Mental disorders in the Pediatric Setting- Results of a Swiss Survey

Theoretical background: Mental disorders emerge in childhood and adolescence and are important risk factors for mental disorders in adolescents and adulthood. Since pediatricians typically are the first to see children with psychological problems, the aim of this study was to obtain a survey of mental disorders of children in pediatric settings. Methods: 250 pediatricians completed a questionnaire especially developed for this study, which asked for the estimated frequency and type of mental disorders in their patients, assurance in identifying mental disorders, used diagnostic and treatment strategies for these disorders and requests for training.Results: Pediatricians estimated that 15% percent of children in their pediatric setting reported psychological difficulties. The most frequent mental disorders indicated by the pediatricians were attention-deficit hyperactivity disorder (ADHD), anxiety disorders, depression, and aggressive disorders. Comfort in assigning diagnoses for anxiety disorders and depression was lower than for externalizing disorders. Counseling was the treatment approach most often reported in treating mental disorders, followed by psychopharmacological medication, psychotherapy however being reported very rarely. Their wish for continuing education included diagnostics and screening instruments for psychological problems in childhood. Conclusions: Estimated prevalence rates reported by pediatricians are comparable with rates in epidemiological studies. Because pediatricians are often confronted with psychological problems, they have the important role in recognizing early signs of mental problems.