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Psychological deviance in children attending general practice

Published online by Cambridge University Press:  09 July 2009

M. E. Garralda  and
D. Bailey
M. E. Garralda*
Affiliation:
University of ManchesterDepartment of Psychiatry (Child and Adolescent Psychiatry), Booth Hall Children's Hospital, Manchester
D. Bailey
Affiliation:
University of ManchesterDepartment of Psychiatry (Child and Adolescent Psychiatry), Booth Hall Children's Hospital, Manchester
*
1 Address for correspondence: Dr M. 13. Garralda, Booth Hall Children's Hospital, Charlestown Road, Blackley, Manchester M9 2AA.
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Synopsis

Parental questionnaires identified 22% of children aged 7–12 years attending 8 general practices as psychologically deviant. Most attended for physical complaints. A comparison with general population rates showed that deviant children were over-represented among surgery attenders, particularly in the more socially advantaged areas. This finding may be explained through (1) an excess of somatic symptoms in deviant children; (2) increased parental concern about the child's health as an extension of concern about his behaviour; (3) family stress. These possibilities are discussed.

Type
Research Article
Information
Psychological Medicine , Volume 16 , Issue 2 , May 1986 , pp. 423 - 429
Copyright
Copyright © Cambridge University Press 1986

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References

Bailey, V., Graham, P. & Boniface, D. (1978). How much child psychiatry does a general practitioner do? Journal of the Royal College of General Practitioners 28, 621–626.Google Scholar
Clare, A. W. & Lader, M. (1982). Psychiatry and General Practice. Academic Press: London.Google Scholar
Coddington, R. D. (1972). The significance of life events as etiological factors in the diseases of children. II. A study of a normal population. Journal of Psychosomatic Research 16, 205–213.CrossRefGoogle Scholar
Court, S. D. M. (Chairman) (1976). Fit for the Future. Report on the Committee on Child Health Services, vol. I. HMSO: London.Google Scholar
Garralda, M. E. (1983). Child psychiatric emergencies: a research note. Journal of Child Psychology and Psychiatry 24, 261–267.CrossRefGoogle ScholarPubMed
Gath, D. (1972). Psychiatric services for children. In Psychiatric Aspects of Medical Practice (ed. Mandelbrote, B. M. and Gelder, M. G.), pp. 138–160. Staple Press: LondonGoogle Scholar
Gath, D., Cooper, B. , B., Gattoni, F. & Rockett, D. (1977). Child Guidance and Delinquency in a London Borough. Oxford University Press: Oxford.Google Scholar
Giel, R., Arango, M. V., Climent, C. E., Harding, T. W., Ibrahim, H. H. A., Ladrido-Ignacio, L., SrinivasaMurthy, R. Murthy, R., Salazar, M. C., Wig, N. N. & Younis, Y. O. A. (1981). Childhood mental disorders in primary health care. Results of observations in four developing countries. Pediatrics 68, 677–683.CrossRefGoogle ScholarPubMed
Goldberg, D. P. & Huxley, P. (1980). Mental Illness in the Community. The Pathway to Psychiatric Care. Tavistock Publications: London.Google Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976). Psychiatric morbidity in general practice and the community. Psychological Medicine 6, 565–569.CrossRefGoogle ScholarPubMed
Ingham, J. G. & Miller, P. M. (1976). The determinants of illness declaration. Journal of Psychosomatic Research 20, 309–316.CrossRefGoogle ScholarPubMed
Mechanic, D. (1964). The influence of mothers on their children's health attitudes and behaviour. Pediatrics 33, 444–453.Google Scholar
Mechanic, D. (1979). Development of psychological distress among young adults. Archives of General Psychiatry 36, 1233–1239.CrossRefGoogle ScholarPubMed
Monaghan, J. G., Robinson, J. D. & Dodge, J. A. (1979). The Children's Life Events Inventory. Journal of Psychosomatic Research 23, 63–68.CrossRefGoogle ScholarPubMed
Office of Population Censuses and Surveys (1981). Census 1981: Small Area Statistics. HMSO: Hants.Google Scholar
Office of Population Censuses and surveys (1983). Social Survey Division. General Household Survey 1981. HMSO: London.Google Scholar
Richman, N., Stevenson, J. & Graham, P. J. (1982). Pre-School to School: a Behavioural Study. Academic Press: London.Google Scholar
Roghmann, K. J. & Haggerty, R. J. (1972). Family stress and the use of health services. International Journal of Epidemiology 1, 279–286.CrossRefGoogle ScholarPubMed
Rutter, M., Tizard, J. & Whitmore, K. (eds.) (1970). Education, Health and Behaviour. Longman: London.Google Scholar
Rutter, M., Cox, A., Tupling, C., Berger, M. & Yule, W. (1975). Attainment and adjustment in two geographical areas. I. The prevalence of psychiatric disorder. British Journal of Psychiatry 126, 493–509.CrossRefGoogle Scholar
Ryle, A. (1967). Neurosis in the Ordinary Family. Tavistock Publications: London.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966 a). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Shepherd, M., Oppenheim, A. N. & Mitchell, S. (1966b). Childhood behaviour disorders and the child guidance clinic. An epidemio. logical study. Journal of Child Psychology and Psychiatry 7, 39–52.CrossRefGoogle Scholar
Steinberg, D., Galhenage, D. P. C. & Robinson, S. C. (1981). Two years' referrals to a regional adolescent unit: some implications for psychiatric services. Social Science and Medicine 15, 113–122.Google ScholarPubMed
Tessler, R., Mechanic, D. & Dimond, M. (1976). The effect of psychological distress on physician utilization: a prospective study. Journal of Health and Social Behaviour 17, 353–364.CrossRefGoogle ScholarPubMed
Tuch, R. H. (1975). The relationship between a mother's menstrual status and her response to illness in her child. Psychosomatic Medicine 37, 388–394.CrossRefGoogle ScholarPubMed
WONCA (1983). ICHPPC-2-Defined (International Classification of Health Problems in Primary Care) (3rd edn). Oxford University Press: Oxford.Google Scholar