| Contribution title | 2925 - The hidden problem: Identifying psychological issues in children and adolescents with long-term physical conditions |
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| Contribution code | PS02-44 (P) |
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| Form of presentation | Poster |
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| Abstract |
Objectives: Over 10% of children and adolescents worldwide live with long-term physical conditions (chronic illness) such as asthma and diabetes and are at increased risk of developing psychological problems, particularly anxiety and depression. Many of these problems remain 'hidden' due to the limited awareness or confidence of physicians in identifying them. A number of validated psychometric instruments exist that could help with earlier identification and intervention for such problems . Is routine 'screening' using such instruments viable and to be recommended? Methods: A systematic review of psychometric instruments used in studies of children and adolescents with long-term physical conditions was undertaken to identify potential screening instruments for anxiety, depression, behaviour problems, substance use problems, family problems and multiple problems. Results: Forty-four instruments were identified and rated according to predetermined criteria. Findings from this review were compared with those of previous reviews of screening instruments for psychological problems in the wider population of children and adolescents. Conclusions: There are some suitable instruments with which to undertake targeted screening for psychological problems in children and adolescents with long-term physical conditions. However, a number of caveats need to be considered before undertaking such screening and these will be discussed. |