Tags

Type your tag names separated by a space and hit enter

Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health.
Pediatrics. 2006 Jun; 117(6):e1202-12.Ped

Abstract

BACKGROUND

Recent children's health surveys have documented a high prevalence of emotional, developmental, and behavioral problems among children. Data from the 2003 National Survey of Children's Health provide new insights into these problems and their association with family function and community participation. These issues have become a current focus of the World Health Organization.

METHODS

Answers to questions of interest from the 2003 National Survey of Children's Health were reported using estimates and SEs of rates. Statistical comparisons of rates with chi2 tests at the 0.05 level were made when relevant.

RESULTS

The most commonly diagnosed problems among children 6-17 years of age were learning disabilities (11.5%), attention-deficit/hyperactivity disorder (8.8%), and behavioral problems (6.3%); among preschoolers, speech problems (5.8%) and developmental delay (3.2%) were most common. One in 200 children was diagnosed with autism. In contrast, rates of parental concerns about emotional, developmental, or behavioral problems were much higher; for example, 41% of parents had concerns about learning difficulties and 36% about depression or anxiety. Children with developmental problems had lower self-esteem, more depression and anxiety, more problems with learning, missed more school, and were less involved in sports and other community activities. Their families experienced more difficulty in the areas of childcare, employment, parent-child relationships, and caregiver burden.

CONCLUSIONS

The most recent National Survey of Children's Health mirrored results of previous surveys regarding rates of diagnosed emotional, developmental, and behavioral problems, including an escalating diagnosis of autism among children. Reported rates of parental concerns about these problems were much higher, suggesting possible underdiagnosis of children's problems. Children with chronic problems had diminished family functioning, more school absences, and less participation in community activities compared with other children. Their parents experienced more difficulty with childcare, employment, and parenting skills. A change in treatment emphasis is needed, away from an exclusive focus on a child's developmental and behavioral problems to one that addresses the impacts of these problems on the family and community participation. A new approach to the way these issues are addressed and managed has the potential to enhance the quality of life for a child, as well as the parents, and to produce more meaningful and tangible solutions to these complex and increasingly evident problems.

Authors+Show Affiliations

Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16740820

Citation

Blanchard, Laura T., et al. "Emotional, Developmental, and Behavioral Health of American Children and Their Families: a Report From the 2003 National Survey of Children's Health." Pediatrics, vol. 117, no. 6, 2006, pp. e1202-12.
Blanchard LT, Gurka MJ, Blackman JA. Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health. Pediatrics. 2006;117(6):e1202-12.
Blanchard, L. T., Gurka, M. J., & Blackman, J. A. (2006). Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health. Pediatrics, 117(6), e1202-12.
Blanchard LT, Gurka MJ, Blackman JA. Emotional, Developmental, and Behavioral Health of American Children and Their Families: a Report From the 2003 National Survey of Children's Health. Pediatrics. 2006;117(6):e1202-12. PubMed PMID: 16740820.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children's Health. AU - Blanchard,Laura T, AU - Gurka,Matthew J, AU - Blackman,James A, PY - 2006/6/3/pubmed PY - 2006/6/27/medline PY - 2006/6/3/entrez SP - e1202 EP - 12 JF - Pediatrics JO - Pediatrics VL - 117 IS - 6 N2 - BACKGROUND: Recent children's health surveys have documented a high prevalence of emotional, developmental, and behavioral problems among children. Data from the 2003 National Survey of Children's Health provide new insights into these problems and their association with family function and community participation. These issues have become a current focus of the World Health Organization. METHODS: Answers to questions of interest from the 2003 National Survey of Children's Health were reported using estimates and SEs of rates. Statistical comparisons of rates with chi2 tests at the 0.05 level were made when relevant. RESULTS: The most commonly diagnosed problems among children 6-17 years of age were learning disabilities (11.5%), attention-deficit/hyperactivity disorder (8.8%), and behavioral problems (6.3%); among preschoolers, speech problems (5.8%) and developmental delay (3.2%) were most common. One in 200 children was diagnosed with autism. In contrast, rates of parental concerns about emotional, developmental, or behavioral problems were much higher; for example, 41% of parents had concerns about learning difficulties and 36% about depression or anxiety. Children with developmental problems had lower self-esteem, more depression and anxiety, more problems with learning, missed more school, and were less involved in sports and other community activities. Their families experienced more difficulty in the areas of childcare, employment, parent-child relationships, and caregiver burden. CONCLUSIONS: The most recent National Survey of Children's Health mirrored results of previous surveys regarding rates of diagnosed emotional, developmental, and behavioral problems, including an escalating diagnosis of autism among children. Reported rates of parental concerns about these problems were much higher, suggesting possible underdiagnosis of children's problems. Children with chronic problems had diminished family functioning, more school absences, and less participation in community activities compared with other children. Their parents experienced more difficulty with childcare, employment, and parenting skills. A change in treatment emphasis is needed, away from an exclusive focus on a child's developmental and behavioral problems to one that addresses the impacts of these problems on the family and community participation. A new approach to the way these issues are addressed and managed has the potential to enhance the quality of life for a child, as well as the parents, and to produce more meaningful and tangible solutions to these complex and increasingly evident problems. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/16740820/Emotional_developmental_and_behavioral_health_of_American_children_and_their_families:_a_report_from_the_2003_National_Survey_of_Children's_Health_ L2 - https://publications.aap.org/pediatrics/article-lookup/doi/10.1542/peds.2005-2606 DB - PRIME DP - Unbound Medicine ER -