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Presented at the 17th Annual Research Conference

Relationship between Chronic Medical Conditions and Mental Health Service Outcomes in Adolescents

Download Handouts: 1.3mb pdf

Session Number: 28 Room: Salon J

Presenting: Teresa Kramer

All Authors for this paper: Teresa Kramer; Patti Bokony; Soren Louvring; Susan Phillips; James Robbins

Presentation Type: part of symposium

Synopsis: Despite the association between mental and physical health problems in youth, there has been little exploration on the impact of comorbidity in mental health populations. Participants were 256 adolescents and their parents in inpatient and outpatient psychiatric settings, who were administered the Adolescent Treatment Outcomes Module, Child Behavior Checklist/Youth Self Report, Burden Assessment Scale, and Child Health Questionnaire. Adolescents with 1 or more medical conditions (51%) had more impairment in mental and physical health at baseline, compared to adolescents with no medical condition. At the six-month follow-up, adolescents with 1 or more medical conditions continued to have poorer physical functioning and higher parent-reported internalizing symptoms. The findings suggest the need for thorough screening, continuity of care, and appropriate treatment of mental health symptoms related to physical health in adolescents.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

Impact of Mental Disorders on Pediatric Hospitalizations for Physical Illness and Injury

Download Handouts: 1.3mb pdf

Session Number: 28 Room: Salon J

Presenting: Terri Miller

All Authors for this paper: Terri Miller; James Robbins; Joseph Thompson; Mary Aitken; Teresa Kramer

Presentation Type: part of symposium

Synopsis: A national hospital discharge database was used to examine the impact of comorbid mental disorders on length and costs of hospitalization for physical illnesses and injuries in children and adolescents 6 to 17 years old. Results indicate that comorbid mental disorders are consistently associated with longer mean lengths of stay and higher mean costs across a range of chronic and acute illnesses as well as injuries. Further investigation is warranted to characterize the potentially differential impact of varying types of psychopathology on medical hospitalizations in youth.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

Relationships between Depression and Obesity among Adolescents Participating in NHANES III

Download Handouts: 1.3mb pdf

Session Number: 28 Room: Salon J

Presenting: Martha Phillips

All Authors for this paper: Martha Phillips

Presentation Type: part of symposium

Synopsis: Weight status, particularly being overweight, and depression are significant issues for adolescents. This investigation analyzed data from NHANES III to assess the relationship in a large, nationally representative sample. Logistic regression analyses were completed to assess the relationship among 15-16 year olds, adjusting for the concurrent effects of gender and race. Obesity was defined by body mass index (BMI) at or above the 95th percentile for age and sex, using 2000 Center for Disease Control (CDC) growth charts. Findings indicated that the odds of depression among obese adolescents were more than 6 times greater than the odds of depression among peers who were not obese. The observed relationships between obesity and depression in adolescents may highlight opportunities for families, schools, and mental health providers to target efforts to prevent the occurrence of or facilitate the early identification and treatment of adolescent depression.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

Mental and Physical Health of Youth in Clinical and Community Settings

Download Handouts: 1.3mb pdf

Session Number: 28 Room: Salon J

Presenting: Teresa Kramer; Mario Hernandez

All Authors for this paper: Teresa Kramer; Mario Hernandez

Presentation Type: brief symposium

Synopsis: There is sufficient evidence to suggest that the interaction of mind and body influences health outcomes. Adverse emotional states and stress can impact physiology; similarly, certain physical disorders can wreak havoc upon an individual’s mental status. This symposium explores the relationship between physical and mental health in children and adolescents in general settings- hospital, psychiatric and in the community. In a study of community hospitals in 22 states, youth admitted for an acute or chronic illness with a comorbid mental health diagnosis had longer lengths of stay and correspondingly higher costs associated with their visits than youth with only an acute or chronic illness. In a second study, investigators found that half of youth treated in seven outpatient and inpatient psychiatric settings reported comorbid medical conditions, which were associated with more severe emotional and behavioral problems and, in some cases, poorer clinical outcomes. In a third study of community adolescents, overweight youth were more likely to meet criteria for a depressive disorder than youth with average weight. These studies lend strong support to the need for improved strategies to assess comorbid medical disorders, coordinate care with other health professionals and address the psychosocial aspects of medical illness in youth seeking mental health treatment.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM