
OBJECTIVE To test the hypothesis that younger children in a school year are at greater risk of emotional and behavioural problems. DESIGN Cross sectional survey. SETTING Community sample from England, Scotland, and Wales. PARTICIPANTS 10 438 British 5-15 year olds. MAIN OUTCOME MEASURES Total symptom scores on psychopathology questionnaires(More)
Recent advances in physical treatments have changed the implications of receiving a diagnosis of chronic physical illness in childhood. Individuals with disorders such as diabetes, cystic fibrosis, renal failure, and cancer, who may previously have had a limited life expectancy are now surviving into adulthood. During childhood, chronic physical illness(More)
OBJECTIVE To assess short-term changes in child and parent psychiatric status following meningococcal disease. DESIGN Prospective cohort study; 3-month follow-up using parent, teacher, and child questionnaires. SETTING Hospital admissions to three pediatric intensive care units and 19 general pediatric wards. PATIENTS Sixty children aged 3-6 yrs, 60(More)
AIMS To compare the experiences of parents and children during inpatient admission to either a paediatric intensive care unit (PICU) or a general paediatric ward (GPW) with a specific focus on identifying factors which may influence psychological outcome. METHODS Semi-structured qualitative interviews of 20 parents whose children had been admitted to(More)
OBJECTIVE To assess psychiatric status after meningococcal disease. METHOD Cohort study of 66 children (34 boys, 32 girls) ages 4 to 17 years admitted to pediatric hospitals with meningococcal disease. The main outcome measure was psychiatric disorder (1-year period and point prevalence on the Schedule for Affective Disorders and Schizophrenia for(More)
BACKGROUND Depressive disorder is common amongst adolescents attending primary care, but little is known about its time course. AIM To determine the 6-month outcome of depressive disorder in adolescent primary care attendees with regard to the time to recovery from (1) the date of index GP consultation and (2) the date of depressive episode onset, and to(More)
OBJECTIVE To ascertain whether increases in psychological symptoms in children and parents after meningococcal disease are sustained over time, and to examine the psychosocial and illness associations of 12-mo psychological outcome. DESIGN A prospective, cohort study using repeated measures. SETTING Three pediatric intensive care units and 19 general(More)
PURPOSE Depression in young people attending primary care is common and is associated with impairment and recurrence into adulthood. However, it remains under-recognized. This study evaluated the feasibility of training primary care practitioners (PCPs) in screening and therapeutic identification of adolescent depression, and assessed its effects on(More)
BACKGROUND Depressive disorders are common in adolescent general practice attenders. METHOD Adolescent attenders were screened/interviewed for depressive disorders, general practitioners (GPs) completed a checklist indicating recognition of psychopathology prior to and following GP training in the identification/management of adolescent depression. (More)