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Presented at the 17th Annual Research Conference
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
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
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
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